2016 PAST QUESTIONS

DIPLOMA IN COMMUNITY HEALTH

COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER I
SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
1. Etiquette can be defined as:
a. A system which guides and controls the moral behaviour and manifest in
character and mind
b. Code of manners behaviour and action
c. Qualities a person has learned to believe are important and worthwhile
d. Occupation which demands a high standard of education
2. One of the following is not a function of the family:
a. Sexual regulation function
b. Economic suppon
c. Socialization function
d. Mechanical function
3. The main unit socialization of a child is:
a. School
b. Society
c. family
d. Mosque/church
4. An attitude of a person or reaction to others is:
a. Behaviour
b. Psychology
c. Sociology
d. Personality

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5. Psychologically a CHEW is not likely to earn confidence of a client through:
a. Maintaining privacy
b. Neglect of client
c. Reassurance
d. Professionally dressed
6. PHC is an essential care because:
a. Uses available resource
b. Uses appropriate technology
c. Encourage community participation
d. It takes care of the basic health needs of the population
7. Sources of health care provision in Nigeria include all except:
a. Diagnostic services
b. Prayer houses
c. Orthodox revlecum
d. Homeopathic services
8. One of these does not promote effective health education:
a. Respect for tradition and culture
b. Being a good listener
c. Lack of electricity
d. Favourable environment
9. Medical sociology involves the study of all the under listed except:
a. Medical education
b. Conflict and conflict management
c. Health policy and polities
d. Social and community psychiatry

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10. The following are disease associated with poor environment condition
except:
a. Tuberculosis
b. Dental caries
c. Lassa fever
d. Ebola disease
11. Which one the following is not an instructional materials used in
communication:
a. Flip chart
b. Decoder
c. Poster
d. Projector
12. Which one of the following is not an audio-visual aid used in passing health
message to the audience:
a. Television
b. Teleconference
c. Video
d. Slides
13. Methods of learning includes all except:
a. Forgetting
b. Reading
c. Listening
d. Feeling
14. All the following are set objectives to be achieve by a health term except:
a. Promote interpersonal relationship with people

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 b. Deliver health services
c. Detect immunization defaulters
d. Conduct political campaign
15. All the following are community health promoters (CHPs) that can be
trained by CHEW except:
a. Voluntary village health worker
b. Community on resource person (CORP)
c. Tradition Birth Attendants (TBAs)
d. On lookers
16. One of these is not a reason for developing maps in PHC:
a. Adequate planning
b. Movement of logistics
c. Administration of vaccine
d. Identifying area of action
17. The study of chemical substances that are primary harmful to living tissue is
termed as:
a. Pharmacokinetic
b. Toxicology
c. Chemo-therapy
d. Pharmaco-vigilance
18. Identify the odd one amongst the following under listed bactericidal
antibiotics:
a. Gentamycin
b. Metronidazole
c. Erythromycin

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 d. Tetracycline
19. In receiving and stocking of drug FEFO means:
a. Fist exported first order
b. First expire first obtained
c. First exposed first out
d. First expire first out
20. Which one of the following drugs is not in the essential drug list in PHC:
a. Albenlazole
b. Acetic salicylic acid
c. Piroxicam
d. Ivermectin
21. Pick out the non-component of the national essential drugs programme
(NEOP):
a. Procurement
b. Quantification
c. Stocking
d. Policy making
22. One of the following is not a characteristics of essential drugs:
a. Inexpensive
b. Ineffective
c. Cost effective
d. Safe in usage
23. Which one of the following can enhance effective referral by the CHEW:
a. Demographic challenge
b. Inexperienced staff at the referral facility

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 c. Unavailable resources at referral facility s
d. Insecurity in the initial health facility
24. Which of the following is not in the Terms of Reference (TOR) of the
community development committee (CDC):
a. Training community health promoters
b. Identifying health needs of the community
c. Planning health activities
d. Providing infra-structural facilities
25. Reasons for advocacy includes all except:
a. Build support for a course or an issue
b. Identify problems for the leaders
c. Influence opinion leaders
d. Influence change of legislation
26. The first step involved in planning/conducting community diagnosis is:
a. Making a sketch map
b. Making list of available resources
c. Identifying community boundaries
d. Making entry through the LGA
27. Factors that determine the drug selection for specific health facility include
all except:
a. Prevailing health problem
b. Availability of fund
c. Ability of health worker to cover many patient
d. Acceptability
28. All the following are problems of drug revolving fund (DRF) except:

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 a. Delay payment
b. Adequate support by the local authority
c. Sudden price increase
d. Credit without equivalent
29. Outreach immunization session are conducted in the following areas
except:
a. Market place
b. Schools
c. Health facility
d. Chiefs palace
30. The following should be the qualities of good learning objectives except:
a. Equivocal
b. Relevant
c. Observable
d. Feasible

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 2016 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER I
SECTION B: EASY QUESTIONS
ANSWER ALL QUESTIONS
1.
a. State five (5) attribute indicating good relationship between a
community health practitioner and his employer
b. Enumerate five (5) anti-professional behaviours that can be exhibited by
community health practitioner in his/her work place
c. Identify ten (10) positive personality iraits/work ethics of a community
health practitioner
2.
a. Explain five (5) disadvantages of traditional medicine
b. Define the following terms
i. Personality
ii. Behaviour
iii. Perception
iv. Learning
v. Emotion
c. Identify five (5) factors that can affect learning
3.
a. Discuss five (5) principles of health education
b. List five (5) barriers to effective communication
c. Briefly explain five (5) qualities of an effective health educator

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4.
a. Mention eight (8) deficiencies that existed in Nigerian Health Care
System before the adoption of primary health care PHC
b. Explain briefly ten (10) principles of implementing primary health care
c. State two (2) characteristics of a health team
5.
a. As a CHEW newly posted to a health facility, state four (4) objectives of
advocacy you intend to achieve
b. Briefly explain four (4) methods of information during community
diagnosis
c. Briefly explain four (4) rationales for situation analysis in primary health
care
d. List four (4) activities and actions of a well mobilized community
6.
a. Define the following terms:
i. Drugs
ii. Pharmacovigilance
iii. Contraindication
iv. Side effects
b. List eight (8) classes of drugs in the essential drug list
c. State four (4) uses of drugs in the essential drug list
7.
a. Enumerate ten (10) advantages of 2-way referral system
b. State four (4) scope of health services of a primary health care outreach
team
c. Mention six (6) problems/constraints of outreach services

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 2016 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER II
SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
1. Which of the following is a deficiency disease of ascorbic acid?
a. Pellagra
b. Beri-beri
c. Scurry
d. Rickette
2. All the following factors can influence individual needs of nutrients except:
a. Physiologic condition
b. Physical activities
c. Growth and maturity
d. Educational qualification
3. The fat soluble vitamins amongst sunder listed groups are:
a. B1, B6, and B12
b. A, D, E, K
c. A, C, D, E
d. D, E, K, C
4. Which of the following is not an objective in use of standing orders:
a. Managing cases
b. Illegal backing
c. Uniformity care
d. Increasing learning ability
5. The common site for taking pulse include all the following except:

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 a. Temporal artery
b. Carotid artery
c. Femoral artery
d. Brachial artery
6. The road to health chart is used in assessing the health status of children
age from:
a. Birth – 2 years
b. 6 months – 2 years
c. 1 year – 2 years
d. 0 – 5 years
7. The feeling of body organs or parts during physical examination to
identify area of analysis:
a. Palpation
b. Percussion
c. Auscultation
d. Inspection
8. Listening to the internal sounds of the body using stethoscope is:
a. Physical examination
b. Palpitation
c. Auscultation
d. Inspection
9. Anatomy and physiology is the study of:
a. Structure and their functions
b. Functions of structures
c. Structures and system

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 d. Body system
10. The supply blood to the heart is through:
a. Carotid artery
b. Pulmonary artery
c. Coronary artery
d. Systemic vein
11. The anterior lobe of the pituitary gland is also called:
a. Adenohypophysis
b. Hypophysis cerebrei
c. Neurohypophysis
d. Hypothalamus
12. The electron microscopes are use to examine which one of the following
organism:
a. Algae
b. Rickettsia
c. Fungi
d. Virus
13. The importance of human resource training is:
a. Creating new jobs opportunity
b. Improving skills and knowledge of workers
c. Defending the personal interest of workers
d. Promotion of workers
14. Which one the following can be used to assess training of a staff:
a. Lecture
b. Testing skills

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 c. Post test
d. Rationalization
15. The process of determining a disorder by a community health practitioner
is:
a. Examination
b. History taking
c. Diagnosis
d. Screening
16. Who amongst the under listed persons developed the oral polio-vaccine:
a. Jonas Salk
b. Albert Sabin
c. Edward Jenner
d. Louis Pasteur
17. The type of immunity acquired through sub-clinical infection in which
immunity is develop against that specific infection is:
a. Natural passive immunity
b. Active natural acquired immunity
c. Passive natural acquired immunity
d. Passive artificial immunity
18. One of the following is not a function of the skeletal system:
a. Provides muscle attachment
b. Forms the body frame
c. Aids in blood circulation
d. Protects delicate organs
19. The simple hardening and narrowing of an artery is called:

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 a. Thrombosis
b. Embolism
c. Arteriosclerosis
d. Atherosclerosis
20. In PHC management the process of selecting goals and objectives and
determine how best to active them is:
a. Planning
b. Directing
c. Organizing
d. Controlling
21. Telling subordinate what to do and ensuring compliance is:
a. Controlling
b. Directing
c. Reporting
d. Staffing
22. The following are features of good leadership except:
a. Continuity
b. Consistency
c. Conspiracy
d. Commitment
23. The financial document issued to a consumer on supply of goods and
service:
a. Voucher
b. Receipt
c. Invoice

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 d. Cheque
24. The following are records/data collection forms at the community levels:
a. VVHW’s/TBAs pictorial record of work
b. Clinic master card
c. Community demographic profile
d. Community family planning profile
25. The number of death in mother due to pregnancy, labour and delivering
thousand of the population of the total birth (live/still)is:
a. Infant mortality rate
b. Maternal morbidity rate
c. Maternal mortality rate
d. Still births rate
26. The branch of statistics that deals with life event is:
a. Physical statistics
b. Population statistics
c. Vital statistics
d. Social statistics
27. Which of the following books is not used in accounting except:
a. Receipts
b. Stock account book
c. Voucher sheet
d. Cash books
28. The principle of accounting include all but one:
a. Business entry concept
b. Accruals concept

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 c. Cast concept
d. Health concept
29. The most appropriate definition of surveillance in HMIS is:
a. The use of survey tools to examine community
b. Continuous collection of data on a particular disease condition in a
particular area
c. The survey carried out in a community to identify their health needs
d. The survey on manpower needs of a facility
30. The level of health condition in a community can be measured by the
following indicators except:
a. Health policy indicator
b. Health status indicator
c. Socio-economic indicator
d. Community survey by National bodies and NGOs

16
 2016 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER II
SECTION B: EASY QUESTIONS
ANSWER ALL QUESTIONS
1.
a. Enumerate five (5) reasons why mothers need to express breast milk
b. Mention four (4) characteristics of complementary feeding
c. List five (5) deficiency diseases of vitamin A
d. State six (6) functions of carbohydrate
2.
a. A six (6) months old baby Eza was brought to your clinic with complain
of ______ frequent stools for two days on examination, there was blood
in stool with mucus living as condition with your standing order
b. Enumerate five (5) benefits of training a staff in primary health care
c. State five (5) indications why health workers would require training
3.
a. Define blood pressure
b. Enumerate six (6) predisposing factors for high blood pressure
c. State six (6) procedures for wound dressing
d. State six (6) techniques for suturing of wound
4.
a. Define immunity
b. In a tabular form state four types of vaccine and one example each
c. List five (5) characteristics of micro organism
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 d. Describe briefly shape of five (5) types of bacteria
5.
a. Define blood
b. State five (5) hormones secreted by the anterior lobeor the pituitary
gland
c. Label the diagram of the human eye
d. Enumerate five (5) inflammatory condition of eye
6.
a. Identify five (5) causes of conflicts in an organisation
b. A manager may fail in his managerial duties. Mention five (5) leading
factors that make managers fail in achieving positive result.
c. Nagari health clinic was allocated with the sum of N 25,000 imprested
for the month of March 2016. Enter the following transactions
undertaking in a petty cash book.
02/03/2016 N 5,000 for stationeries
07/03/2016 N 5,000 for transport
11/03/2016 N 2,100 for refreshment
19/03/2016 N 3,000 for workmanship
26/03/2016 N 3,000 for purchase of drugs
31/03/2016 N 1,000 for fuelling
7.
a. List five (5) characteristics of a good data
b. List five (5) health management information system (HMIS) data forms
that are used in health facility
c. State six (6) sources of health statistics data
d. List four (4) graphical methods of statistical data presentation

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 2016 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER III
SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
1. Environmental is classified as:
a. Social socio-cultural and physical
b. Physical, physiological and biological
c. Abiotic social and physiological
2. All the following factors can influence the choice of refuse disposal method
of a community:
a. Service of refuse
b. Character of refuse
c. Quantity of refuse
d. Available technology
3. Menstruation is the shedding of:
a. Endocardium lining
b. Endometrium lining
c. Endoplasm lining
d. Ectoplasmic lining
4. Bagassosis is a disease caused by inhalation of:
a. Sugar cane dust
b. Saw dust
c. Cotton dust
d. Grain dust
5. One of the following is not an occupational health disease:

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 a. Dermatitis
b. Needle stick injury
c. Down’s syndrome
d. Pneumoconiosis
6. The condition affecting lung especially how inhulation of cotton don’t
a. Bagassosis
b. Byssinosis
c. Asbestosis
d. Pneumoconiosis
7. One of the following in a punitive mental health habit:
a. Aggressiveness
b. Ovor-onting
c. Inadequate sleeping
d. Recreation
8. Ectopic pregnancy is defined as:
a. Pregnancy outside the uterus
b. Teenage pregnancy
c. Multiple pregnancy
d. Single pregnancy
9. Fertilization of male and female gamete take place in:
a. Uterus
b. Ovary
c. Vagina
d. Fallopian tube
10. The surface of a tooth facing away median line is called:

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 a. Occlusal surface
b. Distal surface
c. Buccal surface
d. Mesial surface
11. Which of the following is not among the cause of inflammatory periodontal
disease:
a. Ill-fitting appliance
b. Over-handing restoratives
c. Syphills
d. Calculus
12. The most severe complication of Neonatal Jaundice is:
a. Hydrocephalic
b. Kemicterus
c. Obesity in later life
d. Excessive eating
13. IMCI is an integrated child care approach which:
a. Improves child mortality
b. Improves child morbidity
c. Improves number of birth and deaths
d. Improves child survival, growth and development
14. The strategies for IMCI does not include one of the following:
a. Improving management skills of health workers
b. Improving the overall health care system
c. Improving family health practices
15. The following are predisposing factors to Juvenile delinquency except:

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 a. Good parental care
b. Poor group influence
c. Broken home
d. Ignorance
16. The causative agent of tuberculosis is:
a. Virus agent
b. Bacteria agent
c. Helminths agent
d. Fungi agent
17. An outbreak of a disease that affects large population all over the world is:
a. Epidemic
b. Endemic
c. Pandemic
d. Sporadic
18. Which of the following congenital abnormalities is often associated with
mental retardation
a. Haemophilia
b. Mongolism
c. Imperforated anus
d. Polydactylism
19. A fixed irrational idea not shared by others and not responding to reasoned
argument is:
a. Hallucination
b. Dementia
c. Hysteria

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 d. Delusion
20. In choosing a health topic for school children which of the following factors
is not considered:
a. Prevailing health problems
b. Income of the parents
c. Age of the school children
d. Health needs of the children
21. Shock that result from severe pain is called:
a. Hypovolaemic shock
b. Septicaemic shock
c. Haemomagic shock
d. Neurogenle shock
22. Nerve supply to the NOSE is by:
a. Olfactory nerve
b. Auditory nerve
c. Trigeminal nerve
d. Trochliar nerve
23. Which of the following is the common cause of blindness imageria
a. Conjunctivitis
b. Glaucoma
c. Iritis
d. Seleritis
24. Gerontology is the study of:
a. Genetics
b. Handicapped

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 c. Adolescent care
d. Elderly and aging process
25. All are common handicapping conditions in Nigeria except:
a. Deafness
b. Blindness
c. Mental retardation
d. Hypertension
26. Non-communicable diseases can be acquired through all the following
except:
a. Consumption of too much fats
b. Inadequate exercise
c. Infection
d. Inadequate rest
27. Diabetes mellitus result from functional impairment of:
a. Liver
b. Panereas
c. Gall bladder
d. Stomach
28. One of the most important objectives of occupational health is to:
a. Treat injured workers
b. Prevent deformity among injured worker
c. Promote health safety and weliare of worker
d. Increase work out
29. One of these is not a part of school examination activities:
a. Vision screening

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 b. Hearing test
c. Motor function
d. Arm circumference
30. Cough, koplik’s spot, conjunctivitis and fever are signs and symptom of:
a. Pneumonia
b. Measles
c. Tetanus
d. Malaria

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 2016 PAST QUESTIONS

DIPLOMA IN COMMUNITY HEALTH

COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER III
SECTION B: EASY QUESTIONS
ANSWER ALL QUESTIONS
1.
a. Enumerate four (4) qualities of good portable water
b. In a tabular form identify six (6) common vectors (pests) and one disease
they splimia in community
c. State five (5) occupational hazard associated with farming
d. Enumerate five (5) factors that can promote health in the working
environment
2.
a. Identify five (5) abnormalities that may occur to the mother during
puerperal period
b. State five (5) danger signs of labour
c. List five (5) complications of female genital mutilation
d. Mention five (5) contra-indications of intra-uterine contraceptive device
(IUCD)
3.
a. Briefly describe four (4) primary tissue that formed the tooth
b. Enumerate eight (8) objectives of health programme
c. List four (4) characteristics/components of school feeding services
4.
a. State six (6) congenital abnormalities of the newborn baby

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 b. Enumerate six (6) developmental milestone reflexes you can assess in a
child
c. Explain eight (8) importance of breastfeeding for the infant and young
child
5.
a. State five (5) myths and misconceptions about mental illness by the
people in the community
b. Briefly explain five (5) types of phobia
c. Explain five (5) risk factors of drowning
d. State five (5) preventive measures of drowning
6.
a. Discuss Lassa Fever under the following:
i. Four (4) signs and symptoms
ii. Four (4) preventive measures
b. Discuss diabetes under the following:
i. Three (3) signs and symptoms
ii. Three (3) preventive measures
c. Enumerate three (3) disposing factors of cataract

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