Haramaya University

Collage of Health and Medical Sciences

School of Public Health
MPH Entrance Exam/ 2020

Time Allowed: 2:30 hours

Student’s Full Name__________________________________

First Specialty Choice________________________________

General Directions
 Strictly follow and apply COVID-19 prevention precautions
 Switch off your mobile phone
 Write your name and specialty on each booklet and answer sheet
 Attempt all questions
 Put your answer on the space provided
 Cheating and attempt to cheat is strictly forbidden and if attempted it may leads
to cancellation of your result.
 Check whether the booklet have 15 pages including cover page

Good luck!

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Choose the best answer from the options provided
1. Which one of the following is not red flag for child developmental milestone
A. Unresponsive to sound stimuli at 6 C. Hold an object at placed in hands at
weeks three months
B. Cannot sit unsupported at 9 months D. No walking at 18 months
E. None
2. Which one of the following is not true
A. Brain is not fully developed at birth C. Language training promote
B. Parents’ authority should be mixed development of the children
with affection D. None
3. Which one of the following not developmental assessment screening tools
A. The ages and stages questionnaire C. The modified checklist for autism in
B. The parents ’ evaluation of toddlers
developmental status D. None
4. Which one of the following is not true for the objective of The Federal Democratic Republic of
Ethiopia Ministry of Health National Newborn and Child Survival Strategic plan Document Brief
Summary 2015/16-2019/20 to reduce
A. Under-five mortality from 2013 level of 64/1,000 to 29/1,000,
B. Infant mortality rate from 44/1000 to 20/1000 and
C. Neonatal mortality rate from 28 to 11/1,000 by 2019/20.
D. None
5. Which one of the following not properly matched
A. Stunted = Low height-for-age C. Underweight = Low weight-for-age
B. Wasted = Low weight-for-height D. None
6. Infant formula without phenylalanine predispose in to
A. Maple syrup disease C. Fenylketonurie
B. Galactosaemia D. Isoleucine
7. In Monitoring & Evaluation of neonatal and child health services, which one of the following is
not input process
A. Number of trained health workers C. Birth registration coverage
B. Partnership D. Newborn weight
8. Not true about the historical development of reproductive health
A. Before 1978 Alma-Ata Conference focus on basic health facilities services
B. The goal of Alma-Ata Conference in 1978 was health for all in 2015

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 C. Primary health care declaration 1978 focus on child survival
D. Reproductive health, ICPD in 1994 emphasis on individuals woman's needs and rights
9. Which one of the following is not true about STI
A. STIs Increase viral shedding and increase susceptibility to HIV
B. Infected lymphocytes among HIV infected individuals are attracted to the
C. lesions and hence increase likelihood of infection to the partner
D. HIV alters susceptibility of STI pathogens to antibiotics
E. Conventional STI and HIV infection has not share similar risk factors
10. Which one of the following true about SDG target in 2030
A. Reduce under five mortality less than 43 per 1000chilederen
B. Reduce neonatal mortality less than 12 per 1000chilederen
C. End under 5 stunting
D. All
11. All of the following statements are true about statistics/Biostatistics except one, (Code BS1).
A. Statistical data refers methods that are used for collecting, organizing, analyzing and
interpreting numerical data.
B. It is the science of gathering and describing data and the subsequent drawing of conclusions
(inferences) from data.
C. It deals on aggregates of facts and no importance is attached to individual items – suited only if
the group characteristics are desired to be studied.
D. Statistical data are only approximation and not mathematically correct.
E. None
12. Ranking students from highest GPA to the lowest one is the example of which measurement?
(Code LD2)
A. Nominal scale C. Interval scale
B. Ordinal scale D. Ratio scale
13. Ms. Bontu wants to conduct study to Assess medication adherence among diabetes patient at
Adama General Hospital and Medical College East Shewa, Ethiopia 2019. Which types of data
collection methods is best for this study? (Code BS2)
A. Mail-out questionnaires C. Self-administered questionnaires
B. Telephone Interview D. Face to face Interview

14. One of the following methods of data collection is commonly applied for quantitative type of
studies, (Code AB3).

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 A. Key informant interviews C. Focus group discussion
B. In-depth interview D. Document review
15. Suppose you are conducting study on Corona epidemic happened in Ethiopia and you have
collected data on weight and sex of study subjects. Which method of diagrammatic
representations is appropriate for sex and weight of study subjects respectively? (Code BS3)
A. Histogram and pie chart D. Histogram and Bar graph
B. Pie chart and Histogram E. A & D
C. Bar chart and Histogram F. B and C
16. If a series of values consists of 21 numbers, then, for finding the median, we ordered the series
ascending and we use, (Code BS4):
A. The mean between the 10th and 11th values
B. The mean between the 11th and 12th values
C. The 10th value in the ordered series
D. The 11th value in the ordered series
17. Choose true statement about standard deviation, (Code AB4).
A. Expressed in the different units of measurement as the mean
B. 95% of all scores fall with ±1SD of the mean
C. Measures variability among means drawn from a sample
D. 99% of all scores fall with ±3SD of the mean
18. Assuming in Hiwot Fana Hospital patients were divided into two groups the first those from urban
areas and the other from rural areas. Suppose their diastolic blood pressure was as follows.
Sample 1 Urban Mean Diastolic B/P = 65.00 mmHgs SD=10 mmHgs
Sample 2 Rural Mean Diastolic B/P = 80.00 mmHgs SD=5 mmHgs
The Coefficient of variation of Diastolic B/P among patients from urban area is ____? (Code AB8)
A. 6.5 C. 15.38 %
B. 65% D. 15.38
19. Cholesterol levels are measured on a random sample of 1,000 persons, and the sample standard
deviation is calculated. Suppose a second survey were repeated in the same population, but the
sample size tripled to 3,000. Then which of the following is true? (Code LD5)
A. The new sample standard deviation would tend to be smaller than the first and
approximately about one-third the size.
B. The new sample standard deviation would tend to be larger than the first and approximately
about three times the size.

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 C. The new sample standard deviation would tend to be larger than the first, but we cannot
approximate by how much.
D. None of the above is true because there is no reason to believe one standard deviation would
tend to be larger than the other.
20. Mr. Aboma is second year pharmacy student and he is a known football support for the last 7
years. He may say that there is a 90% probability that Liverpool will win the champion
league this year. Such type statement represents which types of probability? (Code BS9)
A. Classical probability D. Subjective probability
B. Relative frequency probability E. B and C
C. Empirical probability F. A and C
21. A randomly selected sample of 400 students at a university with 15-week semesters was
asked whether or not they think the semester should be shortened to 14 weeks (with longer
classes). Forty-six percent (46%) of the 400 students surveyed answered "yes." Which one
of the following statements about the number 46% is correct? (Code BS10)
A. It is a sample statistic C. It is a population parameter
B. It is a margin of error D. It is a standard error
22. Mr. Dawit wants to conduct study to assess knowledge attitude and practice to wards post
exposure of prophylaxis for HIV among graduate students of college of health and medical
science, Haramaya University. Which types sampling methods is best for this study?
(Imagine that students are have been distributed different part of East Hararghe for Internship
practice) (Code BS7).
A. Simple random sampling C. Systematic random sampling
B. Cluster sampling D. Snowball sampling
23. Random sample suggests that, (Code LD3)
A. Control group is not member of control group
B. Any member of a group to be studied has equal opportunity to be studied
C. Every nth name on the list is selected
D. Subjects must be volunteer
24. Assuming you planned to conduct a research and your study populations are IV drug users, (Code
AB2). The appropriate sampling technique to select study subjects? (Code AB2)
A. Judgment sampling C. Snow ball sampling
B. B. simple random sampling D. Cluster sampling
25. Suppose a random sample of 100 12-year-old boys were chosen and the heights of these 100 boys
recorded. The sample mean height is 64 inches, and the sample standard deviation is 5 inches.

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 You may assume heights of 12-year-old boys are normally distributed. Which interval below
includes approximately 95% of the heights of 12-year-old boys? (Code LD4)
A. 63 to 65 inches. E. Cannot be determined from the
B. 39 to 89 inches. information given
C. 54 to 74 inches. F. Can be determined from the
D. 59 to 69 inches. information given, but none of the
above choices is correct.
26. Measurements on babies of mothers who used marijuana during pregnancy were compared to
measurements on babies of mothers who did not. The sample mean head circumference was
larger in the group who were not exposed to marijuana and the 95% confidence interval for the
difference in mean circumference between the 2 groups was .61 to 1.19 cm. What can be said
about the (2-sided) p value for testing the hypothesis of equal means? (Code LD6)
A. The p value is greater than .05 D. The p value is 0
B. The p value is equal to .05 E. Cannot be determined from the
C. The p value is less than .05 information given.
27. Two hundred hypertensive patients are randomized to either a diet program or an exercise
program. (102 patients to diet program, 98 patients to exercise program) Blood pressure is
measured on each patient both before the programs start and 3 months after the start of each
program. The correct statistical procedure to determine whether or not the mean blood pressure
change (after-before) was statistically significantly different for the two programs is, (Code LD7):
A. Paired t-test C. Fisher’s exact test
B. 2 sample unpaired t-test D. None of the above
28. Suppose you are asked to help design a study to compare the mean birth weights of 2 groups of
infants. The study researcher plans to have the same sample size in both groups. The researcher
tells you that she would like to have 80% power to detect a difference in mean birth weights of 5
kg using a significance level of 0.05. What information should researcher need to know to
perform the sample size calculation? (Code LD8)
A. Mean of both group C. Proportion of both group
B. Variances of both group D. Factors magnitude
29. Which of the following hypothesis testing method gives reader more information about the
sample size, standard error and strength of association? (Code LD9)
A. Critical value (Z/t-value) D. All provides the same
B. P-value information
C. Confidence interval

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 30. Which of the following probability distribution is the best for the continues outcome variables
with unknown standard deviation, and small to moderate sample size? (Code LD10)
A. Z-distribution C. Chi-square distribution
B. Student distribution D. Poisson distribution
31. Which of the following correlates highest correlation between variables? (Code LD1)
A. +0.25 C. -0-7
B. +0.5 D. -0.25
32. Suppose Mycobacterium tuberculosis enters and started to replicate inside an individual but the
person have not shown cough, weight loss or other symptom & signs of TB, what stage of
natural history of a disease is this? (Code AA)
A. Sub-clinical stage C. Clinical stage
B. Susceptibility stage D. Incubation stage
33. Hepatocellular carcinoma (cancer of the liver) occurs in people with chronic liver disease
caused by either Hepatitis B or C viruses. Assuming the cancer only occurs when there is
immune suppression and genetic susceptibility, what kind of cause is Hepatitis B? (Code AA)
A. Necessary cause C. Sufficient but not necessary cause
B. Neither sufficient nor necessary D. Sufficient and necessary cause
cause
34. In a Y-County, which had a population of 10 million in 2015, there were 300 deaths from
malaria, 1000 from diarrhea, 200 from pneumonia, 250 from flue, and 500 acute myocardial
infarction. The proportionate mortality ratio for diarrhea is, (Code AT):
A. 0.01% C. 44.44%
B. 0.05% D. 18%
35. Which of the following best describes the term "ecological fallacy"? (Code AA)
A. When it’s difficult to make inferences at individual level based data from a population
B. When data from one population are erroneously generalized to another population.
C. When ecological data are not in line with data from other types of epidemiological studies
D. When no adjustment is made for confounders in an ecological study.
36. An investigator wants to test a hypothesis on effects of maternal antenatal corticosteroid
intervention on neonatal mortality by assigning comparison groups. What study design do you
recommend for this person? (Code AT).
A. Case-control study C. randomized controlled study
B. Cross-sectional study design
D. cross sectional study design

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 37. In a study of association between regular exercise and hypertension, cohort study has advantage
over case-control study due to, (Code AA):
A. Presence of control group C. Confounders are considered
B. Various outcomes of exercise can D. There is risk of loss to-follow up
be studied at the same time E. All
38. One of the following study design produce the most strong research Evidence, (Code AT).
A. Randomized Controlled Trials(RCT)
B. Cohort study D. Case control study
C. Systematic review and meta- E. Cross sectional
analysis
39. In one of the COVID_19 field facility, a team leader suspected that Case counts and mortality
estimates for COVID_19 were wrong and wanted to confirm how well the given screening test
reflects another test of known greater accuracy. This team leader is doing, (Code AT)
A. validity test C. accuracy test
B. sensitivity and specificity D. all
test
40. Diagrammed below illustrate the concept of evaluation of evidence in epidemiologic study
particularly the measurement’s validity and reliability. Based on this diagram, which of the
following statement is true? (Code HA)

A. Letter B shows that the measurement is valid but not reliable.

B. Letter C shows that the measurement is both valid and reliable.
C. Letter D shows that the measurement is reliable but invalid.
D. Letter A shows that the measurement is neither valid nor reliable.
E. None of the above
41. Any systematic error in an epidemiological study that results in an incorrect estimate of the
association between exposure and risk of disease/outcome is called, (Code AT)
A. Confounding C. chance
B. Bias D. all

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 42. An error introduced in research due to individual variability is termed as, (Code AT)
A. Observation error C. random error
B. systematic error D. all
43. Errors are random and cause (Code AT)
A. imprecision C. valid outcome
B. inaccuracy D. A and B
44. A researcher needs to conduct a study among male university students regarding knowledge and
practice on COVID_19, what data collection method do you suggest for this study. (Code AT)
A. in-depth interview C. oral history
B. Self-administered questionnaire D. Observation
interview
45. A screening test is used in the same way in two similar populations, but the proportion of false-
positive results among those who test positive in population A is lower than that among those
who test positive in population B. What is the likely explanation for this finding? (Code AT)
A. The specificity of the test is lower in population A
B. The prevalence of disease is lower in population A
C. The prevalence of disease is higher in population A
D. The specificity of the test is higher in population
46. Factor A, B, or C can each individually cause a certain disease without the other two factors, but
only when followed by exposure to factor X. Exposure to factor X alone is not followed by the
disease, but the disease never occurs in the absence of exposure to factor X. Factor X is, (Code
AT):
A. A necessary and sufficient cause C. A necessary, but not sufficient,
B. A sufficient, but not necessary, cause
cause D. Neither necessary nor sufficient
47. Surveillance differs from survey in one of the following, (Code AT)
A. Allows collection of in-depth data
B. Data is collected for single time
C. Allows monitoring of trends of disease over time
D. Helps to describe burden of morbidity and mortality
48. _____________refers to the procedures and methods, predetermined by an investigator, and
chosen to be adhered in conducting a research project, (Code AT)
A. study protocol C. methodology
B. study design D. all

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 49. Identification of unrecognized disease or defect in apparently healthy individuals by the
application of rapid tests, physical examination or other procedures, (Code AT)
A. diagnosis C. testing
B. screening D. discovering
50. Assume a physician working at a certain hospital reports unusual cases to the woreda health
office and authorities from the woreda directly travels to the site and gathers more information
regarding the reported disease, what kind of surveillance is this? (Code AA5)
A. Active surveillance C. Sentinel surveillance
B. Passive surveillance D. None
51. In a study of association between regular exercise and hypertension, cohort study has advantage
over case-control study due to, (Code AA6):
F. Presence of control group H. Confounders are considered
G. Various outcomes of exercise can I. There is risk of loss to-follow up
be studied at the same time J. All
52. What kind of bias is introduced when a mothers of children with birth defects are likely to
remember type of drugs that they have taken during pregnancy differently than mothers with
normal children? (Code AA7)
A. Interviewer bias C. Recall bias
B. Loss-to-follow up D. Social desirability bias
53. Suppose scientists have developed a vaccine against corona virus. And they want to know the
proportion of potential corona virus cases prevented by the new vaccine among exposed people.
Which measure would best help the scientists? (Code AA8)
A. Attributable risk C. Protective efficacy
B. Population attributable risk D. Numbers needed to treat
54. Which of the following is not part of epidemic investigation? (Code AA9)
A. Preparation of the necessary logistics
B. Laboratory confirmation of the disease
C. Formulation and testing of hypotheses
D. Locating unrecognized and unreported cases
E. None
55. The graph below shows hypothetical epidemic curve for outbreak of cholera in a certain area.
Assuming cholera has an incubation period of 1-5 days, what kind of epidemic curve could this
be? (Code AA10)

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 16
Number of cholera cases 14
12
10
8
6
4
2
0
2-Mar 3-Mar 4-Mar 5-Mar 6-Mar 7-Mar
Date

A. Point source epidemics

B. Common source epidemics
C. Propagative epidemics
D. Mixed epidemics
Multiple Choice questions: (Evaluating knowledge of terms related to Health promotion and
Communication).
56. Becoming conscious for the first time about an action, idea, object, person or situation refers to
A) Attitude C) Awareness
B) Skill D) None of them
57. A collection of facts related to action, idea, object, person or situation refers to
A) Behavior C) Information
B) Knowledge D) None of the above
58. Part of the cognitive domain in which facts and insights related to action, are learned/gained
refers to
A) Skills C) Knowledge
B) Beliefs D) None of them
59. Relatively constant feelings, predispositions or sets of beliefs directed towards an action, idea,
object, person or situation, which demonstrates the likes and dislikes of a person refer to
A) Attitude C) Knowledge
B) Behavior D) None of them.
60. Convictions that a phenomenon is perceived as true or real refers to:
A) Beliefs C) Knowledge
B) Awareness D) None of them

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 61. Enduring beliefs or systems of beliefs regarding whether a specific mode of conduct or behavior
is personally or socially preferred refers to:
A) Attitude C) Value
B) Knowledge D) None of them
62. Any overt action, conscious or unconscious. With a measurable frequency, intensity and duration
refers to:
A) Intention C) Behavior
B) Skill D) None of them.
63. The aim (objective) of Behavioral Change Communication (BCC) is:
A) To Change knowledge C) To change behavior
conducive to health conducive to health
B) To change attitude conducive D) All of them are true.
to health
64. The objective of Information, Education and Communication (IEC) does not include:
A) To bring about awareness and change of knowledge conducive to health
B) To change attitude conducive to health
C) To change behavior conducive to health
D) All of them are true (included)
65. Strategic planning components which address the areas for which the organization will excel in
delivering high value to the customers is
A. Strategic results C. Strategic perspectives
B. Strategic themes D. Strategic objectives
66. What is the significance of division of labor to an organizational manager?
A. Allows the manager to complete projects ahead of time
B. Allows the manager to identify production errors
C. Allows the manager to break down tasks into smaller ones
D. Allows the manager to determine production quotas
67. Which of the following is used to guide and carry out the objectives of an organization's strategic
plan?
C. Operational plan
A. Inventory management D. Performance standards
B. Organizational charts

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 68. Which of the following is an example of a vision statement?
A. To serve the community daily by providing affordable healthcare and a tradition of
caring.
B. To bring inspiration and knowledge to every child in the world.
C. To prepare fast, healthy meals for people on the go.
D. To be an innovative leader by delivering quality public safety services.
69. Self-aware leaders exhibit which of the following characteristics?
A. They know themselves, including strengths and weaknesses.
B. They delegate their decisions to others.
C. They do not seek feedback from others.
D. They do not have high self-esteem.
70. ________ refers to a gut feeling not necessarily supported by research.
A. Intuition D. Logic
B. Directive E. Inference
C. Rationality
71. All of the following situations usually alert managers to diagnose possible problems for decision,
Except,
A. Deviation from C. Organizational
achievement effectiveness
B. Competitors D. Workers quarrels
effectiveness E. None
72. Identify Recommended stapes to take disciplinary actions
A. WarningReprimandProbationSuspensionDisciplinary transfer discharge
B. WarningSuspensionReprimandProbationDisciplinary transfer discharge
C. WarningReprimandSuspensionProbationDisciplinary transfer discharge
D. WarningProbationReprimandSuspensionDisciplinary transfer discharge
73. Medina is an employee at Sabian Primary hospital. She observed that her hospital has a rigid
chain of management where authority is channeled from top to bottom. Medina believes that her
organization is a centralized organization. What other characteristic would support Medina's
viewpoint concerning a centralized organization?
A. Employees are not obligated to follow a uniform set of policies
B. Middle managers have a comparative level of authority as top managers
C. Operations are kept close to top management

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 D. Operations are dividing between top, middle and lower management
74. Which of the following is not purpose of monitoring and evaluation as a practice and a
profession?
A. Accountability C. Knowledge generation
B. Performance D. None of the above
improvement
75. The central place for health on Sustainable Development Goals / SDG/ is,
A. Goal- 17
B. Goal- 3
C. Goal-13
D. Goal -7

MPH Entrance Exam Answer sheet/ 2020

Student’s Full Name__________________________________

First Specialty Choice________________________________

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 1. 21. 41. 61.
2. 22. 42. 62.
3. 23. 43. 63.
4. 24. 44. 64.
5. 25. 45. 65.
6. 26. 46. 66.
7. 27. 47. 67.
8. 28. 48. 68.
9. 29. 49. 69.
10. 30. 50. 70.
11. 31. 51. 71.
12. 32. 52. 72.
13. 33. 53. 73.
14. 34. 54. 74.
15. 35. 55. 75.
16. 36. 56. 76.
17. 37. 57. 77.
18. 38. 58. 78.
19. 39. 59. 79.
20. 40. 60. 80.

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