Diagnosing Measles requires the collection and testing of which of the below specimen?

Select one:
a.
Saliva

b.
Serum

c.
Stool

Feedback
The correct answer is:
Serum
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OES

PROFESSIONAL NURSE EXAMS: TROPICAL

COMMUNICABLE DISEASE MAY 2022
Attempts 1, 2
Started on Monday, 30 May 2022, 6:30 PM
State Finished
Completed on Monday, 30 May 2022, 6:31 PM
Time taken 23 secs
Grade 49 out of 100
Question 1
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 Question text
Diagnosing Measles requires the collection and testing of which of the below specimen?

Select one:
a.
Saliva

b.
Serum

c.
Stool

Feedback
The correct answer is:
Serum
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1 30/05/22, 18:30 Saved: Serum Not changed since last attempt
2 30/05/22, 18:31 Attempt finished Correct 1
Question 2
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What is the appearance of cerebral Spinal Fluid in viral meningitis?

Select one:
 a.
Purulent

b.
Clear

c.
Bloody

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Clear
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The portal of entry in the cycle of infection can be broken by:

Select one:
a.
Asepsis, disinfection, and sterilization procedures

b.
Control of body secretions

c.
Proper hand washing
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Asepsis, disinfection, and sterilization procedures
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Which one of the following is an objective for establishing a center to coordinate
information and resources?

Select one:
a.
Meet weekly or quarterly during outbreak.

b.
Minimize the impact of the outbreak in the community.

c.
Manage cases and conduct contact tracing activities.

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Minimize the impact of the outbreak in the community.
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People with good immune system have a CD4 count between___.

Select one:
a.
500 – 1500 cells/ mm3

b.
1500- 3000 cells/ mm3

c.
50-500 cells/mm3

Feedback
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500 – 1500 cells/ mm3

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The restriction of the activities of a well person or animal who have been exposed to a case
of communicable diseases during the period of communicability best describes:

Select one:
a.
incubation.

b.
isolation.

c.
quarantine.
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quarantine.
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Question 7
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One of the treatments of Cholera is:

Select one:
a.
Oral rehydration fluid

b.
Arm circumference

c.
Washing hand
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Oral rehydration fluid
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Which species of schistosome in the below options is diagnosed by microscopic testing of
the urine?

Select one:
a.
S. Mansoni

b.
S. Haematobium

c.
S. Japonicum
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S. Haematobium
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Question text
Which of the following signs/symptoms is not associated with the case definition of
uncomplicated malaria?

Select one:
a.
Headache

b.
Prostration

c.
Myalgia
Feedback
The correct answer is:
Prostration
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What does the determine test for HIV detect?

Select one:
a.
Antibodies

b.
Antigen

c.
Viral enzymes

Feedback
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Antibodies
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Question text
A nurse is teaching a group of nursing students about typhoid fever. Which of the following
statements when made by one of the students would require further clarification?

Select one:
a.
“Typhoid fever has a sudden onset that is easy to identify.”

b.
“One complication of the disease is gastrointestinal bleeding”.

c.
“Hand washing is important in preventing typhoid fever”.

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“Typhoid fever has a sudden onset that is easy to identify.”

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Question text
A child who weighs 15kg needs how many milligrams of Metronidazole P.O per dose if
he/she is being treated for amebiasis?

Select one:
a.
150mg

b.
100mg

c.
300mg
Feedback
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300mg
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Question text
The period between the date of infection and the appearance of signs and symptoms is
knowns as?

Select one:
a.
Prodromal period

b.
Contagious period

c.
Incubation period
Feedback
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Incubation period
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Question text
Public health surveillance includes:

Select one:
a.
disseminating educational materials about ways people can reduce their risk of Lyme
disease.

b.
soliciting case reports of persons with symptoms compatible with SARS from local
hospitals.

c.
diagnosing whether a case of encephalitis is actually due to Ebola virus infection.
 Feedback
The correct answer is:

soliciting case reports of persons with symptoms compatible with SARS from local
hospitals.
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Question text
Which of the below listed organism is the smallest kind of microorganisms?

Select one:
a.
Viruses

b.
Protozoans

c.
Bacteria
Feedback
The correct answer is:
Viruses
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The method that a nurse can used to break the chain of infection of a communicable
disease is to:

Select one:
a.
wash hands between procedures and clients.

b.
ensure that housekeeping staff are equipped.

c.
wear gloves when caring for patients.

Feedback
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wash hands between procedures and clients.

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Question text
A client tested positive for Ebola virus is considered as a:

Select one:
a.
suspected case.

b.
probable case.

c.
confirmed case.

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The correct answer is:

confirmed case.
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How many specimens will you collect from suspected cases to confirm a cholera outbreak?
Select one:
a.
1 - 10

b.
1- 20

c.
5 – 10

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The correct answer is:

5 – 10
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Question text
Use of contaminated blood and unsterilized needle could lead to contracting which of the
below conditions?

Select one:
a.
Furunculosis
 b.
Anthrax

c.
HIV/AIDs
Feedback
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HIV/AIDs
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Question text
Corynebacterium is best characterized by which of the following statements?

Select one:
a.
It is isolated routinely from the blood of infected patients

b.
It produces a toxin that blocks protein synthesis in host cell

c.
It is resistant to most antibiotics
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It produces a toxin that blocks protein synthesis in host cell
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OES

PROFESSIONAL NURSE EXAMS: TROPICAL

COMMUNICABLE DISEASE MAY 2022
Started on Wednesday, 25 May 2022, 8:42 AM
State Finished
Completed on Wednesday, 25 May 2022, 9:44 AM
Time taken 1 hour 2 mins
Grade 47 out of 100
Question 1
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Question text
An infection that is transmitted under natural conditions from vertebrate animals to human
is known as:

Select one:
a.
zoonotic.

b.
epizootic

c.
enzootic.

Feedback
The correct answer is:

zoonotic.
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Question 2
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Question text
How many milligrams of a quinine 300mg tablet will a patient who weighs 25kg need if
he/she is being treated for uncomplicated malaria? Consider that the drug is being served
twice a day.

Select one:
a.
450mg

b.
375mg

c.
300mg

Feedback
The correct answer is:
375mg
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Question 3
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Question text
Which of the following major factors that determine the reasons for an outbreak of
infectious disease?

Select one:
a.
Parasites, host and transmission

b.
Direct, indirect and droplets

c.
Environment, portal of exists, portal of entry
Feedback
The correct answer is:
Parasites, host and transmission
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What will be the appropriate action that a nurse should take if assessment results of a
pregnant woman diagnosed with malaria revealed a capillary refill lasting for more than 3
seconds, cold hands, weak and fast pulse?
Select one:
a.
Place the patient in a semi fowler position

b.
Establish IV line and administer hypotonic saline

c.
Administer oxygen therapy

Feedback
The correct answer is:

Establish IV line and administer hypotonic saline

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A type of surveillance in which a nurse continuously searches for priority diseases in the
community or the health facilities is referred to as:

Select one:
a.
active surveillance.

b.
sentinel surveillance.

c.
passive surveillance.

Feedback
The correct answer is:

active surveillance.
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Acute manifestations of Bancroftian Filariasis include:

Select one:
a.
elephantiasis of the legs.
 b.
epididymitis after weeks.

c.
localized lymphangitis.

Feedback
The correct answer is:
elephantiasis of the legs.
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The proportion of cases that die from a specific disease is known as case:

Select one:
a.
fatality.

b.
morbidity.

c.
mortality.

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fatality.
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All of the following are priority diseases in Liberia EXCEPT:

Select one:
a.
burili ulcer.

b.
hypertension.

c.
yellow fever.
 Feedback
The correct answer is:

hypertension.
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The standard case definition for uncomplicated malaria is patient who:

Select one:
a.
Present with fever and diarrhoea

b.
With history of fever, chill, body pains, vomiting, diarrhea headache and exclusion of other
possible cause of disease

c.
Presents with fever, headache, chills, anemia, hypoglycemia, convulsion for which no other
cause or cause can be determined
Feedback
The correct answer is:
With history of fever, chill, body pains, vomiting, diarrhea headache and exclusion of other
possible cause of disease
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Question text
The pentavalent vaccine provides immunity against all of the following infectious
diseases excepts:

Select one:
a.
pertussis.

b.
tuberculosis.

c.
diphtheria.

Feedback
The correct answer is:
tuberculosis.
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Question 11
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Question text
Which of the below listed organism is the smallest kind of microorganisms?

Select one:
a.
Bacteria

b.
Protozoans

c.
Viruses
Feedback
The correct answer is:
Viruses
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Question 12
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Question text
The incubation period for W. Bancrofit filariasis is:

Select one:
 a.
6-12 months

b.
3-6 months

c.
1 month
Feedback
The correct answer is:
6-12 months
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1. The period during the course of HIV infection when the infected
person first test positive for antibody against the virus is the ______
phase.

Select one:
a.
recovery and seroconversion

b.
symptomatic HIV infection
 c.
asymptomatic chronic HIV

Feedback
The correct answer is:

recovery and seroconversion

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How many specimens will you collect from suspected cases to confirm a cholera outbreak?

Select one:
a.
1- 20

b.
1 - 10

c.
5 – 10

Feedback
The correct answer is:

5 – 10
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The most virulent human pathogens among the three influenza types:

Select one:
a.
Influenza A

b.
Influenza B

c.
Influenza C
Feedback
The correct answer is:
Influenza A
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One of the complications of pulmonary tuberculosis includes:

Select one:
a.
otitis Media.

b.
anemia.

c.
hemoptysis.
Feedback
The correct answer is:
hemoptysis.
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Question 17
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Which of the below drugs is used to treat Schistosomiasis?

Select one:
a.
praziquantel.

b.
doxycycline.

c.
ivermectin.

Feedback
The correct answer is:

praziquantel.
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Question 18
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Which one of the following is a defining characteristic of the parasitic factors of disease
transmission?

Select one:
a.
Cause host to damage itself as a result of responding to infection

b.
Adaptive immunity: Specific to organism

c.
Breakdown in defense (nutrition, infection, cancer, injury)
Feedback
The correct answer is:
Cause host to damage itself as a result of responding to infection
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infection
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
Which is the volume of Artesunate IV to be administered at the zero hour, if a patient
weighing 15kg is being treated for complicated malaria? Available is 60mg/6ml vial.

Select one:
a.
 1.4ml

b.
4.5ml

c.
3.6 ml

Feedback
The correct answer is:
4.5ml
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Question 20
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Question text
Which of the following signs/symptoms is not associated with the case definition of
uncomplicated malaria?

Select one:
a.
Myalgia

b.
Headache

c.
Prostration
Feedback
The correct answer is:
Prostration
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OES

PROFESSIONAL NURSE EXAMS: TROPICAL

COMMUNICABLE DISEASE MAY 2022
Question 21
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Question text
The major complication of mump in male is:

Select one:
a.
prostatitis.

b.
otitis media.

c.
orchitis.

Feedback
The correct answer is:

orchitis.
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The mode of transmission of Bacillary Dysentery is:

Select one:
a.
Bowel sound

b.
Faceal -oral route

c.
Diarrhea
Feedback
The correct answer is:
Faceal -oral route
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 Question text
A convulsing child who weighs 10kg and diagnosed of complicated malaria needs how
many milligrams of diazepam as a first dose to stop the seizure according to National
Malaria Control Protocol?

Select one:
a.
2.5 mg intravenously

b.
3 mg intravenously

c.
2 mg intravenously

Feedback
The correct answer is:

3 mg intravenously
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What does the determine test for HIV detect?

Select one:
a.
Antibodies

b.
Antigen

c.
Viral enzymes

Feedback
The correct answer is:
Antibodies
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Question text
The period between the date of infection and the appearance of signs and symptoms is
knowns as?

Select one:
a.
Contagious period

b.
Incubation period

c.
Prodromal period
Feedback
The correct answer is:
Incubation period
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A technical subcommittee of the public health emergency management committee includes
which of the followings?

Select one:
a.
Coordination, operation, and communication

b.
Risk communication and social mobilization

c.
The financial and logistics subcommittee

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Risk communication and social mobilization

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Which of the below organisms is referred to as enterobius vernicularis?

Select one:
a.
Pin worm
b.
Hook worm
c.
Strongyloides
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When an infective microorganism escaping from the reservoir is suspended in the air and is
carried through air current in the form of droplet nuclei. The mode of transformation is:

Select one:
a.
Droplet

b.
Airborne

c.
Fomites
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Airborne
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When a communicable disease re-emerges with the ability to produce severe reaction is
known as:
Select one:
a.
invasiveness.

b.
infectivity.

c.
virulence.

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virulence.
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A situation where an infectious disease occurs in a specific locale continuously with a certain
number of cases expected for a given period is:

Select one:
 a.
sporadic.

b.
endemic.

c.
pandemic.
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endemic.
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A child who weighs 15kg needs how many milligrams of Metronidazole P.O per dose if
he/she is being treated for amebiasis?

Select one:
a.
300mg

b.
100mg

c.
150mg
 Feedback
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300mg
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Which of the below organisms causes Amoebic dysentery?

Select one:
a.
Clostridium botulism

b.
E. coli

c.
E. Histolytical
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E. Histolytical
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The initial symptoms of measles appear ___________ after infection:

Select one:
a.
10-12 days

b.
2-4 days

c.
8-10 days
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10-12 days
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Death from tetanus may be due to:

Select one:
a.
asphyxia.
 b.
exhaustion.

c.
heart failure.
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asphyxia.
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Which of the following agents causes malaria?

Select one:
a.
Plasmodium

b.
Mosquito

c.
Rickettsia
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Plasmodium
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Corynebacterium is best characterized by which of the following statements?

Select one:
a.
It is resistant to most antibiotics

b.
It is isolated routinely from the blood of infected patients

c.
It produces a toxin that blocks protein synthesis in host cell
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It produces a toxin that blocks protein synthesis in host cell
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People with good immune system have a CD4 count between___.

Select one:
a.
50-500 cells/mm3

b.
500 – 1500 cells/ mm3

c.
1500- 3000 cells/ mm3

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500 – 1500 cells/ mm3

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 Question text
A core function of the multi-disease approach to infectious disease surveillance is:

Select one:
a.
training and supervision.

b.
investigation and confirmation.

c.
setting up laboratory support.

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investigation and confirmation.

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The elimination of the reservoir to control communicable diseases requires which of the
below actions?
Select one:
a.
Eradicate all the hosts

b.
Detect and treat cases

c.
Eradicate all contacts

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Detect and treat cases
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Which one of the following diseases is of international concern and is notifiable under IHR?

Select one:
a.
Guinea worm
 b.
Lassa fever

c.
Measles
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Guinea worm
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OES

PROFESSIONAL NURSE EXAMS: TROPICAL

COMMUNICABLE DISEASE MAY 2022
Question 41
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A sexually transmitted disease affecting the genital area, the skin, and the rectum:

Select one:
a.
chlamydia.

b.
herpes.

c.
chancroid.

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herpes.
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When was the Integrated Disease Surveillance and Response (IDSR) strategy adopted by
WHO AFRO member States?

Select one:
a.
September 2005

b.
September 2014

c.
September 1998
 Feedback
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September 1998
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Which of the following symptoms may be the least likely to be reported by a patient with
schistose hematobium?

Select one:
a.
Acute diarrhea

b.
Urinary frequency

c.
Abdominal pain

Feedback
The correct answer is:

Acute diarrhea
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Which one of the following is an objective for establishing a center to coordinate
information and resources?

Select one:
a.
Manage cases and conduct contact tracing activities.

b.
Meet weekly or quarterly during outbreak.

c.
Minimize the impact of the outbreak in the community.

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The correct answer is:
Minimize the impact of the outbreak in the community.
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The mump virus belongs to the family:

Select one:
a.
enteroviridae.

b.
paramyxoviridae.

c.
flaviviridae.

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The correct answer is:

paramyxoviridae.
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The stage of HIV present in an individual is determined by:

Select one:
a.
physical examination.

b.
opportunistic infections.

c.
CD4 lymphocyte count.

Feedback
The correct answer is:

CD4 lymphocyte count.

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Question text
A key factor contributing to the emergence and re-emergence of infectious diseases
include:

Select one:
a.
immunization.

b.
improved nutrition.

c.
population growth.

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The correct answer is:

population growth.
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The natural reservoir of Ebola Viruses is:

Select one:
a.
monkeys.

b.
fruit bats.

c.
chimpanzees.

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The correct answer is:
fruit bats.
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All of the below signs and symptoms are related to complicated measles EXCEPT:

Select one:
a.
Hoarseness

b.
Rhinitis

c.
Gastroenteritis
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The correct answer is:
Rhinitis
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The restriction of the activities of a well person or animal who have been exposed to a case
of communicable diseases during the period of communicability best describes:

Select one:
a.
incubation.

b.
quarantine.

c.
isolation.
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The correct answer is:
quarantine.
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Which treatment below using ACT is appropriate for a patient who weighs 50kg having
uncomplicated malaria?

Select one:
a.
AS 100mg + AQ 270mg 1tab qd X 3days

b.
AS 100mg + AQ 270mg 2 tabs qd X 3days
 c.
AS 50mg + AQ 135mg 1tab qd X 3days

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The correct answer is:

AS 100mg + AQ 270mg 2 tabs qd X 3days

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The following diseases should be immediately reported EXCEPT:

Select one:
a.
onchocerciasis.

b.
poliomyelitis.

c.
bloody diarrhea.
 Feedback
The correct answer is:

onchocerciasis.
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What is the causative agent for chickenpox?

Select one:
a.
Varicella Zoster

b.
Arenaviridae

c.
Corona virus

Feedback
The correct answer is:

Varicella Zoster
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A type of disease surveillance that prefer to use data from a label reporting site for early
warning of epidemic is known as:

Select one:
a.
active.

b.
sentinel.

c.
passive.

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The correct answer is:

sentinel.
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Diagnosing Measles requires the collection and testing of which of the below specimen?

Select one:
a.
Serum

b.
Stool

c.
Saliva

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Serum
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Use of contaminated blood and unsterilized needle could lead to contracting which of the
below conditions?

Select one:
a.
Furunculosis

b.
HIV/AIDs

c.
Anthrax
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The correct answer is:
HIV/AIDs
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One of the four components of International Health Regulations (IHR) monitoring and
Evaluation process include:
Select one:
a.
case management.
b.
case identification.
c.
simulation exercises.
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The correct answer is: simulation exercises.
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The number of new cases during any one-time period is called:

Select one:
a.
Case

b.
Prevalence

c.
Incidence
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Which of the following treatment is a key lifesaving interventions for people infected with
HIV?

Select one:
a.
Antiprotozoal therapy

b.
Antibiotic therapy

c.
Antiretroviral therapy

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The correct answer is:

Antiretroviral therapy
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A client tested positive for Ebola virus is considered as a:

Select one:
a.
suspected case.

b.
confirmed case.

c.
probable case.

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The correct answer is:

confirmed case.
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