PMCH

Question 1

Concepts of Health and Its Determinants

Answer 1

-1974: federal minister of health, 4 factors that determines health; human biology, environment, lifestyle, and health care organizations.

Question 2

PPV

Answer 2

TP/(TP+FP)

Question 3

NPV

Answer 3

TN/(TN+FN)

Question 4

Breast Cancer

Answer 4

Mammography
age 40-49: routine screening not recommended
age 50-74: routine screening Q2-3yr
age 75+: screen if benefits outweigh harm

Question 5

Rabies

Answer 5

pre-exposure vaccination
-recommended for high risk persons; laboratory staff working with rabies, veterinarians, animal and wildlife control workers, long-term travellers to endemic area

post-exposure
depends on regional prevalence (contact public health)

Question 6

Rabies

-acute progressive encephalitis caused by RNA virus

Answer 6

pre-exposure vaccination
-recommended for high risk persons; laboratory staff working with rabies, veterinarians, animal and wildlife control workers, long-term travellers to endemic area

post-exposure
depends on regional prevalence (contact public health)

Question 7

Malaria

Answer 7

-incubation period; 7-30 days to Mo or yrs
-Txt: Artesunate (for severe dz) + malarone, doxycycline, or clindamycin
Quinine sulfate + doxycycline or clindamycin
chloroquine+primaquine

Question 8

Cystic Fibrosis

Answer 8

• nutritional counselling
• management of chest disease
• genetic counselling

Question 9

*Osteoporosis

Answer 9

-Calcium and Vit D daily requirements
Vit D; 800-1000 IU <50 yr
800-2000 IU >50 yr 
Ca; 1000mg 19-50 yr/pregnant/lactating woman
1200mg for >50

Question 10

Prostate Cancer

Answer 10

• DRE/PSA (initial screening)
• lymphatic spread; obturator > iliac > presacral/para-aortic
• 60-70% of nodule arise from peripheral zone