Practice Exam in Public Health Pharmacy

119/ 120 score

d. verify the diagnosis

In conducting an investigation of epidemic, which among the following will be considered as first step?

a. determine the case count

b. determine the population at risk

c. calculate the incubation period

d. verify the diagnosis

a. Oral rehydration therapy

The main focus of environmental health is all of the following except:

a. Oral rehydration therapy

b. treatment of wastewater coming from domestic and industrial sources before releasing in the rivers and dams

c. Treatment of water supply by chlorination

d. Expanded Program on Immunization

d. primary health care

It refers to essential care made accessible at a cost community can afford with methods that are practical, scientifically sound, and socially acceptable.

a. health facility structure

b. health promotion

c. health education

d. primary health care

b. mesophile

Most pathogens are _________ because they grow best at body temperature.

a. acidophile

b. mesophile

c. psychrophile

d. thermophile

d. patient-directed services

Which of the following is NOT an exercise of macro-level public health activity?

a. community diagnosis

b. policy development

c. health planning

d. patient-directed services

b. active immunization

The general level of herd immunity is being raised by which one of the following infection control methods?

a. destruction of mosquitoes

b. active immunization

c. water and sewage treatment

d. reverse isolation

d. ingestion of colostrum from mother's milk

Natural passive acquired immunity would result from:

a. injection of COVID vaccine

b. gamma globulin injection

c. having the disease (chickenpox)

d. ingestion of colostrum from mother’s milk

c. study of use and drug effects in large number of people

Pharmacoepidemiology is best defined as:

a. analysis of drug disposition factors

b. evaluation of the effect of drug wastage in sales

c. study of use and drug effects in large number of people

d. probability of adverse outcomes

a. disease control

Which one is not part of public health surveillance?

a. disease control

b. data collection

c. data analysis

d. data dissemination

b. contagiousness

Approximately 50% of household contacts of a child who has a common cold become infected is an expression of what epidemiological term?

a. pathogenicity

b. contagiousness

c. virulence

d. immunogenicity

d. case fatality rate

When you want to get the number of COVID deaths from the total number of COVID positive. What rate is reflected?

a. mortality rate

b. morbidity rate

c. crude death rate

d. case fatality rate

b. acute diarrhea

📌Rationale:
Diseases usually seen in ELDERLY:

• respiratory illness

• diabetes

• prostate cancer

Which among the following chronic diseases is not usually seen in the elderly?

a. respiratory illness

b. acute diarrhea

c. diabetes

d. prostate cancer

a. measles

📌Rationale:
Infectious diseases whose control is solely based on ACTIVE IMMUNIZATION:

• Tuberculosis

• Diphtheria

• Poio

Infectious diseases whose control is solely based on ACTIVE IMMUNIZATION include all except:

a. measles

b. tuberculosis

c. diphtheria

d. polio

c. abandon, modify

Social marketing encourages people to _________ old behavior and ________ current behavior.

a. modify, reject

b. modify, reject

c. abandon, modify

d. modify, accept

b. virulence

Death occurs in approximately 20% of cases of pneumococcal meningitis. This is an example of:

a. santigenicity

b. virulence

c. contagiousness

d. pathogenicity

e. humans

Reservoir of Infection:

• Tuberculosis

a. cattles

b. rodents

c. contaminated food/water

d. mosquitoes

e. humans

f. human

b. rodents

Reservoir of Infection:

• Leptospirosis

a. cattles

b. rodents

c. contaminated food/water

d. mosquitoes

e. humans

f. human

c. contaminated food/water

Reservoir of Infection:

• Hepatitis A

a. cattles

b. rodents

c. contaminated food/water

d. mosquitoes

e. humans

f. human

f. human

Reservoir of Infection:

• Candidiasis

a. cattles

b. rodents

c. contaminated food/water

d. mosquitoes

e. humans

f. human

d. mosquitoes

Reservoir of Infection:

• Malaria

a. cattles

b. rodents

c. contaminated food/water

d. mosquitoes

e. humans

f. human

c. communicable disease

An infectious disease that can be transmitted from person to person is known as:

a. chronic disease

b. acute disease

c. communicable disease

d. systemic infection

a. units of measure which indicate energy from foods

Which of the following phrases can best define Calories?

a. units of measure which indicate energy from foods

b. one of the three basic nutrient groups

c. essential elements and minerals

d. a group of nutrients in food sources

d. specific deficiency

Goiter is an example of what form of malnutrition?

a. imbalance

b. overnutrition

c. undernutrition

d. specific deficiency

a. antioxidants

Fruits, vegetables, and cereals are potent sources of:

a. antioxidants

b. saturated fats

c. free radicals

d. unsaturated fats

b. increase exercise & reduce caloric intake

Joshua’s caloric intake exceeds the RDA for his size, activity level, and lifestyle. In order to obtain the best possible nutrition, what should he do?

a. reduce fat intake

b. increase exercise & reduce caloric intake

c. nothing unless he gains additional weight

d. increase protein intake & decrease carbohydrate intake

c. protein denaturation

Mechanism of Action:

• Pasteurization

a. destruction of DNA

b. plasmolysis

c. protein denaturation

d. bacteriostatic effect

e. oxidation

b. plasmolysis

Mechanism of Action:

• Osmotic Pressure

a. destruction of DNA

b. plasmolysis

c. protein denaturation

d. bacteriostatic effect

e. oxidation

d. bacteriostatic effect

Mechanism of Action:

• Refrigeration

a. destruction of DNA

b. plasmolysis

c. protein denaturation

d. bacteriostatic effect

e. oxidation

e. oxidation

Mechanism of Action:

• Hot air sterilization

a. destruction of DNA

b. plasmolysis

c. protein denaturation

d. bacteriostatic effect

e. oxidation

a. destruction of DNA

Mechanism of Action:

• Radiation

a. destruction of DNA

b. plasmolysis

c. protein denaturation

d. bacteriostatic effect

e. oxidation

a. 4-6-2-3-5-1

Chain of an infectious disease process:

1 - susceptible host

2 - portal of exit

3 - mode of transmission

4 - exposure to pathogen

5 - portal of entry

6 - reservoir of infection

a. 4-6-2-3-5-1

b. 4-5-6-3-2-1

c. 1-6-3-2-5-4

d. 6-3-2-1-5-4

a. ascorbic acid

Deficiency of vitamins:

• petechiae, sore gums, hematuria

a. ascorbic acid

b. retinol

c. niacin

d. ergocalciferol

e. thiamin

b. retinol

Deficiency of vitamins:

• conjuctival xerosis

a. ascorbic acid

b. retinol

c. niacin

d. ergocalciferol

e. thiamin

e. thiamine

Deficiency of vitamins:

• edema, neuropathy, myocardial infarction

a. ascorbic acid

b. retinol

c. niacin

d. ergocalciferol

e. thiamine

d. ergocalciferol

Deficiency of vitamins:

• rickets/osteomalacia

a. ascorbic acid

b. retinol

c. niacin

d. ergocalciferol

e. thiamin

c. niacin

Deficiency of vitamins:

• dermatitis, diarrhea, delirium

a. ascorbic acid

b. retinol

c. niacin

d. ergocalciferol

e. thiamin

a. biotechnology

The use of living organisms in making commercial products:

a. biotechnology

b. bioaugmentation

c. bioremediation

d. bioconversion

a. supplement daily with vitamins and minerals

The best way for a person to get all the essential nutrients without overeating is:

a. supplement daily with vitamins and minerals

b. follows a lacto-ovo-vegetarian food pattern

c. select foods that have high caloric density

d. choose foods with high nutrient density

a. Vitamins provide energy.

Which of the following statements is NOT true?

a. Vitamins provide energy.

b. Vitamins contain no calories.

c. Vitamin C can be obtained from consuming kiwi, oranges, pineapple, ponkan

d. Nearly all cases of illness due to excessive intake of vitamins results from megadoses of vitamin use.

d. agent, host, environment

The epidemiologic triad of disease causation refers to:

a. exposure, hazard, vulnerability

b. time, place, person

c. source, mode of transmission, susceptible host

d. agent, host, environment

c & d

Activities reflecting public health surveillance include:

a. diagnosing whether a case of Steven-Johnsons syndrome is due to HIV or drug-induced

b. disseminating educational pamphlets about ways people can reduce their risk for lung cancer

c. soliciting case reports of persons with symptoms compatible with SARS from PGH.

d. writing a report on trends of vape users and E- cigarette among college students

b. blood pressure

At each well-child visit up to 24 months of age, the pediatrician usually measures all EXCEPT:

a. weight

b. blood pressure

c. head circumference

d. height

b. Directly Observed Treatment Short Course (DOTS)

A comprehensive strategy that primary health care services around the world are using to detect and cure TB patients.

a. International TB Control Program

b. Directly Observed Treatment Short Course

c. National TB Program

d. Center for Communicable Diseases

a. cannabinoids

→Rationale: Cannabinoids (marijuana) are typically classified as hallucinogens

The following abused drugs are classified as sedative agents EXCEPT:

a. cannabinoids

b. opioids

c. tranquilizers

d. barbiturates

b. narcotics

Category of drugs most commonly used as a pain reliever:

a. amphetamines

b. narcotics

c. psychedelics

d. designer drugs

c. cross-sectional

Type of pharmacoepidemiological studies most useful in drug utilization and prescribing studies:

a. case report

b. case series

c. cross-sectional

d. ecological

d. respiratory infections

Most global deaths are caused by:

a. tuberculosis

b. diarrheal diseases

c. HIV

d. respiratory infections

a. a missed menstrual period

This is usually the first sign of pregnancy:

a. a missed menstrual period

b. nausea

c. immediate weight gain

d. thinning of hair

a. viral infections

Influenza, yellow fever & chickenpox are best described as:

a. viral infections

b. arthropod-borne

c. zoonotic diseases

d. bacterial infections

c. anorexia nervosa

An eating disorder characterized by excessive preoccupation with food, self-starvation, and/or extreme exercising to achieve weight losses.

a. binge eating

b. pica

c. anorexia nervosa

d. bulimia nervosa

d. September

World Environmental Health Day in the Philippines is declared to be celebrated on the 26th day in the month of:

a. March

b. December

c. July

d. September

d. cross-sectional

Doing household interviews and determining the prevalence of drug use in a population at a given time reflects what type of pharmacoepidemiology study?

a. case series

b. retrospective cohort

c. case control

d. cross-sectional

e. primary, secondary, & tertiary prevention

Level of prevention:

• Managing a patient with heart disease

a. primary prevention

b. secondary prevention

c. tertiary prevention

d. primary & secondary prevention

e. primary, secondary, & tertiary prevention

a. primary prevention

Level of prevention:

• Joining coastal clean up in your community

a. primary prevention

b. secondary prevention

c. tertiary prevention

d. primary & secondary prevention

e. primary, secondary, & tertiary prevention

d. primary & secondary prevention

Level of prevention:

• Treating a case of gonorrhea

a. primary prevention

b. secondary prevention

c. tertiary prevention

d. primary & secondary prevention

e. primary, secondary, & tertiary prevention

b. secondary prevention

Level of prevention:

• Depression screening for adults

a. primary prevention

b. secondary prevention

c. tertiary prevention

d. primary & secondary prevention

e. primary, secondary, & tertiary prevention

c. tertiary prevention

Level of prevention:

• Physical therapy and disability limitation

a. primary prevention

b. secondary prevention

c. tertiary prevention

d. primary & secondary prevention

e. primary, secondary, & tertiary prevention

b. Escherichia coli

It serves as an index for fecal pollution.

a. Pseudomonas aeruginosa

b. Escherichia coli

c. Staphylococcus aureus

d. Bacillus coagulans

c. provision of internet services for all

Which is not part of the Sustainable Development Goals?

a. access to sustainable energy for all

b. end poverty in all its forms everywhere

c. provision of internet services for all

d. promotion of decent jobs for all

a. PNDF

The mandatory use of this serves as the basis for the procurement of drug products by the government:

a. PNDF

b. MIMS Philippines

c. RPS

d. Philhealth guide

a. All for Health towards Health for All

Philippine Health Agenda under President Duterte’s Administration:

a. All for Health towards Health for All

b. Universal Health Care for all Filipinos

c. Health is in the Hands of Filipinos

d. Health is in the Hands of Filipinos

b. secondary

Level of sewage treatment:

• Most biological degradation occurs

a. primary

b. secondary

c. tertiary

a. primary

Level of sewage treatment:

• Removal of sludge

a. primary

b. secondary

c. tertiary

b. secondary

Level of sewage treatment:

• Trickling filters

a. primary

b. secondary

c. tertiary

b. secondary

Level of sewage treatment:

• Effluent used for irrigation

a. primary

b. secondary

c. tertiary

c. tertiary

Level of sewage treatment:

• Chemical precipitation of phosphorus

a. primary

b. secondary

c. tertiary

Psychologists are medical doctors.

Which of the following statements is FALSE regarding health care professionals?

a. Gynecologists a doctor who specializes in women's reproductive health.

b. Psychologists are medical doctors.

c. Orthodontists specialize in making teeth straight.

d. Pharmacists can influence prescribing patterns of doctors.

d. electronic fetal monitoring

Routine prenatal well-woman care should include all of the following EXCEPT:

a. blood pressure checks

b. weight checks

c. urinalysis

d. electronic fetal monitoring

c. thiamine

The most common vitamin deficiency seen in alcoholics is:

a. riboflavin

b. pantothenic acid

c. thiamine

d. niacin

c. getting enough vitamin C

📌Rationale:

The following INCREASES blood pressure:

• eating potassium-rich food

• cutting salt

• losing weight

Four of these strategies have been clearly shown to keep blood pressure from rising. Which hasn’t?

a. eating potassium-rich food

b. eating potassium-rich food

c. getting enough vitamin C

d. cutting salt

e. losing weight

c. needs of the community's residents and providers

If you are going to plan a telehealth consultation system in your rural community, as an advanced public health pharmacist, what will you initially focus on?

a. sources of funding for capital and operating expenses

b. number of anticipated contacts per week

c. needs of the community's residents and providers

d. distances between the hub and the spoke servers

b. hepatitis

Disease characterized by:

• jaundice, loss of appetite, dark colored urine

a. typhoid fever

b. hepatitis

c. rabies

d. filariasis

e. measles

d. filariasis

Disease characterized by:

• Hydrocele, lymphedema, elephantiasis

a. typhoid fever

b. hepatitis

c. rabies

d. filariasis

e. measles

e. measles

Disease characterized by:

• Runny nose, a cough, red and watery eyes, and presence of (Koplik) white spots inside the cheeks

a. typhoid fever

b. hepatitis

c. rabies

d. filariasis

e. measles

a. typhoid fever

Disease characterized by:

• Fever, severe headache, malaise and with rose colored spots on the abdomen

a. typhoid fever

b. hepatitis

c. rabies

d. filariasis

e. measles

c. rabies

Disease characterized by:

• Hypersalivation, difficulty in swallowing, hydrophobia

a. typhoid fever

b. hepatitis

c. rabies

d. filariasis

e. measles

a. mayonnaise

Which is least likely to cause food poisoning?

a. mayonnaise

b. caesar salad dressing

c. undercooked chicken

d. raw oysters

b. Reye's syndrome

Chickenpox is associated with

a. a high infection rate

b. Reye's syndrome

c. a long prodromal period

d. A high case fatality rate

d. disinfection

Wiping the floor with formaldehyde solution is a type of:

a. surgical asepsis

b. sterilization

c. antiseptic

d. disinfection

b. within 1 hour

How soon after birth should breastfeeding be initiated?

a. after 24 hours

b. within 1 hour

c. 1 to 6 hours

d. 6 to 24 hours

c. epidemiological situation

Basis of Expanded Program on Immunization?

a. report on basic health services

b. scenario of the community efforts

c. epidemiological situation

d. research studies on communicable diseases

b. NO

Do you think participants in public health surveillance always be asked for their informed consent?

a. YES

b. NO

a. utilizing various media platform for information dissemination

The group of pharmacists is planning to conduct a smoking cessation program, what do you think will be the most feasible way to proceed?

a. utilizing various media platform for information dissemination

b. facilitating environmental control programs

c. conducting health risk surveys

d. providing counseling for lifestyle and behavior change

c. Some bacteria are harmful.

Which one of the following statements is true about bacteria?

a. Only bacterial spores are harmful.

b. All bacteria are harmful.

c. Some bacteria are harmful.

d. No bacteria are harmful.

a. Clean up before moving on to the next task.

Which of the statement below best describe this line, "Clean as you go"?

a. Clean up before moving on to the next task.

b. Clean thoroughly the premises once a year.

c. Clean down before you leave for home.

d. Clean up every hour throughout the day

B, C, D

For you to collect morbidity data, which of the following will be of great help to you?

choose three

a. vital statistic records

b. hospital discharge data

c. notifiable disease reports

d. laboratory results

e. environmental monitoring data

a. health literacy

The capacity to access, understand, appraise and apply health information and services, and to make appropriate health decisions to promote and maintain health is best termed as:

a. health literacy

b. health appraisal

c. health promotion

d. health accessibility

b. tuberculosis

Which of the following is a communicable disease?

a. cancer

b. tuberculosis

c. cardiovascular diseases

d. chronic respiratory diseases

a. Lack of knowledge about vaccines available

According to CDC, what is the main barrier to the vaccination of adults?

a. Lack of knowledge about vaccines available

b. Safety issues

c. Lack of international guidelines

d. lack of efficacy

c. a particular health objective.

Cost-effectiveness of the health care services provided by pharmacists to the public can be expressed in terms of:

a. consumer satisfaction

b. utilization of specific health programs

c. a particular health objective.

d. the type of service provided

c. High efficacy and low effectiveness

If a COVID-vaccine is biologically protective but not accepted by the public, it means that the vaccine has:

a. Low efficacy and low effectiveness

b. Low efficacy and low effectiveness

c. High efficacy and low effectiveness

d. High efficacy and high effectiveness

a. hand-to-face contact

Colds and influenza are most commonly transmitted by which of the following?

a. hand-to-face contact

b. breathing viruses in air

c. drinking infected water

d. eating contaminated food

a. zinc oxide

Occupational asthma is typically caused by all of the following except:

a. zinc oxide

b. cotton dust

c. flour dust

d. isocyanates

a. behavioral change

A person working as a health educator uses an approach that views health as related to:

a. behavioral change

b. health screening

c. reducing complication

d. pathological processes

b. National Objectives for Health

It serves as the medium-term roadmap of the Philippines towards achieving universal healthcare (UHC).

a. LOI 949

b. National Objectives for Health

c. Declaration of Alma Ata

d. National Health Insurance System

a. immunization against polio

Which of the following best exhibit preventive interventions being a strategy in health care programs?

a. immunization against polio

b. FDA inspecting the service operation of a drugstore

c. developing personal skills

d. clinical and Public health epidemiology

d. bring him with you in visiting a friend in the hospital with smoking-related emphysema

What do you think could be the best approach you can make for Robin in helping him quit smoking while he is in the precontemplation stage?

a. provide counseling on the use of nicotine patches

b. a travel reward for cutting down on smoking

c. let him realize the pros and cons of quitting

d. bring him with you in visiting a friend in the hospital with smoking-related emphysema

a. addiction

Continued involvement with a substance or activity despite ongoing negative consequences is a description of:

a. addiction

b. compulsion

c. relapse

d. withdrawal

b. phosphorus cycle

Not an example of a perfect biogeochemical cycle:

a. sulfur cycle

b. phosphorus cycle

c. nitrogen cycle

d. carbon cycle

b. 3

How many doses of DPT are given to infants with an interval of four weeks?

a. 6

b. 3

c. 5

d. 4