Health Policy 2nd Exam+final

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Health Policy 2nd Exam+final - Quiz


Questions and Answers
  • 1. 

    Q1) According to WHO an explict health policy can acheire all of the following expect:

    • A.

      It defines avision for the future

    • B.

      It defines expected role for different groups

    • C.

      It builds agreement and inform people

    • D.

      Monitoring of health status

    Correct Answer
    D. Monitoring of health status
    Explanation
    An explicit health policy, as defined by WHO, can achieve several objectives such as defining a vision for the future, defining expected roles for different groups, and building agreement and informing people. However, monitoring of health status is not one of the objectives that an explicit health policy can achieve. Monitoring of health status involves tracking and assessing the health conditions and trends in a population, which is typically done through surveillance systems and data collection methods. While monitoring is important for informing policy decisions, it is not a direct outcome of an explicit health policy itself.

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  • 2. 

    Q2) A statement or procedure which is clearly intended to affect the practice or delivery of health care services is:

    • A.

      A- policy

    • B.

      B- regulation

    • C.

      C- health policy

    • D.

      D- goal

    Correct Answer
    C. C- health policy
    Explanation
    A health policy is a statement or procedure that is specifically designed to impact the practice or delivery of healthcare services. It provides a framework for decision-making and guides the actions and behaviors of individuals and organizations within the healthcare system. Health policies can include guidelines for healthcare providers, regulations for healthcare facilities, and strategies for improving public health. Therefore, it is the most appropriate answer for this question.

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  • 3. 

     written details about how the policy will be enacted and what the penalties for violating the regulation will be is a definition to:

    • A.

      Regulation

    • B.

      Policy

    • C.

      Health policy

    • D.

      Non of the above

    Correct Answer
    A. Regulation
    Explanation
    The given correct answer is "Regulation". This is because a regulation is a written set of rules and guidelines that outline how a policy will be enacted and what the penalties for violating the regulation will be. Regulations are typically created and enforced by government agencies to ensure compliance with specific laws or policies. Therefore, the written details about how the policy will be enacted and the penalties for violating it align with the definition of a regulation.

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  • 4. 

    Q14) Policies can be an informal way of doing things that:

    • A.

      Most people are unexpected to know about

    • B.

      - Most people are expected to know about

    • C.

      Some people are expected to know about

    • D.

      Some people are unexpected to know about

    Correct Answer
    B. - Most people are expected to know about
    Explanation
    Policies can be an informal way of doing things that most people are expected to know about. This means that policies are not formal rules or regulations, but rather common practices or procedures that are widely known and understood by the majority of individuals. It implies that these policies are not meant to be kept secret or hidden, but rather openly communicated and understood by most people.

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  • 5. 

    Q15) The existence of too many priorities implies no true prioritization which may result in:

    • A.

      Spreading of scarce resources

    • B.

      Capacity across multiple activities

    • C.

      Inadequate implementation

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    When there are too many priorities, it becomes difficult to allocate resources effectively. Scarce resources are spread thin across multiple activities, leading to inadequate implementation of all the priorities. This lack of true prioritization can result in a situation where none of the priorities are given sufficient attention or resources, leading to the negative consequences mentioned in the options. Therefore, the answer "all of the above" is the correct choice.

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  • 6. 

    Q16) most important categories of health policy:

    • A.

      Pharmaceutical policy

    • B.

      Personal health care policy

    • C.

      Public policy

    • D.

      All of the above

    Correct Answer
    B. Personal health care policy
    Explanation
    The correct answer is "all of the above" because the question asks for the most important categories of health policy, and all three options listed - pharmaceutical policy, personal health care policy, and public policy - are indeed important categories of health policy. Pharmaceutical policy focuses on regulations and guidelines related to the development, pricing, and access to medications. Personal health care policy involves policies related to individual health care services, such as insurance coverage, quality of care, and patient rights. Public policy encompasses broader health-related policies that aim to improve population health, such as disease prevention, health promotion, and environmental health regulations.

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  • 7. 

    Q17) people have the right to security in the event of:

    • A.

      Unemployment

    • B.

      Widowhood

    • C.

      Sickness

    • D.

      Disabilities

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    The correct answer is "all of the above" because people have the right to security in the event of unemployment, widowhood, sickness, and disabilities. This means that individuals should be protected and provided with support and assistance during these circumstances to ensure their well-being and livelihood.

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  • 8. 

    Q18) at providing emergency care services can ………..be better than………..  :

    • A.

      Public funds/private funds

    • B.

      Privately funds/ public funds

    • C.

      Insurance / private company

    • D.

      Private company / insurance

    Correct Answer
    A. Public funds/private funds
    Explanation
    Public funds and private funds can be better than each other at providing emergency care services depending on the specific circumstances. Public funds are typically government funds allocated for public services, including emergency care. These funds are often more readily available and can be used to ensure that emergency care services are accessible to all individuals, regardless of their ability to pay. On the other hand, private funds, such as donations or philanthropic contributions, can also be used to support emergency care services. These funds may allow for more flexibility and innovation in service delivery. Ultimately, the effectiveness of emergency care services depends on the proper allocation and management of funds, regardless of their source.

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  • 9. 

    Q19) A good health policy should include all of the next except:

    • A.

      Be useful as a tool of change

    • B.

      Well defined goals

    • C.

      Give services freely

    • D.

      Provide a road map for the future

    Correct Answer
    C. Give services freely
    Explanation
    A good health policy should include well-defined goals, provide a road map for the future, and be useful as a tool of change. However, giving services freely is not a necessary aspect of a good health policy. While accessibility and affordability of healthcare are important considerations, it is not feasible or sustainable for all services to be provided freely. Therefore, this option is not included in a good health policy.

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  • 10. 

    Policies related to public health are related with all of the next expect:

    • A.

      Access to care

    • B.

      Vaccine poicy

    • C.

      Tobacco control policy

    • D.

      Breast feeling policy

    Correct Answer
    A. Access to care
    Explanation
    The question is asking which of the options is not related to policies related to public health. Access to care is directly related to public health policies as it ensures that individuals have access to necessary healthcare services. On the other hand, vaccine policy, tobacco control policy, and breast feeding policy are all specific policies that fall under the broader umbrella of public health policies. Therefore, the correct answer is access to care.

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  • 11. 

    Public health includes all of the below expect:

    • A.

      Nutrition

    • B.

      Sanitation

    • C.

      Disease control

    • D.

      Funding

    Correct Answer
    D. Funding
    Explanation
    Public health is a field that focuses on improving and protecting the health of communities and populations. It involves various aspects such as nutrition, sanitation, and disease control. These aspects directly contribute to promoting and maintaining good health in individuals and communities. However, funding is not a component of public health itself, but rather a means to support and implement public health initiatives. While funding is crucial for the effective implementation of public health programs, it is not considered a part of public health itself.

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  • 12. 

    Q20) which of the following is not matched:

    • A.

      A- Health policy makers  are in a threatening position and distort the spirit of evaluation.

    • B.

      B- program administration and staff  are ignorant in local situations ***

    • C.

      C- the community or consumers  lack technical abilities

    • D.

      D- university academics  are competent in carrying out evaluation

    • E.

      E- All of the above is correct

    Correct Answer
    B. B- program administration and staff  are ignorant in local situations ***
    Explanation
    The correct answer is b- program administration and staff -> are ignorant in local situations. This means that program administration and staff are not knowledgeable or aware of the local situations. This suggests that they may not have a deep understanding of the specific needs and challenges of the community they are serving, which could hinder their ability to effectively implement and administer programs.

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  • 13. 

    ) Health care includes all of the next expect:

    • A.

      Access

    • B.

      Service delivery

    • C.

      Focus on population

    • D.

      Focus on treatment

    Correct Answer
    C. Focus on population
    Explanation
    Health care includes access to services, delivery of those services, and a focus on treatment. However, the focus on population is also an important aspect of health care. This means that health care not only addresses individual health needs but also considers the health needs of a larger group or community. By focusing on the population, health care can work towards improving overall health outcomes and preventing diseases on a broader scale.

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  • 14. 

    Q21) all of the following are elements of evaluation except:

    • A.

      A- The overall effect of the program

    • B.

      B- Effectiveness

    • C.

      C- Is the health care needed?

    • D.

      D- Research

    • E.

      E- A comparison of costs and benefits

    Correct Answer
    D. D- Research
    Explanation
    This question is asking for elements of evaluation, and all of the given options are elements except for "Research." Research is not typically considered an element of evaluation, as evaluation focuses on assessing the effectiveness, overall effect, need, and cost-benefit analysis of a program. Research, on the other hand, refers to the systematic investigation of a subject to establish facts or principles. Therefore, "d- Research" is the correct answer.

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  • 15. 

    Q22) the correct order of the basic steps of evaluation is:

    • A.

      A- Determine what to evaluate / take action / analyze the results

    • B.

      B- Gather information / plan the methodology / take action

    • C.

      C- Use of checklists / gather information / re-evaluate

    • D.

      Re-evaluate / establish standards / analyze the results

    • E.

      E- None of the above

    Correct Answer
    C. C- Use of checklists / gather information / re-evaluate
    Explanation
    The correct order of the basic steps of evaluation is to first use checklists to gather information, then re-evaluate the situation. This order ensures that all relevant information is collected using checklists, and then the evaluation is done again to ensure accuracy and completeness. This process allows for a thorough and systematic evaluation of the situation at hand.

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  • 16. 

    Q23) outcome analysis is not:

    • A.

      A- A measure that is intended to decrease individual or population health

    • B.

      B- A therapy

    • C.

      C- The status of individuals after the application of treatment is compared to the status before it

    • D.

      D- What is expected of a program

    • E.

      E- An educational activity

    Correct Answer
    B. B- A therapy
    Explanation
    Outcome analysis is not a therapy. Outcome analysis refers to the evaluation of the results or effects of a particular treatment, program, or intervention. It involves comparing the status of individuals before and after the application of treatment to determine its effectiveness. It is a measure that is intended to assess the impact and outcomes of a program, rather than being a therapy itself.

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  • 17. 

    Process analysis is:

    • A.

      A- The conditions that surround process of care

    • B.

      B- What is expected from a program

    • C.

      C- A measure that is intended to improve population health

    • D.

      D- Organizational and environmental framework

    • E.

      E- Time consuming and of doubtful accuracy

    Correct Answer
    E. E- Time consuming and of doubtful accuracy
    Explanation
    Process analysis refers to the examination and evaluation of a process to identify areas of improvement, inefficiencies, and potential bottlenecks. It involves analyzing the steps, inputs, outputs, and resources involved in a process to optimize its performance. The given answer suggests that process analysis can be time-consuming and may not always provide accurate results. This implies that conducting a thorough analysis of a process can be a lengthy and complex task, and the accuracy of the findings may be uncertain.

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  • 18. 

    Policies related to public health are related with all of the next expect:

    • A.

      A- access to care

    • B.

      B- vaccine policy

    • C.

      C- tobacco control policy

    • D.

      D- breast feeling policy

    Correct Answer
    A. A- access to care
    Explanation
    Policies related to public health encompass various aspects, including access to care. Access to care refers to the availability and affordability of healthcare services for individuals. It involves ensuring that people have the opportunity to receive necessary medical attention and treatment when needed. This includes access to healthcare facilities, health insurance coverage, and healthcare professionals. Public health policies aim to address disparities in access to care and improve overall healthcare outcomes for the population. Therefore, it is logical to consider access to care as one of the areas related to public health policies.

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  • 19. 

    Public health includes all of the below expect:

    • A.

      A- nutrition

    • B.

      - disease control

    • C.

      B- sanitation

    • D.

      D-funding

    Correct Answer
    D. D-funding
    Explanation
    Public health is a field that focuses on improving and protecting the health of communities and populations. It encompasses various aspects such as nutrition, disease control, and sanitation. These areas are crucial in preventing and managing health issues at a population level. However, funding is not a component of public health itself, but rather a necessary resource for implementing public health initiatives and programs. Therefore, the correct answer is d-funding.

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  • 20. 

    Health care includes all of the next expect:

    • A.

      A- access

    • B.

      B- service delivery

    • C.

      C- focus on population

    Correct Answer
    C. C- focus on population
    Explanation
    Health care includes a focus on population, meaning that it takes into consideration the health needs and concerns of an entire population or community. This includes understanding the demographics, health risks, and healthcare needs of the population as a whole, rather than just focusing on individual patients. This approach allows for the development of targeted interventions, preventive measures, and public health strategies to improve the overall health outcomes of the population. It also emphasizes the importance of addressing health disparities and promoting equity in healthcare access and outcomes for all members of the population.

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  • 21. 

    One of the following included in identify health priorities and policy needs: 

    • A.

      A-the ageing of the population

    • B.

      B- Development of advance medical technology

    • C.

      C- Key development in health care system

    • D.

      D- Serious problems in the quality and delivery of care provided

    Correct Answer
    C. C- Key development in health care system
    Explanation
    The key development in the health care system is included in identifying health priorities and policy needs because it plays a crucial role in shaping the overall health care landscape. This includes advancements in medical technology, changes in health care policies and regulations, and improvements in the delivery of care. Understanding and addressing these key developments is essential for setting health priorities and developing effective policies to meet the evolving needs of the population.

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  • 22. 

     Rising expectations for improved health is major health issue and challenges:

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement suggests that the increasing expectations for better health are a significant issue and present challenges. This implies that people are demanding higher standards of healthcare and health outcomes, which can put pressure on healthcare systems, professionals, and resources. Meeting these rising expectations may require significant efforts and investments in healthcare infrastructure, technology, and services.

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  • 23. 

     The ability to make others do what you want them to do is:

    • A.

      Authority

    • B.

      Power

    • C.

      Policy

    • D.

      Legitimacy

    Correct Answer
    B. Power
    Explanation
    Power refers to the ability to make others do what you want them to do. It is the capacity to influence or control the behavior of others, either through coercion or persuasion. Authority, on the other hand, is the legitimate right to exercise power, often derived from a position or role in an organization or society. Policy refers to a set of rules or guidelines that govern actions or decisions. Legitimacy refers to the acceptance or recognition of authority or power by others. Therefore, power is the correct answer as it directly relates to the ability to make others do what you want them to do.

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  • 24. 

     One of the following is tangible source of power:

    • A.

      Access to leaders

    • B.

      Votes

    • C.

      Access to media

    • D.

      Expertise

    Correct Answer
    B. Votes
    Explanation
    Votes are a tangible source of power because they represent the ability to influence decision-making through democratic processes. In many political systems, individuals or groups who have a larger number of votes have a greater ability to shape policies and elect leaders. Votes can be quantified and measured, making them a concrete form of power. Access to leaders, access to media, and expertise can also be sources of power, but they may not be as tangible or easily quantifiable as votes.

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  • 25. 

    One of the next is included in regulate consumer:

    • A.

      Restrict tobacco

    • B.

      Supplement

    • C.

      Vaccination

    • D.

      Produce pharmaceuticals

    Correct Answer
    C. Vaccination
    Explanation
    Vaccination is included in regulating consumers because it is a measure taken by regulatory bodies to ensure the safety and health of consumers. Vaccinations are administered to protect individuals from various infectious diseases, and they play a crucial role in preventing the spread of diseases within a population. By regulating and promoting vaccination programs, authorities aim to safeguard the well-being of consumers and maintain public health.

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  • 26. 

    Policy process moves very slowly it's considered as one of:

    • A.

      Health policy implication

    • B.

      Pubic health needs

    • C.

      Challenges of public health

    • D.

      Disadvantages of public health

    Correct Answer
    D. Disadvantages of public health
    Explanation
    The statement suggests that the slow pace of the policy process is seen as a disadvantage of public health. This implies that the slow movement of policies can hinder the effectiveness and efficiency of public health initiatives, potentially delaying the implementation of necessary measures and solutions to address public health challenges.

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  • 27. 

    Policy refer to the action taken by :

    • A.

      Public

    • B.

      Government

    • C.

      Health care system

    • D.

      Individual

    Correct Answer
    B. Government
    Explanation
    The correct answer is "Government" because policies are typically formulated and implemented by government institutions. Policies are a set of guidelines or rules that are established to address specific issues or achieve certain objectives within a society. While individuals and organizations may also have their own policies, the question specifically asks for the entity that takes action through policies, and this is primarily done by governments at various levels - local, regional, or national.

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  • 28. 

    Political economy is:

    • A.

      Studying production and their relation with government

    • B.

      How economics influence population health outcomes

    • C.

      A+b

    • D.

      None of the above

    Correct Answer
    C. A+b
    Explanation
    The correct answer is "a+b" because political economy involves studying both production and their relation with government, as well as how economics influence population health outcomes. Therefore, it encompasses both options mentioned in the answer, making it the correct choice.

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  • 29. 

    The main idea of rescue is:

    • A.

      Health equity

    • B.

      Health justice

    • C.

      Access to health

    • D.

      Quality of health

    Correct Answer
    A. Health equity
    Explanation
    The main idea of rescue is health equity. This means that the focus is on ensuring that everyone has equal access to healthcare and the opportunity to achieve good health outcomes, regardless of their socioeconomic status, race, or other factors. It emphasizes the importance of addressing and reducing health disparities and providing fair and just healthcare for all individuals.

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  • 30. 

     the number of old and new cases of certain diseases in the population within specific:

    • A.

      A- incidence rate

    • B.

      B- prevalence rate

    • C.

      C- infant rate

    • D.

      D- mortality rate

    Correct Answer
    B. B- prevalence rate
    Explanation
    The prevalence rate refers to the number of existing cases of a disease in a population at a specific point in time. It takes into account both old and new cases, providing a measure of how widespread the disease is within the population. In contrast, the incidence rate focuses on the number of new cases that occur within a specific time period. Therefore, the prevalence rate is the most appropriate measure for describing the number of old and new cases of certain diseases in the population.

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  • 31. 

    Which of the following represent the average disease burden:

    • A.

      -QALY

    • B.

      DALY

    • C.

      Life expectancy

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    The average disease burden can be represented by all of the above options. QALY (Quality-Adjusted Life Year) is a measure of both the quality and quantity of life lived, taking into account the impact of disease or disability. DALY (Disability-Adjusted Life Year) measures the years of healthy life lost due to premature death or disability. Life expectancy, on the other hand, represents the average number of years a person is expected to live. Therefore, all three options provide different perspectives on the average disease burden.

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  • 32. 

    The global health is related to:

    • A.

      Worldwide improvement of health

    • B.

      Universal coverage

    • C.

      Reduction in disability

    • D.

      All of the above

    Correct Answer
    A. Worldwide improvement of health
    Explanation
    The correct answer is "worldwide improvement of health". Global health refers to efforts and initiatives aimed at improving the health and well-being of people worldwide. This includes addressing health issues on a global scale, promoting universal access to healthcare services, and working towards reducing disability and improving overall health outcomes for all individuals globally.

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  • 33. 

    The major international agency for health is the:

    • A.

      UNICEF

    • B.

      World bank

    • C.

      WHO

    • D.

      All of the above

    Correct Answer
    C. WHO
    Explanation
    The correct answer is WHO (World Health Organization). WHO is the major international agency for health, responsible for coordinating and leading global efforts to improve public health. It works in collaboration with governments and other partners to address health issues, provide technical support, and promote health equity. UNICEF and the World Bank also play important roles in global health, but they have specific focuses on children's rights and development and financial assistance, respectively. Therefore, the correct answer is WHO.

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  • 34. 

    One of the greatest accomplishments of the international health community was the eradication of:

    • A.

      Malaria

    • B.

      Small pox

    • C.

      Cholera

    • D.

      Non of the above

    Correct Answer
    B. Small pox
    Explanation
    The eradication of smallpox is considered one of the greatest accomplishments of the international health community. Smallpox was a highly contagious and deadly disease that caused widespread suffering and death for centuries. Through a global vaccination campaign led by the World Health Organization, smallpox was successfully eradicated in 1980. This achievement stands as a testament to the power of international collaboration and the effectiveness of vaccines in preventing and eliminating infectious diseases.

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  • 35. 

    Bioethics research is related to:

    • A.

      Political economy

    • B.

      Justice

    • C.

      Distributional consideration

    • D.

      -cost-effectiveness

    Correct Answer
    B. Justice
    Explanation
    Bioethics research is related to justice because it involves examining ethical issues and dilemmas in the field of biology and medicine. Justice in bioethics refers to the fair distribution of resources, benefits, and burdens in healthcare and research. It involves ensuring equal access to healthcare, addressing issues of discrimination and inequality, and promoting fairness in decision-making processes. Bioethics research explores how to achieve justice in healthcare policies, resource allocation, and the treatment of individuals, considering the ethical implications of various practices and their impact on different populations.

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  • 36. 

     ________ causes 50% of child death:

    • A.

      Pneumonia

    • B.

      Measles

    • C.

      Tuberculosis

    • D.

      Non of the above

    Correct Answer
    A. Pneumonia
    Explanation
    Pneumonia is the correct answer because it is a leading cause of child deaths, accounting for 50% of them. Pneumonia is a severe lung infection that affects children, especially those who are malnourished or have weak immune systems. It can be caused by bacteria, viruses, or fungi and leads to symptoms such as coughing, difficulty breathing, and fever. Without proper treatment, pneumonia can be life-threatening, particularly for young children. Therefore, it is crucial to address pneumonia as a significant public health concern to reduce child mortality rates.

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  • 37. 

    All of the following is right about asthma except:

    • A.

      Chronic disease

    • B.

      Influenced by pollution

    • C.

      Communicable disease

    • D.

      Increased in low income countries

    Correct Answer
    C. Communicable disease
    Explanation
    Asthma is a chronic disease characterized by inflammation and narrowing of the airways, leading to symptoms like wheezing, coughing, and shortness of breath. It is not influenced by pollution. While asthma can be triggered by environmental factors such as air pollution, it is not considered a communicable disease, meaning it cannot be spread from person to person. Additionally, asthma prevalence tends to be higher in low-income countries due to various factors such as limited access to healthcare, exposure to indoor and outdoor pollutants, and inadequate management of the condition.

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  • 38. 

    Which of the following increase the incidence of asthma:

    • A.

      Education

    • B.

      Sanitary water

    • C.

      Clean air

    • D.

      Non of the above

    Correct Answer
    D. Non of the above
    Explanation
    None of the options listed, including education, sanitary water, and clean air, increase the incidence of asthma. Asthma is primarily caused by genetic and environmental factors such as allergens, pollution, and respiratory infections. Education, sanitary water, and clean air actually contribute to a healthier environment and can help reduce the risk of asthma triggers. Therefore, none of the options listed increase the incidence of asthma.

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  • 39. 

    Diarrhea is considered to be: 

    • A.

      -first most common of child death

    • B.

      Second most common of child death

    • C.

      Third most common of child death

    • D.

      Forth most common of child death

    Correct Answer
    B. Second most common of child death
    Explanation
    Diarrhea is considered the second most common cause of child death. This means that it is the second leading cause of death among children. While the question does not provide additional information or context, it implies that diarrhea is a significant and prevalent cause of mortality in children, ranking only below another cause in terms of frequency.

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  • 40. 

    Breastfeeding decrease incidence of:

    • A.

      Diarrhea

    • B.

      Malaria

    • C.

      Asthma

    • D.

      -tuberculosis

    Correct Answer
    A. Diarrhea
    Explanation
    Breastfeeding decreases the incidence of diarrhea because breast milk contains antibodies and nutrients that help strengthen the baby's immune system. It provides protection against various pathogens and reduces the risk of gastrointestinal infections, which can cause diarrhea. Breast milk is easily digestible and helps maintain a healthy balance of gut bacteria, further preventing diarrhea. Therefore, breastfeeding is recommended as a protective measure against diarrhea in infants.

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  • 41. 

    Poor maternal conditions account for:

    • A.

      Second leading cause of death for women

    • B.

      Fourth leading cause of death for woman

    • C.

      first leading cause of death for women

    • D.

      Non of the above

    Correct Answer
    B. Fourth leading cause of death for woman
    Explanation
    Poor maternal conditions account for the fourth leading cause of death for women. This means that when women experience poor maternal conditions during pregnancy or childbirth, it contributes to their risk of dying, making it the fourth most common cause of death for women.

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  • 42. 

    Tetanus toxoid for women is part of:

    • A.

      Antenatal care

    • B.

      Natal care

    • C.

      Post natal care

    • D.

      All of the above

    Correct Answer
    A. Antenatal care
    Explanation
    Tetanus toxoid for women is part of antenatal care because it is administered during pregnancy to protect both the mother and the baby from tetanus. Tetanus is a serious bacterial infection that can be life-threatening, especially for newborns. Therefore, administering tetanus toxoid to pregnant women is an important preventive measure to ensure their health and the health of their babies. It is not part of natal care or postnatal care as it is specifically given during pregnancy.

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