Department of Midwifery

Primary Health Care

Instruction:
SITUATION: The legal basis of Primary Health Care in the Philippines is the letter of instruction (LOI) #949 on
October 1979, one year after the conference at Alma Ata, Russia in 1978.
1. Essential elements of PHC include/s:
1. Provision of essential drugs
3. MCH includes FP
2. Vital statistics
4. Treatment of locally endemic disease
a. 1,2,3,4
b. 2,3,4
c. 1,3,4
d. 1,2,3
2. Categories of health workers composed the primary, secondary and tertiary health care teams. To which
category do traditional healers belong?
a. Brgy. Health Workers
c. Grassroots workers
b. Trained Personnel
d. Intermediate level health workers
3. Primary Health care is focused on:
a. The promotion of the community participation in problem identification and provision of solution to such
problems.
b. The promotion of the collaboration between the government and the private sector.
c. The role of the national government in nation building
d. Self-reliance on the health professionals
4. Mang Kulas is one of your clients. He is suffering from tuberculosis at present. His sputum exam is positive.
Health educating the family of Mang Kulas to prevent them from getting the disease falls under what level of
prevention?
a. Primary level
b. Secondary level
c. Tertiary level
d. Specialized
5. This is the key strategy in PHC
a. Effective use of appropriate technology
c. Active community Participation
b. Partnership
d. Multi-sectoral approach
6. Who receives referral of grassroots level?
a. Village
b. Intermediate
c. Primary
d. Council
7. Levels of Health Care services are determined by which of the following?
a. Funding system at all levels
c. Availability of health care personnel
b. Active Participation of the community
d. Referral to other services
8. Say is a trained community worker in the community. Say is identified as what level of primary health
worker?
a. Intermediate level of health care
c. Trained Hilot
b. Village or grassroots health worker
d. Volunteer
9. Health problems beyond the capability of the village health workers are referred to an intermediate health
facility, usually at
a. District hospital
b. Medical center
c. Specialty Clinic
d. Rural health unit
10. Which of the following are intermediate health workers?
1. Sanitary Inspector
3. Nutritionist
5. Public Health Nurse
2. Municipal Health Officer
4. Village health worker
6. Midwife
a. All of these
b. 1,2,5,&6
c. 1,2,3,&4
d. None of the above
11. The most midwife intervention in health promotion is:
a. Health information, communication and education
c. Behaviour modification for healthy living
b. Screening and case finding activities
d. Community Organization for health action
12. Promotion of health is a major responsibility of the CHM this refers to;
a. activities that seek to protect clients from potential or actual health threats & their harmful consequences.
b. activities directed toward developing the resources of clients that maintain or enhance well being.
c .Activities directed toward decreasing the probability of specific illness or dysfunctions in individuals.
d. activities aimed to prevent spread of microorganisms to individual.
13. You need to gather a lot of data about the community. Which of these can be given least priority?
a. community's belief and practice
.c. community's political leadership
b. community's knowledge in health
d. community's way of life
14. You studied the figures of disease and accidents that occurred in Monteverdi for the last 2 years. These
figures are reffered to as;
a. mortality statistics
c. mortality and morbidity statistics

b. rates and ratios

d. morbidity statistics
15. Which of the following gives a good reflection of the state of health of monteverdi?
a. maternal morbidity rate
c . age-specific birth rate
b. infant mortality rate
d. crude death rate
16. The residents in Brgy. Iba with 26,000 populations will be organized to form committees to encourage them
to participate in the health promotions program. This is:
a. Program information
c. community mobilization
b. Determination of needs
d. integration
17. In health education, the health worker should have adequate knowledge regarding facts about disease in
nature, routes of transmissions, prevention and control in order to:
a. Correct myths and misconceptions
c. conduct research studies
b. Treat patients with the disease
d. Control the spread of the disease
18. Records of births and deaths in the barangay should be reported as one of the functions of the midwife in
vital statistics. The crude birth ratio is computed per 1, 000 population by:
a. Dividing total live births over maternal deaths
b. Dividing total live births over total population
c. Dividing live births over population
d. Dividing maternal deaths over live births
19. Last May, there was an outbreak of cholera fever due to contamination of its water supply. Disease
incidence ended in June. This pattern of disease occurrence is:
a. Sporadic b. Epidemic
c. Endemic
d. Pandemic
20. Epidemiology is the study of occurrences and distribution of disease, as well as health. In the case of
dengue Haemorrhagic fever, the Anopheles mosquito is a/an:
a. Agent
b. host
c. Fomite
d. None of the above
Situation: Mr. Laurel, a public midwife is conducting community class in Brgy. Kawayan about pulmonary
Tubercolosis.
21. Category 3 treatment regimen for TB is prescribed to;
a. New pulmonary TB Patients whose sputum is positive
b. Previously treated patients who are on relapse
c. New pulmonary TB Patients whose sputum is serum-negative for 3x & a chest x-ray of PTB minimal
d. Previously treated patients who are failures
22. What TB drug is net given to children under age 6 who are too young to report visual disturbances.
a. INH
b. Rifampicin
c. ethambutol
23. Category treatment regimen for TB is prescribed. This is given:
a. 2 months intensive phase, 4 months maintenance phase
b. 3 months intensive phase 2 months maintenance phase
c. 2 months intensive phase, 2 months maintenance phase
d. 3 months intensive phase, 6 months maintenance phase
24. When can trained hilot attend to a delivery?
a. When at a time of delivery, no licensed personnel trained on maternal care is around
b. when the patients is living in a remote area
c. when the worker is considered to have a high risk pregnancy
d. The mother requested the hilot to attend to the delivery
25. What mineral supplement is given to pregnant woman in the third trimester of pregnancy?
a. vit. C
b. Fe-Iron
c. Folic Acid
26. The following are benefits of breastfeeding to the infant except:
a. Provides a nutritionally complete food for the young infant
b. strengthens the infants immune system, preventing many infections
c. Reduces the infants exposure to infection
d. Provides a natural methods of delaying pregnancies.
27. In order to strengthen the community participation in health activities in the community, which of this
following should be done by the public health Midwife?
1. Identify the existing and potential leaders of the community
2. Form a core group for health
3. Formulate action program for health
4. Tell the community leaders what to do for their health problems
a. 1 &3
b. 3&4
c. 1&2
d. 2&3
28. Which of the following characterized Primary Health Care?
1. Essential Health care accessible and acceptable to individual and families in the community
2. The cost of care is affordable to community and country

3. the setting is in tertiary hospitals

4. Require health personnel and specialized training
a. 1 &4
b. 3 7 4
c. 1 & 2
d. 2 & 3
Situation: You are assigned as a public health midwife to oversee the different health activities in your
community
29. While you were going over the record of Mrs. Uy who missed her prenatal appointment date. Her review of
the family folder showed the following: GR-II, PARA II; with slight edema; BP=150/100. Mrs. Uy eldest son
in underweight is sick of H-fever. Midwife Linda planned a home visit. Which of the following would you give
priority in planning her for the family?
a. Mrs. Uys eldest son who is sick with H-fever
b. Mrs. Uy pre-eclampsia
c. nutritional status of Mrs. Uys eldest son
d. Family Potential threat of cross-infection from H-fever
30. Elisa is on her 1 month pregnancy. Her first child is 3 months old. She asked you if she should
stop breastfeeding her first baby since she is now pregnant. Your response should be the ff. EXCEPT:
a. Breastfeeding during pregnancy is not harmful to either of the babies.
b. Sudden weaning can be harmful and can make the older child ill
c. Breast milk is only valuable until the child is 4 months old
d. She can start giving solid foods in preparation for weaning when her child is 4-6 months old.
31. Which of the following statements is correct regarding Community health Midwife (CHM)?
a. Professional growth & development of the PHM is the responsibility of the Department Health
b. Provision of CHM care is not any way affected by policies of the agency where the midwife work.
c. The PHM worked with community 19 to 6 years can solely determine the health needs of the
community
d. Evaluation of the health status of individuals & families should be done in consultation with them.
32. In developing capability of the people to assume more responsibility for their health, which of the
following statements would you consider most important?
a. Lead-lag in the health activities
c. identifying health problems with the people
b. Organizing the community for health
d. making medicine available
33. Prioritization of community needs/problems for action is a activity in COPAR under the phase of:
a. Pre-entry
b. Entry
c. Organizational building
d. Sustenance and strengthening
34. Community diagnosis is a step in organizing a community. Its main purpose is to:
a. Gather and analyze data on the characteristics of the community
b. Determine available community resources
c. Identify health related needs and problems of the community
35. The first step in organizing a community is to gain entry to the community. Which of the following
activities needs to be done for this step?
a. Arranging meeting with identified key leaders of the community
b. Making courtesy call to the identified community leaders
c. Gathering initial information about the community
d. All of these activities
36. If you are a midwife in a community and you conducted a health teaching, which of the following will
you include to help in promoting food sanitation?
a. Proper hand washing and techniques
c. Health certificate
b. Cooking demonstration
d. Training on food handlers
37. COPAR is defined as:
a. Community organization participatory action research
b. Community organizing program action research
c. Community organizing participatory action research
d. Community organization participatory active research
38. Rice water stool is indicative of:
a. Amebiasis
b. Typhoid fever
c. Cholera
d. Schistosomiasis
39. Type of infected acquired while the patient is confined in hospital:
a. Nosocomial
b. Community-acquired
c. Respiratory
d. None
40. Which of the following is alive, attenuated bacterial vaccine?
a. Tetanus
b. Pertussis
c. Diphtheria
d. BCG
41. The following vaccines are given in 3 doses:
a. DPT & Polio
b. Measles and hepatitis
c. Measles and Polio d. BCG & DPT
42. Kissing, sneezing, coughing constitute the so called:
a. Vector
b. droplet
c. noso-comial
d. Fomites
43. The arching back is known as:
a. Opisthotonous
b. tonic spasm

c. Clonic

d. all of these

44. The method, which laymen call the dry-wet dry actually refers to tha natural planning method called:
a. Withdrawal method
c Billing method
b. Ogino-kaus method
d. BBT
45. Rabies is preventable but not curable;
a. True
b False
c None
all of these
46. Vitamin D can best be obtain through:
a. Vitamin D capsule O.D
c. Regular exercise
b. Eating food high in Vitamin D
d. Exposure to sunlight
47. Tuberculin test is done to detect the:
a. Diphtheria
b. Measles
c. Tuberculosis
d. Pneumonia
48. Breastfeeding is encourage for the following maternal reason, EXCEPT:
a. Aids in involution
c. Prevent mastitis
b. Prevents milk leg formation
d. Economical
49. One way of disinfecting the room occupied by a patient with communicable disease is:
a. Damp dusting
b. Boiling
c. Fumigation
d. Aeration
50. The system insuring the potency of vaccines from the time of manufacture to the time of administered to
the child or pregnant woman is called the:
a. Potency chain
b. cold chain
c. Speed chain
d. Freeze chain
51. The following disease can be transmitted through skin penetration, except:
a. Tetanus
b. hookworm infection
c. Hepatitis B
d. Ascariasis
Situation: the midwife must be able to apply her knowledge and skills in the care of pt. with various kinds of
disease condition in the home, health center or community and the DOH programs as well.
52. Rheumatic heart disease is a heart disease among children. As a community midwife, you should
educate the parents to protect their children from?
a. Tonsillitis or sore throat
b. Measles
c. Mumps
d. Fracture
53. In one of your home visits, you found out that Elena a 2 year old child id having diarrhea. To prevent
dehydration you will advise Elenas mother to give her oresol amounting to:
a. 900-1400 ml. during first 4 hours
c. 200-300 ml, 3 times a day
b. 400-700 ml. during first 4 hours
d. 700-900 ml. after each lose control
54. The public health midwife needs to visit different patient & families. Among these listed who should be
visited last?
a. Pregnant mother and her family
c. patient with typhoid fever
b. Adolescent with a psycho-social problem
d. Diabetic patient
55. To improve uterine contractions &facilities the descent of the baby, the midwife allowed to do which
procedure?
a. Inject pitocin IM to induce uterine contractions
b. Push the fundus with full force
c. Give an NSSS Anemia
d. All of these
56. The boy passed out ascaris. Which of the following needs to be taught by the midwife to the family?
a. The child must always wear slippers to prevent re-infestation
b. Proper hand washing technique before eating and after elimination
c. Always let the bi wear an under pants
d. All of these
57. Lack of Vit. D leads to:
a. Scurvy
b. Beri-beri
c. Rickets
d. Osteoporosis
58. Communicable disease are real transmitted to others during the stage of:
a. Rehabilitation
b. Remission
c. Communicability d. Incubation
59. When the baby is born with thick cervix caseosa, the midwife can readily remove the excess by using:
a. Soap & warm water b. baby oil
c. Mild detergent
d. All of these
60. The proper technique of disposing tissue wipes use by a patient with active TB may be do through?
a. Throwing them directly into an open waste basket
b. Collection them in paper bag and burn after
c. Both of the following
61. Which of the following disease do you expect to find skin rashes?
a. Hemorrhagic fever
b. Diphtheria
c. Filiariasis
62. When a girl has prediculosis, a simple household intervention that can be done is:
a. Apply kerosene to the hair before shampooing
b. Use guava leaves decoction for rising the hair
c. Use warm water for washing the hair
63. The following vaccine are damage by freezing:
a. DPT & Tetanus Toxoid
Measles and BCG
c. Both A & B
64. Opened reconstituted vaccine should be discarded properly. Discard DPT, polio, measles, TT:
a. After 4 hour
b. at the end of working day c. after six hours
65. In the preparation of the Oresol, solution is made by:
a. 1 packed of oresol in 500 ml. of clean water

b. 1 packed of oresol in 1000 ml. of clean water

c. 2 packed of oresol in 500 ml. of clean water
66. When breastfeeding child has diarrhea, the best advise a midwife can give to the mother:
a. Continue breastfeeding if possible increase
b. Give anti diarrhea tablet for the baby
c. Discontinue breastfeeding
d. All of these
67. The diagnostic test for H-fever:
a. Tourniquet test
b. Mantoux test
c. schillings test
d. widals test
68. The presence of Kop Licks spot is a pathognomonic symptom:
a. Poliomyelitis
b. Typhoid fever
c. Robeola
d. Rubella
69. Primary level of prevention includes:
a. Giving of immunization
c. Regular well baby check up
b. Vitamin B2 and B
d. all of these
70. The current trend on the treatment of diarrhea is:
a. NPO until diarrhea stops to give rest to the GIT
b. Use of anti-diarrheal & Antibiotics
c. Oral rehydration therapy (ORT)
d. All of these
71. Who among of the following would be best qualified for a home delivery?
a. G3P2 with a regular AP check-up from the 5th month
b. G2P0 with a regular AP check-up from the 1th month
c. G7P5 a relative of the midwifery
72. Pertussis is also known as:
a. Shigelloses
b. Enteric Fever
c. PTB
d. whooping cough
73. A method of maintaining health, treating disease an alleviation pain by applying pressure or massaging
certain point on the body surface:
a. Yoga
b. Acupuncture
c. Acupressure
d. Physical therapy
74. The following are elements of expanded program on immunization, EXCEPT;
a. Information, Education & communication
b. Surveillance, studies and research
c. Target setting
d. None of the above
75. A disease is said to be endemic when it is constantly present in a community. What should a midwife is
expected to do in an endemic area?
a. Health education
b. Child survival
c. all of these
d. mass immunization
e. Environmental improvement
76. You perform Leopolds maneuver to your pregnant client. In order to get accurate result and provide
comfort to the client, you instruct the client to:
a. Empty her bladder
b. warm her hands
c. avoid eating prior to the procedure
d. hyperventilate for a short period of time
77. Pulmonary tuberculosis, an infection of the lungs is community transmitted by inhalation of droplets.
Which is not included as precipitating factors of PTB?
a. Alcoholism
c. Poor nutrition and crowded living conditions
b. b. HIV Infection
d. drug abuse
78. a pregnant woman diet includes adequate supplies of calcium and phosphorous which are essential in
the development of the babys:
a. Bones and teeth
b. Kidney and liver
c. heart & blood vessels
d. all of these
79. A client requested a midwife to explain to him the disease process of Heap B, its mode transmission,
what is the midwife best response?
a. By droplet infection
c. through blood transfusion
b. Through open wounds
d. through body secretions
80. Breast milk can be refrigerated and preserved for as long as:
a. 1 month
b. 3 months
c. 72 hours
d. 5 months
81. Diseases spread by indirect contact, which enters the body by mouth:
a. Mumps
b. Diphtheria
c. Typhoid Fever
d. Measles
82. Which refers to the excessive loss of water from body tissues, accompanied by a disturbance in the
balance of essential electrolytes?
a. Vomiting
b. Dehydration
c. loose vowel movements d. all of these
83. This is a fat soluble vitamin that promotes the absorption of calcium from the intestine and therefore
essential to be the maintenance of calcium and phosphorous levels in the body and to formation of
sound teeth and bones:
a. Vitamin A
b. Vit. E
c. Vit. C
d. Vit. K
84. Nausea and vomiting are especially common complaints from early pregnancy to 16 weeks. Of the
following managements measures of nausea and vomiting, which is not included?
a. Eat CHON before sleep

87.

b. Request her care provider to prescribe anti anemic

c. Restricted fat, high CHO
d. Small frequent feedings
SITUATION: IMMUNIZATION is a regular activity of the RHU. The midwife participates actively in the
campaign for immunization as well as in the implementation & evaluation of the
immunization activities.
85. In view of the intensive campaign for immunization. Mrs. Reyes brings her a 3 week old child for the
first time to the health center. What kind of immunization can be given to Mrs. Santos:
a. BCG, DPT, HEP.B
B. BCG
C. BCG, OPV, DPT D. BCG & MEASLES only
86. When oral polio vaccine is given, sometimes the child vomits or spit this out. When this happen?
a. Give one drop
c. give another 2 drops
b. Give a booster dose after 4 weeks d. consider this as normal
When giving BCG, The angulations of the needle should be:
a. 10-15 degrees
b. 45 degrees
c. Perpendicular to the skin d. 0 degrees
88. Care should be taken in administering & transporting polio vaccine to immunization sites in the barangay.
Which of the following should be done?
a. Get only 1 vial out of the container at a time
b. Bring out from the container all vials to be used for the day
c. Returned unconsumed opened vials into the container
d. All of the above
89. A pregnant woman should be immunized for the babys protection with:
a. DPT vaccine
b. Tetanus Toxoid
c. Hepatitis B vaccine
d. MMR
90. Which of the following vaccine should be kept at a temperature of +2 to 80C?
a. OPV & Measles
b. DPT & Tetanus Toxoid
c. VCG & OPV
d. Measles & BCG
91. This vaccine is considered as the most sensitive vaccine to heat:
a. MEASLES
b. TETANUS TOXOIDc. BCG
d. OPV
SITUATION: Mario is one of your clients. He is suffering from tuberculosis at present. His sputum exam is
positive (+).
92. Tuberculosis is caused by what microorganism?
a. Mycobacterium
b. Plasmodium
c. Clostridium
d. Filterable virus
93. Tuberculosis can be transmitted through:
a. Direct contact
b. Indirect contact
c. Both A & B
d. Neither A nor B
94. Health education the family of Mario to prevent them from getting the disease falls under what level of
prevention?
a. Primary
b. Secondary
c. Tertiary
d. Specialized
95. A positive (+) sputum exam would qualify if Mario for this TB treatment?
a. Standard Regimen
c. Short Course Chemotherapy (SCC)
b. Multiple drug therapy (MDT)
d. None of these
96. The SCC for TB is given for a period of:
a. One year
b. 4 months
c. 2 months
d. 6 months
97. Tuberculosis as health problem is classified as:
a. Health threat
b. Health deficit
c. Stress point
d. Foreseeable crisis
98. Mario is jobless represent. Hence, the family is having a problem in making both ends meet. Unemployed
is classified as:
a. Health threat
b. Health deficit
c. Stress point
d. Nursing problem
99. The childhoods of Mario dont have BCG immunization. This family health problem constitutes as:
a. Health threat
b. Health deficit
c. Stress point
d. Foreseeable crisis
100.Barangay Ibas population is composed of 12,000 men, 500 of which are senior citizens, 14,000 women,
200 of which are pregnant and 600 are senior citizens and out of the 8,000 children, 50% belong to the
under 5 age group. Its total population is:
a. 34,800
b. 34,600
c. 34,000
d. 35,300