OCCUPATIONAL HEALTH AND SAFETY
PART ONE: MULTIPLE CHOICE QUESTIONS
1. The drug of choice in the treatment of complicated malaria in adults is:
a. Quinine
b. Coartem
c. Sulphadoxine and pyrimethamine
d. Metakelfin
2. Methods of protecting the host in the management of communicable diseases:
a. Notification, reservoir control, isolation
b. Immunization, better nutrition, chemoprophylaxis
c. Isolation, immunization, treatment
d. Treatment, notification, better nutrition
3. Ebola virus is transmitted through:
a. Contact with a patient in the acute stage of disease, direct contact with formites
b. Direct contact with formites, ingestion of contaminated water
c. Contact with a patient in the acute stage of the disease, ingestion of contaminated food
d. Ingestion of contaminated water, contact with a patient in the acute stage of the disease
4. Yellow fever is an acute infectious disease characterized by:
a. Headache, jaundice, vomiting, fever
b. Nausea, vomiting, diarrhea, fever
c. Headache, cough, jaundice, vomiting
d. Jaundice, joint pain, fever, diarrhea
5. The following are air-borne diseases:
a. Tuberculosis, pneumonia, enterobiasis
b. Whopping cough, enteric fever, influenza
c. Corhzya, Tuberculosis, pneumonia
d. Whopping cough, influenza, enteric fever
6. The microorganism that causes severe form of food poisoning is:
a. Shigella flexneri
b. Clostridium botulinum
c. Streptococcus pyogenus
d. Salmonella typhi
7. Water washed disease occur when:
a. There is lack of adequate quantity of water
b. Drinking water is contaminated with the infectious agent
c. There is lack of adequate drinking water
d. One eats uncooked fish and other foods
8. The priority in the management of cholera patients during an epidemic is:
a. Administration of tetracycline
b. Referral of patients to hospital
c. Administration of fluids and electrolytes
d. Administration of analgesics
9. The drug of choice in the treatment of plague in adults is:
a. Tetracycline 500 mg 6 hourly for 7 days
b. Amoxycilline 500 mg 8 hourly for 5 days
c. Crystalline penicillin 1 gm 6 hourly for 7 days
d. Cotrimoxazole 2 tablets twice daily for 14 days
10. Match the conditions in column A with symptoms in column B
COLUMN A
a) Tinea corporis
b) Oral thrush
COLUMN B
1) Iching and redness
2) Petechial bleeding under the mucus membrane
3) Scaling and cracking of the skin between the toes
4) Ring-shaped lesions, central healing
5) Brittle hair and areas of broken hair on the scalp
6) Pseudomembrananes on the mucus membrane
11. The internationally notifiable diseases include
a. Tuberculosis, HIV/AIDS, Bacillary dysentery
b. Yellow fever, Poliomyelitis, Ebola
c. Ebola, Typhoid, Hydatidosis
d. Poliomyelitis, HIV/AIDs, Tuberculosis
12. Trachoma the leading cause of preventable blindness in the world is transmitted by :
a. Mosquitoes
b. Molluscs
c. Ocular secretions
d. Flies
13. The characteristic symptoms of the tuberculoid, non-contagious form of leprosy:
a. Lack of sensation in limbs and paralysis
b. Chronic rhinitis retinitis
c. Perforations and deformity
d. Mucocutaneous lesions and leproma
14. The intensive phase for anti-TB treatment lasts for:
a. 2 months
b. 3 months
c. 4 months
d. 5 months
15. The etiologic agent for Dengue Hemorrhagic Fever (DHF) is:
a. Chikungunya virus
b. Aedes Aegypti
c. Common household mosquito
d. Infected person
16. The time interval between the first exposure to the appearance of the first signs and symptoms is called:
a. Prodromal period
b. Incubation period
c. Stage of illness
d. Convalescence
17. A person who harbors the microorganism but does not manifest the signs and symptoms of the disease is called:
a. Contact
b. Infected
c. Suspect
d. Carrier
18. Diseases that are always in the community usually at a low, more or less constant frequency are classified as having an
a. Epidemic pattern
b. Endemic pattern
c. Pandemic pattern
d. Sporadic patten
19. Methods of protecting the host in the management of communicable diseases:
a. Notification, reservoir control, isolation
b. Immunization, better nutrition, chemoprophylaxis
c. Isolation, immunization, treatment
d. Treatment, notification, better nutrition
20. The migratory phase of Ascariasis is associated with:
a. Cough, vague abdominal discomfort, pneumonitis
b. Vague abdominal discomfort, vomiting, cough
c. Fever, cough, allergic dermatitis
d. Diarrhea, fever, allergic dermatitis
PART TWO: SHORT ANSWER QUESTIONS
1) Explain the preventive and control measures of Taenia saginata (5mks)
2) State six (6) clinical features of cholera (6mks)
3) State five (5) preventive and control measure of acute gastro-enteritis (5mks)
4) Distinguish between cholera and food poisoning (5mks)
5) Outline the nursing support for adult patient suffering from tetanus (5mks)
6) State five (5) preventive and control measures of Anthrax (5mks)
7) State five (5) complications of measles (5mks)
8) State four (4) clinical features of trypanosomiasis during the systemic phase (4mks)
PART THREE: LONG ANSWER QUESTIONS (LAQs)
1) Miss D visited your outpatient department and a diagnosis of typhoid fever is made.
a. State four (4) clinical features of typhoid during the second week of illness (4mks)
b. Describe the management of Miss D (10mks)
c. State six (6) preventive measures of typhoid fever (6mks)
2) The high incidence of Tuberculosis in Kenya is raising a lot of concern to both the health personnel and the general public.
a. State three (3) risk factors for tuberculosis (3mks)
b. Explain the direct observed treatment strategy (DOTS) for TB management (5mks)
c. Describe the role of the community health nurse in the prevention and control of tuberculosis (12mks)
