Ateneo de Zamboanga University

College of Nursing
NCM 108 – CHN
FINAL EXAMS

Name _____________________________ Sec _____ Date __________ Score _______

MULTIPLE CHOICE. Read the following questions and choose the best answer by shading the
letter of the your answer on the Answer Sheet. STRICTLY NO ERASURES ALLOWED

1. The Philippines is currently considered a low prevalence country for HIV/AIDS. This was
done through:
A. Elimination of drug addiction and prostitution
B. mplementation of comprehensive health promotion interventions of both
government and NGOs.
C. Government focus on decreasing the vulnerability of segments in society from high-
risk behavior
D. The current socioeconomic and political situations brought about change.
2. CHNurse J was visited by Mother O whose 3-year-old daughter had measles. How would
Nurse J identify measles?
A. Fever, rashes and symptoms URTI
B. Sudden onset of skin eruptions, slight fever and mild constitutional
C. Low grade fever until rashes appear
3. CHNurse J explains to Mother O that in measles the skin eruption is preceded by:
A. Severe dehydration through vomiting
B. Headache and loss of appetite
C. Productive cough and dyspnea
D. Coryza and koplik spots
4. As information dissemination was being given to Mother O, how would the period of
communicability in measles be identified?
A. Ten days from exposure to appearance of fever
B. During the appearance of skin eruptions
C. Recovery stage when skin rashes turn dry
D. During the period of catarrhal symptoms
5. How would Nurse J emphasize to Mother O the avoidance of complication of pneumonia
in measles?
A. Check on proper food intake and treatment
B. Regular sponge bath during the febrile stage
C. Provide an adequately ventilated room free from drafts and chilling
D. Protect eyes from glaring strong light
6. In Dengue, CHN D identifies the febrile or invasive stage of the disease through the
manifestations of:
A. Unstable BP, melena, vomiting
B. High fever, abdominal pain, headache, epistaxis, positive tourniquet test
C. Hematemesis, melena, fever, vomiting
D. Abdominal pain, vomiting, GI bleeding
7. In your knowledge regarding the incidence of Dengue fever, how would you assess the
sudden rise in 1993, 1998 and 2001?
A. The faulty practices of the whole community
B. Unawareness and need for education of the community residents
C. Due to the clinical manifestations of the disease
D. due to the cyclical nature of the disease

8. Nurse E understands that in the application of the tourniquet test in the test for Dengue,
a positive result means:
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 A. petechiae count reaches to 20 or more
B. petechiae count reaches to 5 or more
C. reddish discoloration of the skin one day after onset of fever
D. reddish discoloration of the skin with continued fever
9. You are a CHNurse giving precautionary measures to a patient with Dengue fever. Your
health education will include:
A. Destruction of breeding places of mosquitoes
B. Avoid giving aspirin
C. Take oresol to replace body fluids
D. Avoid hanging too many clothes at home
E. A and C only
F. All of the above
10. With the sudden onset of clinical manifestations in Dengue Fever, the CHNurse
identifies high fever, abdominal pain and headache, late vomiting, conjunctival infection
and epistaxis as:
A. Primary stage
B. Febrile or Invasive stage
C. Hemorrhagic stage
D. Convalescent stage
11. Nursing measures in Dengue fever are directed towards symptoms presented. How would
the CHNurse manage if patient manifests nosebleeding?
A. Dorsal recumbent position and CBR
B. Cold compress application on the forehead
C. Elevate or upright position of the trunk
D. Press cheek bones and tilt the head
12. How can Maris, the CHN recognize the skin eruption of varicella?
A. The skin eruption starts from epidermis
B. Vesicular lesions erupt on the first day, macula-papular on the 3 rd day
C. Morbilliform rashes after 3 days followed by papules
D. Macula-papular rashes for the first few hours, vesicular for the 3-4 days
13. One of the nursing responsibilities with regards to mumps is the prevention of
complications. How would the CHNurse prevent Orchitis ?
A. Reduction of Fever
B. Complete bed rest to avoid gravity from the scrotum
C. Wear fitted suspensory, pillow or sling between the thighs to support scrotum
D. Sedatives to relieve pain
14. Mother G sought the CHNurse for treatment of her child with Hepatitis A. How would the
nurse identify the distinctive sign in the patient?
A. Presence of fever, nausea, vomiting and diarrhea
B. Appearance of jaundice and bilirubinemia with clay-colored stools
C. Itchiness, urticaria and blood-stinged stools
D. GI disorders with malnutrition
15. As nurses in the community, we must be aware of the characteristics of Gonorrhea which
are:
A. Contaminated fingers can pass the organism from infected mucous membranes to
the eyes
B. Females have no symptoms for cervical infection E. B and C only
C. The causative organism is a gram negative diplococcic F. All of the abov

16. Syphilis is known as Sy. How can the CHNurse confirm the presence of Syphilis in a patient
during the primary stage?
A. Genitals are infected

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 B. Painless chancre at the portal site of organ
C. Painful upper and lower extremities
D. Disoriented and difficulty in understanding instruction

17. The mode of transmission in Hepatitis B is important for the CHNurse to know because
awareness of the disease process can be used in educating the public especially
through transmission which is:
A. Person to person contact
B. Parenteral transmission
C. Perinatal transmission
D. A and B only
E. All of the above

18. CHNurses’ awareness regarding management and treatment in Hepa B is that;

A. There is no specific treatment
B. No specific treatment during the primary stage
C. Instruments used can be sterilized
D. Provision of fiber-rich diet with antioxidants

19. In 2011, COPD, TB, and Heart Disease rank top three diseases in the community while in
2012, Heart Disease, COPD and Asthma rank top three in the diseases respectively.
Based on the uses of epidemiology, this is categorized under:
A. Study the history of the health population and the rise and fall of the disease
B. Diagnose the health of the community and the condition of the people
C. Estimate the risk of disease, accident, defects and chances of avoiding them.
D. Identify syndromes by describing the distribution and association of clinical
phenomena in the population.

20. CHNurses are expected to understand regarding the Epidemiologic Triad:

A. The condition and influences affecting the organism causing the disease
B. The period given to identify the results of the interaction between host and causative
agent
C. The form of disease causation
D. The intrinsic factor affecting the environment producing the disease

21. Bernard, a new CHN acted as an advocate in the implementation of prevention and control
of communicable diseases like Hepa B. How can he seek immediate protection in his
place of work?
A. Thorough washing of hands
B. Wearing of protective clothing
C. Avoiding injury in the workplace
D. Immunization

22. Diagnosing HIV/AIDS partly depends on its presenting signs and symptoms. How would
the CHNurse identify the disease?
A. Maculo-papular rashes, unknown fever, Kaposi’s sarcoma, gaunt-looking
B. Esophageal candidiasis, jaundice, kaposi’s sarcoma
C. Dark-colored urine, diarrhea, pneumonia
D. Abdominal pain, fever, popular rashes, tea-colored urine

23. In addition to the confirmation of the diagnosis of HIV/AIDS, it is through its diagnostic
test:
A. Dark field illumination test
B. Widal’s test

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 C. Kalm test
D. Western Blot Confirmatory test
24. It is the CHNs one of the nursing responsibilities to teach precautionary measures to health
workers dealing with AIDS especially regarding needles:
A. Insert needles into their original sheath after use
B. Bend needles after using and place in a separate sealed container.
C. Needles should not be bent after use but placed in puncture-resistant container
D. Dispose needles immediately after using
25. CHNurses understand that SARS patients are isolated because they are most communicable
during:
A. Prodromal phase
B. Catarrhal phase
C. Respiratory phase
D. Immunologic phase
26. It is of vital importance for the CHN to check on the breathing sound of a patient with
SARS. How would the CHN identify the breathing sound for this disease?
A. Broncho-vesicular sound
B. Presence of stridor
C. Wheezing sound
D. Hypoxia and crackles or rales
27. Patient M came to you manifesting high grade fever, hemorrhagic rash, purppura,
ecchymoses, headache, stiff neck, convulsion and sensorial changes. What particular
disease is this related to?
A. “Birdflu”
B. Meningococcemia
C. HIV/AIDS
D. SARS
28.The priority health programs of sentrong sigla are the ff except:
A. Use of herbal medicines
B. Voluntary blood program
C. Health emergency preparedness and response program
D. Health care referral system
29. The scope of the SS quality standards is focused on the major functions of:
A. RHU that must perform
B. Hospitals performance
C. Performance of health care facilities
D. Private and public health facilities performance

30. Communicable Diseases affect the most vulnerable, the young and the elderly. How would
the CHN address the emergence and re-emergence of these diseases?
A. Identification of these disease
B. Improvement of the environment
C. The need for information about the diseases
D. Case-finding

31. Globalization and social change has influenced the spread of non-communicable diseases.
How did this happen?
A. The elderly brings bundle of health problems
B. There is increased exposure to risk factors
C. High technology is readily available
D. The young generation lack environmental awareness

32. In the practice of prevention and care, these activities such as rehabilitative services for
stroke and CHD patients, foot care for diabetics, pain relief for cancer patients are
directed towards:
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention

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 D. Community approach

33. It is imperative for the CHN to know that because hypertension carries risk factors leading
to heart disease, the following key areas for prevention are identified, except:
A. Encourage proper nutrition
B. Good environmental sanitation
C. Weight reduction
D. Encourage regular check-up

34. You are the CHN preparing for a health education in your barangay. How would you explain
between HDL and LDL. Since LDL can be increased by:
A. High saturated fat intake
B. Sedentary lifestyle
C. Regular exercise
D. Moderate alcohol consumption
E. A and B only
F. All of the above

Problem Solving: As a CHNurse in barangay Kaybagal, it is your duty and responsibility to submit
reports for the year 2011.
Age group Male Female
Below 1 year old 330 360
1-5 210 230
6-20 200 225
21-40 340 320
41-50 180 200
51 – and above 175 190

Registered Livebirths 2800

Neonatal Death 0-7 days 10
Neonatal Death 0-28 days 20
IUFD/ Stillbirth 8
Death below 1 year old 12
Death due to TB 25
Death due to Leptospirosis 5
Death due to Placenta previa 15
People exposed to TB 40
People sick with TB 35
Death aged ≥ 50 years old 55
Total no. of deaths in all cases 150

35. What is the total population in Barangay Kaybagal?

A. 2900
B. 2000
C. 2960
D. 2690

36. What is the Crude Birth Rate of Barangay Kaybagal?

A. 945.94
B. 940.90
C. 490.50
D. 495.90

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37. Compute for specific Death Rate from Leptospirosis:
A. 1.68
B. 1.00
C. 2.00
D. 2.68

38. What is the Maternal Mortality rate?

A. 5.00
B. 6.00
C. 5.35
D. 6.55
39. What is the Neonatal Mortality rate?
A. 6.14
B. 7.0
C. 7.14
D. 8.0

40. Compute for the Infant Mortality Rate?

A. 3.28
B. 3.88
C. 4.28
D. 5.28

41. What is Swaroop’s Index in Barangay Kaybagal?

A. 35.6
B. 36.66
C. 34.5
D. 33.5
42. Akapulco herbal medicine is best used for:
A. Ringworm C. Diarrhea
B. Antihelmenthics D. Lowers uric acid

43. These branches in epidemiology cover the effectiveness of new methods of prevention and
treatment and measuring the effectiveness of the treatment. These are referred to as:
A. Descriptive and Analytical
B. Interventional and Evaluative
C. Analytical and Interventional
D. Descriptive and Evaluative

44. As epidemiology is the backbone in the prevention of diseases, how can CHNs take
advantage of the interventional and evaluative epidemiology?
A. It is the best approach in evaluation for nursing actions
B. Best data for community diagnosis
C. Reliable for epidemiological assessment
D. They can be used for investigation

45. Nurse Caeralyn recalled that the components of the FHSIS include:
1-family treatment record 5-tally form
2-family consutlation record 6-summary forms
3-target client list 7-output reports
4-catchment client list 8-outcome reports
A. 1,3,5,7 B. 2,4,6,8 C. 1 to 4 only D. all of above

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46. This constitutes the mechanism of transmitting data from one facility to another:
A. Family treatment record
B. Target client list
C. Tally form
D. Output report
47. The second building block of FHSIS
A. Family treatment record
B. Target client list
C. Tally form
D. Output report
48. The fundamental foundation of FHSIS
A. Family treatment record
B. Target client list
C. Tally form
D. Output report
49. This is where the presenting signs and symptoms or chief complaint of the patient on
consultation, the diagnosis, treatment and treatment date is recorded:
A. Family treatment record
B. Target client list
C. Tally form
D. Output report

50. CHN M needed to get information about her barangay. How can he secure a first hand
information?
A. Census
B. Survey
C. Records and reports
D. Registry of events
E. A and B
F. C and D
51. You are the CHN in Barangay Luyahan. Heavy rains flooded the barangay for three days.
How would you function as a CHNurse?
A. Implement public health surveillance
B. Monitor local health personnel conducting disease surveillance
C. Assist in the conduct of rapid surveillance during disaster
D. Assist in surveys and program evaluations
52. The DOH through the Environmental and Occupational Health Office has the authority
Through PD 856 to:
A. Resolve the health problems of the country
B. Act on all issues and concerns in the environment and health and sanitation law.
C. Assess all health problems including NCD and CD.
D. Provide knowledge and training to health workers regarding health problems.
53. Family D has a newly constructed house. Along with it came their newly constructed water
supply facility. How can the CHN contribute in relation to their safe water supply?
A. Deep well for continuous water supply
B. New pipe connection from the main water connection
C. Monitoring surveillance
D. Disinfection of water supply is required

54. Mother A asked you, the CHN in Barangay W, regarding the safety and potability of their
drinking water. You will advise Mother A that:
A. She needs to secure quality water in the neighborhood
B. Her drinking water must be examined by a duly accredited government lab
C. Submit written request for operational plan
D. Do the water monitoring surveillance

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55. Mother S will be visiting a place known to have malaria, what is the priority management o
of the CHN?
A. Take prophylaxis for malaria
B. Bring supply of bottled water
C. Insect repellant
D. Clothing protection

56. How can the CHN function as Community organizer?

A. Raising the level of awareness and reduce risk factors
B. Provide technical assistance
C. Help towards a degree of independence
D. Motivate the community

57. The CHN dealt with health promotion and disease prevention. Her role on this prevention
and control was:
A. Health Advocate
B. Health Educator
C. Health Care Provider
D. Health Trainer

58. The DOH has been working closely with the PNRC and the Philippine Blood Coordinating
Council in their effort for a Comprehensive Blood Donation Program. The Community
Health Nurse knows that the following are eligible blood donors:
A. People of any age with clean bill of health
B. Those weighing 30 kilograma and above
C. Patients with controlled hypertension
D. A hemoglobin of at least 125g/l

59. The following conditions below PREVENTS any member of the community from donating
blood:

1 .Diabetes and Cancer A. All except 1

2. Hyperthyroidism and Malaria B. All except 4
3. Use of prohibited drugs C. All except 3
4. Patients with severe psychiatric disorder D. ALL

60. During case finding of PTB infected person, which of the procedure is immediately done by
the PHN?

A. Collection of the sputum

B. X-ray mobile unit
C. Distribution of Isoniazid
D. Submit for treatment regimen

61. When an older person is afflicted with PTB, which of the following measures will you advise
to effectively prevent the spread of the disease to other members of the family or
household?

A. Cover the mouth and nose when coughing or sneezing

B. Isolate the person
C. X-ray members of the family
D. Continue taking the medications

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62. In the implementation of the NTP, which of the following is a priority objective in PTB
control?

A. Sputum treatment
B. BCG immunization
C. Reduction of risk
D. Identification of positive cases
63. Ethambutol is an anti-TB drug used in combination with Rifampicin, isoniazid, and
Pyrazinamide as Fixed-Drugs combination (FDC). The side effect of ethambutol is:

A. Peripheral neuritis
B. Ototoxicity
C. Orange-Colored urine
D. Optic neuritis

SITUATION : Community organizing is a process by which people, health services and

agencies of the community are brought together to act and solve their own problems.

64. Mang Gregorio approaches you for counseling. You are an effective counselor if you
A. Give good advice to Mang Gregorio
B. Identify Mang Gregorio’s problems
C. Convince Mang Gregorio to follow your advice
D. Help Mang Gregori identify his problems
65. As a newly appointed PHN instructed to organize Barangay Baritan, Which of the
following is your initial step in organizing the community for initial action?
A. Study the Barangay Health statistics and records
B. Make a courtesy call to the Barangay Captain
C. Meet with the Barangay Captain to make plans
D. Make a courtesy call to the Municipal Mayor
66. Preparatory phase is the first phase in organizing the community. Which of the following
is the initial step in the preparatory phase?
A. Area selection C. Entry in the community
B. Community profiling D. Integration with the people
67. The most important factor in determining the proper area for community organizing is
that this area should

A. Be already adopted by another organization

B. Be able to finance the projects
C. Have problems and needs assistance
D. Have people with expertise to be developed as leaders

68. Which of the following dwelling place should the Nurse choose when integrating with the
people?
A. A simple house in the border of Barangay Baritan and San Pablo
B. A simple house with fencing and gate located in the center of Barangay Baritan
C. A modest dwelling place where people will not hesitate to enter
D. A modest dwelling place where people will not hesitate to enter located in the

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 center of the community

69. In choosing a leader in the community during the Organizational phase, Which among
these people will you choose?
A. Miguel Zobel, 50 years old, Rich and Famous
B. Gregorio, 27 years old, Actor
C. Mang Ambo, 70, Willing to work for the desired change
D. Ricky, 30 years old, Influential and Willing to work for the desired change

70. Epidemiological research is designed to:

A. Identify which parts of the population have poor hygiene

B. Study how illness or other health events are distributed throughout a population
C. Target minority ethnic group
D. Findout which community use their health care peso wisely

71. Epidemiological Investigation is best done through:

1. Active case finding A. 1,2,3,4

2. Carrier and contact identification control B. 1,2,3
3. Surveillance C. 1,2
4. Isolation D. 1

72. In Demography, crude birth rate minus crude death rate is the formula used to compute:

A. rate of natural increase

B. absolute increase per year
C. depency ratio
D. population distribution

73. The “Magna Carta of Public Health Worker” is supported by Repoublic Act :
A. RA 7305
B. RA 7805
C. RA 7890
D. RA 6785

74. Your household water supply is provided by the Zanboanga city Water District. This belongs
to which level of acceptable water supply?

A. 1 C. 111
B. 11 D. IV

75. Setting up Committee on Education and Training is in what phase of COPAR?

A. Preparatory
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out

76. The phase of COPAR signals the start of community self management of any development
program-

A. consolidation and expansion

B. core group formation
C. entry phase

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 D. organization-building phase

77. Community diagnosis is done to come up with a profile of local health situation that will
serve as basis of health programs and services. This is done in what phase of COPAR?
A. Preparatory
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out

78. The people named the community health workers based on the collective decision in
accordance with the set criteria. Before they can be trained by the Nurse, The Nurse must
first
A. Make a lesson plan
B. Set learning goals and objective
C. Assess their learning needs
D. Review materials needed for training

79. Nurse Janet wrote a letter to Balay Buligan, a Non Government Organization (NGO) asking them for
assistance in their medical-dental programs for the community’s outreach projects. Balay
Buligan then approved the request and gave Janet 50,000 Pesos and a truckload toothbrushes
and toothpastes. Which phase of COPAR did Julius utilized?
A. Preparatory
B. Organizational
C. Education and Training
D. Intersectoral Collaboration
E. Phase out

80. Ideally, How many years should the Nurse stay in the community before he can phase
out and be assured of a Self Reliant community?
A. 5 years B. 10 years C. 1 year D. 6 months
81. Major discussion in community organization are made by
A. The nurse
B. The leaders of each committee
C. The entire group
D. Collaborating Agencies
82. The nurse should know that Organizational plan best succeeds when
1. People sees its values
2. People think its antagonistic professionally
3. It is incompatible with their personal beliefs
4. It is compatible with their personal beliefs
A. 1 and 3 B. 2 and 4 C. 1 and 2 D. 1 and 4

83. TB drug is NOT given to children under age 6 who are too young to report visual
disturbance:

A. INH C. Ethambutol
B. Rifampicin D. PZA

84. A form of cancer therapy which is a beam of high- energy electro-magnetic destroys the
cancer cells:

A. Surgery C. Chemotherapy
B. Radiation D. Palliative Treatment

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85. A nurse taking care of a Leprosy patient is performing a physical assessment and noted late
signs and symptoms of Leprosy as Madrosi which is evident by :

A. Absence of sweating C. Loss/falling of the eyebrow

B. inability to close the eyelids D. sinking of nose bridge

86. The only bacteria that can cross the placenta and it is the causative agent of syphilis:

A. Clostridium tetany C. human papilla

B. oncomelania quadrasi D. Treponema pallidum

87. Effort to raise quality Health Services that is intensified, leading to Expansion of the
concern for Quality level of Health care, services, and facilities, this entitle a center to
receive a certificate of:

A.SSM (Sentrong Sigla Movement)

B.DOH
C.Lying-in center
D.PhilHealth accredited center
88. The end goal of Botika ng Barangay id to:
A.to promote equity in health by ensuring availability and accessibility of affordable
safe and effective quality essential drugs to all.
B. rationalize the distribution of common drugs and medicines
C. serve as mechanism for DOH to establish partnership with LGU’s
D. optimize involvement of Barangay health workers
89. Annabelle a PHN is conducting a Mothers class regarding food safety. She explained the
4 Rights to Food Safety, these are the following:

1.right cooking A. 1 and 2

2.right source B. 1,2,3
3.right storage C. 1,2,3,
4.right preparation D. 1,3,4

90. POPs (Persistent Organic Pollutants) these are called “DIRTY DOZEN” of pesticides,
industrial chemicals and unintentional by-products of burning. Which of the following is
caused by burning plastics?

A. Dioxins and Durans

B. Pesticides
C. Hexachlorobenzene
D. Endrin
91.To determine what category of initial treatment should the newly diagnosed PTB client
should follow, the nurse must :

A. weigh the client first

B. take the BP of the client
C. give the medication immediately in the center
D. monitor the heart rate of the client

92. Soilborne parasitic diseases are primarily transmitted by:

A. vectors
B. Fecal-oral route
C. Biological transmission
D. Vertenrate animals to human
93. Factors that contribute to foodborne illness include:
A. Inadequate cooking

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 B. Contaminated equipment
C. Improper holding temperatures for food
D. All of the above
94. The most common helmenthic (worm) infection in the Philippines is :
A. Pibnworm
B. Hookworm
C. Roundworm
D. Scabies

95. In the Man-Disease Agent –Environment, the community health nurse can do preventive
strategies such as changing the people behavior by:
A. Educating them on the use of safety food and water practices
B. Encouraging children to be immunized under EPI
C. Preventing the production of disease
D. Only A and B

96. The “ Clean air Act of 1999” provides a comprehensive air pollution management and
control program to achieve and maintain healthy air. This is being mandated in :
A. RA 6969
B. RA 8749
C. RA 9003
D. PD 856
97. The epidemiological triangle refers to:
A. Interactions between the host-agent-environment variables.
B. The levels of prevention: primary, secondary and tertiary
C. The periods of prepathogenesis, pathogenesis and postpathogenesis
D. The agent, the reservoir, and thge habitat factors

98 . Which of the following is NOT an epidemiological activity carried out by the community
health nurse?
A. Case finding
B. Treatment of accident-related injuries
C. Health teachings
D. Follow-up-of communicable disease

99. Since l963, smoking has been definitely linked to cancer of the lung. In this context, smoke
is defined as, which element of the natural life history of the disease?
A. Host
B. Agent
C. Environment
D. Predisposing element

100. Fifty cases of measles occurred in Curuan from January 1, 2006 to June 30, 2006. You
could conclude that during this period this occurrence of new cases of disease was:
A. Endemic C. Pandemic
B. Epidemic D. None of the above
“ GOD BLESS YOU”

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r

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