Control of Communicable Diseases NTP-DOTS
SCENARIO S
Mrs. Perez is a public health nurse manning the local health center at Brgy. Luna. She noticed that majority of
the client presented signs and symptoms of PTB. Part of her role is to give health teachings to the clients.
1. Mrs. Perez notes that TB symptomatic exhibits the following signs and symptoms:
1- Cough for 2 weeks or more a. 1 to 5
2- afternoon/night fever b. 2 to 6
3- Chest pain c. 3 to 6
4 -unexplained weight loss d. all of the above
5- Blood in the sputum
6- Enlarged lymph nodes
2. During health teaching, she stress that Tuberculosis is spread by the following except:
a. droplet
b. sexual contact
c. direct or indirect contact with person or object contaminated with the organism
d. drinking unpasteurized milk
3. Client understands that Short course chemotherapy for 6 months are given to those with
1- Sputum smears positive cases a. all of these
2- TB relapse b. 1,2,3,4
3 - (-) sputum smear c. 1,2,4,6
4 - (+) extensive lung lesion d. 1,4,5,6
5- (+) positive radiographic lung lesion
6 -extra pulmonary cases
4. Symptoms of TB are recommended to the preferred method case finding which is:
a. X-ray examination c. ECG
b. operation timbang d. sputum microscopy
5. Category 1 for the treatment of PTB include the following medications, EXCEPT:
a. Rifampicin c. Pyrazinamide
b. Isoniazid d. Streptomycin
6. Which of the following drugs when administered produces adverse reaction like peripheral neuropathy?
a. INH c. Streptomycin
b. Rifampicin d. PZA
For neuropathy
7. Drug of choice given to counteract the effect of such drug:
a. Aspirin c. Vitamin C
b. Vitamin B complex d. Antacid
8. Collection of the sputum specimens for microscopic study should be done within
a. 12 hours c. 36 hours
b. 24 hours d. 48 hours
9. If the sputum is still smear positive at the end of the 2nd that month of DOTS, nurse Perez will suspect the
patient is
a. A defaulter c. Drug resistant
b. Drug sensitive d. Delinquent in taking the drugs
10. Nurse Perez should know that a client with at least 2 sputum specimens positive for AFB by microscopy,
with or without radiographic abnormalities consistent with PTB is known as
a. pulmonary smear positive case c. doubtful PTB case
b. pulmonary smear negative case d. extra PTB case
SCENARIO S1
Nurse Jane who is a Community health nurse at Dingle, Iloilo is conducting a health teaching about the
National TB Program of the DOH.
1. Which of the following statements indicates that Nurse Janes’ teaching has been effective?
a. “Children with primary tuberculosis are generally infectious”
b. “The most hazardous period for the development of clinical disease is the first 6-12 months after infection”
c. “Extra pulmonary Tuberculosis other than laryngeal, is communicable, if there is a draining sinus”
d. “Direct invasion through mucous membranes or breaks in the skin is the most common mode of
transmission”
2. Clara asks Nurse Jane, “What condition shall be recommended for hospitalization?” Nurse Jane responds by
stating that “clients with
a. low grade afternoon fever”
b. cough for 2 weeks or more”
c. massive hemoptysis”
d. weight loss”
3. All, but one, reflects that Clara understands the diagnosis of PTB.
a. “I am not supposed to cough in front of my children”
b. “I need to separate the things that I am using from that of my family”
c. “I can share my coffee to my son since we are trying to be thrifty”
d. “I need to seek consultation for early recovery”
Leprosy Control Program
SCENARIO T
Linda is from Cagayan de Oro city, the province which is endemic of Leprosy. Visited her Aunt Gloria who is a
public health nurse at Brgy. Inabasan, Iloilo. With complaints of ulcers that do not heal, loss of sensation on
the skin lesions and muscle weakness.
1. What disease condition is manifested by Linda?
a. Diabetes Mellitus c. Leprosy
b. H-Fever d. Filariasis
2. A diagnosis of this disease according to the DOH is made using
a. Clinical signs and symptoms as basis
b. Microscopic examination of the bacilli in the skin discharge
c. Sputum microscopy
d. Culture and sensitivity test
3. This disease is known to be transmitted by
1- Direct skin to skin contact a. 1, 2, 3
2 -Open lesions b. 1, 3, 4
3 -Prolonged repeated skin to skin contact c. 1, 2, 4
4 -Droplet d. 1,2,3,4
4. Nurse Gloria should warn Linda that one of these drugs causes a brownish black discoloration and dryness
of the skin. Which drug is it?
a. Rifampicin c. Dapsone
b. Clofazimine d. All of the above
5. Which of these drugs should not be given to Linda who is allergic to sulpha drugs?
a. Rifampicin c. Dapsone
b. Clofazimine d. All of the above
Schistosomiasis Control Program
SCENARIO U
A new registered nurse named Cecilia is assigned in a community health center in the province of Samar. She
knows that the province is endemic with schistosomiasis.
1. Nurse Cecilia explained to the children that they may get schistosomiasis by swimming the infected water
through skin penetration of the parasite. Skin penetration is a capability of
a. Ovum c. Cercariae
b. Miracidium d. Schistosomule
2. Nurse Cecilia explain further that early infection with schistosomiasis is also known as
a. Katayama fever c. Ground itch
b. Swimmers itch d. Nakayama
3. In schistosomiasis endemic areas, how can you prevent infection?
a. Isolate infected family member
b. Protect those susceptible with mosquito repellants, anti-mosquito soaps and treated nets
c. Wear rubber boots if exposed to contaminated water
d. Teach proper safe handling of foods
4. Control of client, contacts and the immediate environment is through
a. Concurrent disinfection c. Isolation
b. Quarantine d. Immunization of contacts
5. Control of the Oncomelania Hupensis Quadrasi snails could be done through
1-Drainage of breeding site and proper management of irrigation systems
2-Removal of shade by clearing vegetation around bodies of water
3-Prevention of breeding on banks of streams and irrigation canals by lining these with concrete
4-Covering snail habitats with landfill
a. 1 and 2 only
b. 2 and 3 only
c. 1 and 4 only
d. All of the above
Filariasis
SCENARIO V
Filariasis afflicts Filipinos living in the endemic areas. Highest prevalence rates from Region 5, 8, 11.
Community health Nurse Lea is giving microteaching in Brgy. Timo.
1. The characteristics of the mosquito vector that causes Filariasis are an important consideration in disease
prevention. Its characteristics include the following:
1-It is a female mosquito
2-It is called aedes poecilius
3-It is a day biting
4-It lives in slow flowing, fresh streams
5-It is called aedes aegypti
6-It is a night biting
a. 1, 3 and 5
b. 1, 2 and 6
c. 1, 3 and 4
d. All of the above
SCENARIO W Malaria
Dina a BHW of Brgy. Bico wants to know more about the locally endemic diseases and asks nurse Mara about
it.
1. The characteristics of the mosquito vector that causes Malaria are an important consideration in disease
prevention. Its characteristics include the following:
1-It is a female mosquito
2-It is an Anopheles mosquito
3-It is a day biting
4-It lives in slow flowing, fresh streams
5-It is called aedes aegypti
6-It is a night biting
a. 1, 3, 4 and 5
b. 1, 2, 4 and 6
c. 1, 2, 3 and 4
d. All of the above
2. Dina understands that the preventive measures for travelers going to Malaria endemic areas when she
states:
a.”I will use insecticide spray”
b.”I will avoid swimming in streams”
c. “I will take chemoprophylaxis with Chloroquine”
d. “I will use insecticide treated mosquito nets”
3. According to nurse Mara, Plasmodium, the parasite causing Malaria, is a:
a. Amoeba c. Bacteria
b. Protozoa d. Virus
4. Dina asks Nurse Mara if what does the Malaria parasite invade and destroy in our system that cause the
signs and symptoms of fever, chills, anemia and malaise.
a. WBC c. Blood plasma
b. RBC d. Neutophils
5. Nurse Mara states that the most common cause of Malaria in the Philippines is
a. Plasmodium Malariae
b. Plasmodium Vivax
c. Plasmodium Falciparum
d. Plasmodium Ovale
SCENARIO X
Rabies Control Program
Nurse Kate was on duty at Brgy. Pulo Health Center when John was brought in due to dog bite in the right
lower leg.
1. Aling Lydia, John’s mother, is frantic that John would get rabies. Nurse Kate began discussing the signs
and symptoms of rabies. This include the following:
1- Fever
2- Anorexia
3- Nausea and vomiting
4- Headache
5- Pain or paresthesias at the bite site
6- Signs of nervous system dysfunction as hyperactivity,disorientation,hallucination,seizures
and paralysis
7- Biting at inanimate objects
8- Aimless running and unprovoked aggressiveness
a. All of the above
b. All except 1 and 2
c. All except 4 and 5
d. All except 7 and 8
2. Nurse Kate states that Rabies infection has three phases. This includes all of the following EXCEPT
a. Invasion Phase
b. Incubation Phase
c. Neurologic Phase
d. Paralytic Phase
3. Aling Lydia told Nurse Kate that immediately after the incident, she thoroughly washed the wound with
soap and water and applied antiseptic at the wound site. Which of the following responses would be
most appropriate?
a. That’s a good move. It will ensure that the wound not get infected.
b. You should not have done that. The wound would be inflamed as an effect of washing with water.
c. Washing with soap and water and cleansing it with an antiseptic will prevent infection
d. That’s not necessary because the rabies virus could not be killed though washing anyway
4. Nurse Kate discussed the ways on how to prevent future rabies infection. This includes all the following
except
a. After an animal bite, the client should consult a veterinarian or trained personnel to observe the
animal for 14 days to watch out for the signs of rabies
b. If the animal showed signs of behavioral change during the observation period, immediately kill it
c. Ensure that the dogs are vaccinated at 3 months of age and every year thereafter
d. Dogs should be leashed or confined in a cage
5. The Rabies Control Program according to Nurse Kate focuses on networking as a key strategy in
controlling rabies. Networking with the school is done for the school personnel and students to have an
active involvement in this endeavor. The school officials have the following responsibilities. Which one
is not included?
1- Identify teachers who can be key leaders in organizing anti-rabies scouters in the school
2- Initiate inclusion of rabies prevention and control in PTA meetings
3- Organize parents class to develop necessary knowledge and attitude in rabies prevention and
control
4- Tap potential children leaders from grades 4, 5, and 6 who can actively participate in the anti-
rabies activities
a. 1 only c. None of the above
b. 4 only d. All of the above
SCENARIO Y Dengue Control Program
Dengue hemorrhagic fever is a common health concern in the Philippines today. It does not only affect the
health of both young and old, but to the rich and marginalized sectors of the society as well. The following
conditions apply:
1. An important role of the community health nurse in the prevention and control of Dengue H-fever
includes:
a. Conducting strong health education campaigns towards proper garbage disposal
b. Practicing residual spraying with insecticides
c. Advising the elimination of vectors by keeping water containers covered
d. Explaining to the individuals, families, groups and community the nature of the disease and its
causation
2. Nurse Joy should be alert in observing a Dengue suspect. Which of the following is not an indicator for
hospitalization?
a. Fever for more than 2 days
b. Persistent headache
c. Marked anorexia, abdominal pain and vomiting
d. Increasing hematocrit count
3. Nurse Joy notes that the most important treatment of Dengue clients is:
a. Ice cap over the abdomen in case of melena
b. Replacement of body fluids
c. Give paracetamol for fever
d. Avoid unnecessary movement of client
4. Which of these signs may not be regarded as a true positive sign indicative of Dengue H-fever?
a. Appearance of at least 5 petechiae
b. Prolonged bleeding time
c. Steadily increasing hematocrit count
d. Fall in the platelet count
5. Community health nurses’ primary concern in the immediate control of hemorrhage among clients with
Dengue is:
a. Providing warmth through light weight covers
b. Keeping the client at rest
c. Observing closely the client for vital signs leading to shock
d. Advising low fiber and non-fat diet
Sexually-Transmitted Infection and AIDS Control Program
SCENARIO Z
A local STD clinic operates once a week. A nurse does all the basic assessment, screening, teaching,
following established protocols for disease management. A 23 year old female client has just been diagnosed
with Human Immuno Deficiency Virus (HIV) that is; she is HIV positive:
1. In which of the following ways could the client contract HIV:
a. Hugging an HIV positive sexual partner
b. Receiving a blood transfusion
c. Sharing food utensils with an HIV positive person
d. None of the above
2. The nurse should educate the client and states that the most effective method known to control the
spread of HIV infection is:
a. Premarital blood screening
b. laboratory screening of pregnant women
c. Prophylactic treatment of exposed persons
d. Ongoing sex education about preventive behaviors
3. During microteaching about HIV in the community, the student nurse should instruct the participants that
HIV transmission can be greatly reduced if not prevented by which of the following behaviors?
a. Avoid inhalation of drugs
b. Avoid kissing for longer than 30 minutes
c. Use condoms during sexual intercourse
d. Douching after sexual intercourse
4. The client asks the student nurse, “Which among the sexually transmitted infections causes the most
concern?”
a. Chlamydia
b. Gonorrhea
c. Trichomonas
d. Syphilis
5. In planning an educational program for women, the nurse should emphasize that gonorrhea:
a. Is often marked by dysuria or bleeding in women
b. Does not lead to serious complications
c. Can be treated but not cured
d. May not cause symptoms in women until it leads to complications
