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Community Health - Paper I Question Paper
Community Health - Paper I
Course:Bachelor Of Medicine
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
FOURTH YEAR EXAMINATION FOR THE DEGREE OF BACHELOR OF
MEDICINE AND BACHELOR OF SURGERY
HCH : (100 – 103, 200- 205, 300 – 305, 400 – 405)
COMMUNITY HEALTH - PAPER I
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DATE: TUESDAY 1ST SEPTEMBER 2009
TIME: 8.00 A.M. – 10.30 A.M.
INSTRUCTIONS
Answer ALL MCQs Questions in Section A. (Time 60 minutes)
Answer Question 1 – 5 and any other Three from 6 – 15. (Time 1hr 30 minutes)
Indicate the correct answer by ticking against it.
The correct answer earns a (+1) mark and incorrect answer earns (-1/2 ) mark.
1.
The following are encouraged for medical practitioners during consultation with
patients, except;
a) Be
empathetic
b) Listening
c) Improve
communication
d) Be
sympathetic
Page 1 of 16
2. Three of the following are means through which patients can participate directly in health
needs identification except;
a)
During consultations with the doctor
b)
In the electoral process
c)
In comparative needs analysis
d)
In management arrangement for actual operations of health services
Indicate by ticking whether the following are true or false.
3.
Home based care is the future of health care in terms of cost effectiveness
TRUE
FALSE
4.
Causality is multifactorial in behavioral sciences
TRUE
FALSE
5.
Social support is the core of the care for the terminally ill patients
TRUE
FALSE
6.
Kenya has a policy for the integration of modern and traditional medicine.
TRUE
FALSE
7.
Patients social class is not important in disease aetiology
TRUE
FALSE
8.
Perceived threats to illness increases the likelihood of seeking health care.
TRUE
FALSE
Page 2 of 16
9.
The best definition of health is: Pick the correct one-
a)
The absence of disease
b) The soundness of body and mind
c) The absence of mental illness
d) A state of complete physical, mental and social well being
10.
Exposure to occupational hazards:- Pick the odd one out.
a) Varies with individual susceptibility to the harmful effects of the hazards agents.
b)
May be measured and assessed by an occupational hygienist.
c) Is most reliably measured by placing personal sampling device on the worker
while at work.
d) Will result in irreversible effects on health if the legal occupational exposure
limit cannot result in adverse health effects.
11.
Water related diseases are typically:- Pick the odd one out
a)
Water-related insect vectors diseases
b)
Water-washed diseases
c)
Water-based diseases
d)
Waterborne
diseases
e)
Diarrheal diseases
12.
Toxics added in the water distribution systems includes:- Pick odd one out
a)
Metals released by corrosion of pipes.
b)
By products of chemicals used to disinfect and treat water
c)
Additive to prevent corrosion
d) Biological
contaminations
e)
Natural organic pollution e.g. decaying vegetable matter.
Page 3 of 16
13.
Which of the following is not among the responsibilities of an occupational health
units?
a)
Health prevention services in work settings
b)
Work safely preventions
c)
Following up the health and safety conditions in work setting.
d)
Preventing any interruption in product
e)
Giving outpatient clinic services in work setting.
14. Which of the following best represents the environmental related responsibilities of a
general practitioner who works in health centre?
a)
Waste control and giving education to correct misapplications.
b)
Analyzing and chlorination drinking water, control of potable water
c) Controlling
and
improving the condition of toilets
d)
Coordination of conduction of above mentioned services by auxiliary
personnel of health centre
e)
All of the statements above are true.
15.
Environmental audit objective typically entails?:- Pick the odd one out
a)
Verification
of
legislative and regulatory compliance
b)
Assessment of internal policy and procedural
c)
Establishment of current practice status
d)
Identification of improvement opportunities
e)
Environmental
risk
assessment.
16.
Hazards arise from? Pick odd one out
a)
Biological, chemical, physical, mechanical and psychological agents.
b)
The work environment
c)
The use of machinery and substances
d)
Poor work supervision
e)
Inappropriate systems and procedures
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