COMH 323 COMMUNICABLE DESEASES. MCQs.

Part I; choose one best response; no penalty for wrong

response.(35marks).
1. A communicable disease is

A. Inherited
B. Infectious x
C. Dangerous
D. Usually harmless.

2. A latent communicable disease is

A. Where organisms are rapidly multiplying

B. Where organisms are dormant x
C. About to kill a patient
D. Diagnosed by a blood culture and sensitivity.

3. Which of the following statements best describes disease elimination

A. Very low occurrence in the world for three years x

B. No new cases for the last three years anywhere in the world
C. Prevalence has become nil in Kenya.
D. No new cases in most cases of the world

4. The following diseases have not been eradicated except

A. Measles

B. Plague

C .Small pox x

D .Neonatal tetanus.

5. The following diseases are viral haemorrhagic fevers except

A. Ebola
B. Marburg
C. Dengue fever
D. Influenza x
6. Which of the following does not belong?

A. West Nile fever C. Tuberculosis

B. Malaria D. Measles X

7. Which of the following condition is the odd one out?

A. Malnutrition
B. Acute respiratory infections
C. Neonatal tetanus x
D. Sexually transmitted infections

8. The definitive host of typhoid fever is

A. Human beings x
B. Contaminated water wells
C. Contaminated milk
D. Contaminated food

9. The following infections are directly acquired except

A. Common cold
B. Bronchopneumonia X
C. Tuberculosis
D. Gonorrhoea

10. One of the following does not belong

A. Cholera
B. Plague
C. HIV/AIDS
D. Typhoid

11. In the world influenza kills the following number of people

A. 27500
B. 30000
C. 250000 x
D. 500000

12. Influenza pandemics have occurred in the following years except

A. 1889 C. 1934
 B. 1918 D. 1960 x

Q13. The incubation period of influenza is

A. 1 – 3 days x B. 3 – 4 days C. 4 – 5 days D. 5 – 7 days.

13. The following Influenza type A strains cause Avian influenza except

A. H5N1 B. H3N2 x C. H7N7 D. H9N2

14. In Guinea worm WHO eradication initiative, the following countries reported cases except

A. South Sudan B. Nigeria x C. Mali D. Ethiopia

15. Concerning Tuberculosis, which is the most dangerous form to the community?

A. Primary tuberculosis
B. Secondary tuberculosis
C. Miliary tuberculosis
D. Open tuberculosis x

16. The most dangerous form of TB to the patient is

A. Miliary TB x B. Secondary TB C. Extrapulmonary TB D. Primary TB.

17. The early signs and symptoms of TB are the following except

A. Unexplained cough for more than two weeks

B. Positive tuberculin test
C. Blood stained sputum x
D. Night sweats

18. The WHO TB treatment strategy is

A. HIV Control/Health Education

B. Multiple drug therapy
C. 2EHRZ
D. DOTS. x

19. Concerning TB, the following statements are false except

A. Highly infectious
B. Very pathogenic
C. Causes HIV infections
D. Most infections heal spontaneously. x
20. Acute haemorrhagic conjunctivitis affected a large proportion of population over a wide
geographical area in 2002 and 2012. This spread of disease is:

A. Epidemic B. Sporadic C. Pandemic x D. Endemic.

21. How many under 5 year olds does malaria kill in Africa per year?

A. 0.5m B. 1.0m C. 2.5m D. 3.0m

22. At 310 C, the development of mosquito vector takes

A. 5 days B. 7 days C. 10 days D. 15 days E. 20 days.

23. At 150 C, the development of mosquito vector takes

A. 15 days B. 22 days C. 30 days D. 36 days E. 40 days.

24. The average lifespan of a mosquito is

A. 15 days B. 25 days C. 35 days D. 45 days E. 65 days.

25. Concerning hookworm infestation, the infective stage is

A. Adult worm
B. Ovum
C. Rhabditiform larva
D. Filariform larva
E. None of the above.

26. One adult Ankylostoma duodenale worm causes an average daily blood loss of

A. 0.1 ml B. 0.5 ml C. 2.0 ml D. 5.0 ml E. 10 ml

27. One adult Necator americanus worm causes an average daily blood loss of

A. 0.1 ml B. 0.2 ml C. 0.3 ml D. 0.5 ml E. 2.0 ml.

28. Concerning Dengue fever,( Qs 28, 29 & 30) the maximum incubation period is

A. 11 days B. 15 days x C. 17 days D. 18 days E. 21 days

29. The minimum incubation period is

A. 1 day B. 3 days x C. 6 days D. 7 days E. 8 days.

30. The average incubation period is

 A. 4 – 6 days B. 7 – 10 days C. 11 – 13 days D. 13 – 15 days E. None of the above. x

30. The treatment of choice for plague is

A. Gentamicin B. Cefatriaxime C. Ampicillin D. Tetracycline.

31. WHO statistics show that, between 2000 and 2011, measles deaths dropped by

A. 90% B. 45% C. 54% D. 71% x E. 50%

32. All of the following are poorly performing countries in measles vaccination except

A. Tanzania x B. Ethiopia C. DRC D. India E. Pakistan

33. Concerning management of health services, one of the following is the odd one out.

A. Planning B. Delegation x C. Implementation D. Devolution E. Evaluation.

34. In 1999 Kenya reduced measles cases by

A. 65% B. 50% C .85% D.99% x E. 75%.

35. The most important reservoir of yellow fever is

A. Man B. Monkey x C. Rat D. Mosquito E. Antelope.

Section two. Enter T for true or F for false. No penalty for wrong or blank response.(50marks).

1. Mosquitoes are the vectors for the following diseases

A. Myasis …………………….
B. Onchocerciasis ……………………..
C. Visceral leishmaniasis ……………………..
D. Trypanosomiasis ……………………..
E. Bancroptian filariasis ……………………..

2. The following diseases are zoonoses

A. Typhoid fever ………………………

B. Yellow fever ………………………
C. Dengue fever ……………………..
D. Measles ………………………
E. Brucellosis ………………………

3. Concerning management of health services, one of these does not belong

 A. Planning B. Delegation x C. Implementation D. Devolution E. Evaluation………..

4. Cholera vaccine (OCV)

A. Is now part of KEPI schedule ……………

B. Protects 70% of recipients for one year …………..
C. Protects 50% of recipients for three months …………..
D. Is recommended for slum dwellers ……………
E. Is the most effective strategy for stopping an outbreak……………

5. The prevalence of malaria in the world per year is about

A. 100 million cases ……………..

B. 200 million cases ……………..
C. 300 million cases ………………
D. 480 million cases ………………
E. 600 million cases ………………

6. Annual prevalence of malaria is about

A. 150 million cases ………………

B. 200 million cases ………………
C. 300 million cases ………………
D. 400 million cases ………………
E. 650 million cases ………………

7. The plasmodium survives well within mean annual temperature of

A. 100 -_- 150C ………………

B. 150 -- - 200C ………………
C. 200 - _- 250C ………………
D. 250 --- 300C ……………..
E. 300 --- 350C ……………..

8. In a malaria mesoendemic area, spleen rate in children is

A. Under 10% …………….

B. 15% …………….
C. 50% …………….
 D. 70% …………….
E. 72% …………….

8. In a malaria hyperendemic area, the period of transmission in a year is

A. 2 months ……………..
B. 4 months ……………..
C. 6 months ……………..
D. 7 months ……………..
E. 12 months ………………

9. Concerning plaque

A. It is caused by Bacillus pestis …………………….

B. The main vector is the rat …………………….
C. The pneumonia form is more common than the bubonic ……………………
D. Fraction1 antigen in the bacterial capsular envelop confers antiphagocytic activity ……
E. Direct person to person spread may occur. ………………………………….

10. Duties of a supervisor are

A. Carry out policies passed from above ………………

B. Promote staff under him ………………
C. Leading and motivating ………………
D. Fire and hire ………………
E. Maintain esprit de corps. ………………

11. The steps in official decision making are

A. The context …………………

B. Forming …………………
C. Storming …………………
D. Choices .………………..
E. Purposive …………………