Public Health: Past Paper Questions Flashcards

1
Q

Mr Ndlovu is a 50-year-old man who had a left (CVA) 12 months ago as a result of hypertension. He is now at home in Diepsloot living with his 45-year-old wife and he smokes cigarettes 4 packs/day. His highest functional level is sitting on a chair unsupported. His wife works as a cashier at a local supermarket and his neighbour takes care of Mr Ndlovu during the day.
Justify five benefits of home-based rehabilitation for Mr Ndlovu. (5)

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2
Q

Mr Ndlovu is a 50-year-old man who had a left (CVA) 12 months ago as a result of hypertension. He is now at home in Diepsloot living with his 45-year-old wife and he smokes cigarettes 4 packs/day. His highest functional level is sitting on a chair unsupported. His wife works as a cashier at a local supermarket and his neighbour takes care of Mr Ndlovu during the day.
State an outcome measure you can use at each level of the International Classification of Functioning, Disability and Health (ICF) when assessing Mr Ndlovu
and justify your choice. (10)

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3
Q

Mr Ndlovu is a 50-year-old man who had a left (CVA) 12 months ago as a result of hypertension. He is now at home in Diepsloot living with his 45-year-old wife and he smokes cigarettes 4 packs/day. His highest functional level is sitting on a chair unsupported. His wife works as a cashier at a local supermarket and his neighbour takes care of Mr Ndlovu during the day.
Use a teaching and lesson plan to educate the community physiotherapists on the
importance of using outcome measures. (10)

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4
Q

Mr Ndlovu is a 50-year-old man who had a left (CVA) 12 months ago as a result of hypertension. He is now at home in Diepsloot living with his 45-year-old wife and he smokes cigarettes 4 packs/day. His highest functional level is sitting on a chair unsupported. His wife works as a cashier at a local supermarket and his neighbour takes care of Mr Ndlovu during the day.
Explain the stages of change that Mr Ndlovu will need to go through to stop
smoking. (10)

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5
Q

Mr Ndlovu is a 50-year-old man who had a left (CVA) 12 months ago as a result of hypertension. He is now at home in Diepsloot living with his 45-year-old wife and he smokes cigarettes 4 packs/day. His highest functional level is sitting on a chair unsupported. His wife works as a cashier at a local supermarket and his neighbour takes care of Mr Ndlovu during the day.
Describe the social grant that Mr Ndlovu is eligible for. (5)

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6
Q

The new community based rehabilitation (CBR) matrix lists five components of CBR that should be considered in any holistic programme.
Outline the five components of CBR. (5)

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7
Q

Explain why these components are necessary to make a CBR programme
comprehensive. (3)

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8
Q

Define community participation. (2)

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9
Q

Outline how community participation is measured. (6)

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10
Q

Mr Solomon, a 40 year old, was diagnosed with HIV a month ago. He is experiencing
generalised weakness and is unable to walk. He lives in Soweto with his wife and his son. You are seeing him at his home for the first time today.
LIst five questions you would ask Mr Solomon during your subjective assessment. (5)

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11
Q

Distinguish between home-based care and home based rehabilitation. (3)

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12
Q

Explain three action areas for health promotion, that are relevant in Mr Solomon’s case (6)

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13
Q

Explain the levels of HIV/AIDS prevention using a teaching and learning plan. (10)

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14
Q

Using a teaching and learning pian outline what community participation is. (15)

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15
Q

Explain why community participation is important? (5)

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16
Q

Mr Joe is a 37 year old clerk. He is 1,6m tall and weighs 130kg. He sits for most of
the day. He buys a loaf of white bread and 500ml of Coca-Cola on his way to work
every day.
Develop a health promotion and prevention programme for Mr Joe. (10)

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17
Q

Two ways of delivering rehabilitation services are through institution based services
and community based services.
Give four contrasting features of the two modes of service delivery. (10)

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18
Q

Using a teaching and learning plan briefly outline: What is health promotion? (5)

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19
Q

Using a teaching and learning plan briefly outline: Why is health promotion important? (9)

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20
Q

Using a teaching and learning plan briefly outline: How health promotion can assist in addressing diabetes? (6)

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21
Q

Explain the role of physiotherapy in this primary healthcare setting. (10)

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22
Q

There have been complaints by the patients with disabilities that accessibility at
this clinic is problematic.
Explain accessibility in relation to people with disability. (10)

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23
Q

Mr. Martin is obese and wants to lose weight. Using the stages of change, explain the process he may follow to change his behaviour. (5)

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24
Q

Outline the levels of prevention of disease. (3)

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25
Q

Mr. Martin is obese and wants to lose weight.
Justify which level of prevention Mr. Martin will need. (3)

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26
Q

Mr. Martin is obese and wants to lose weight.
Explain two key tools for health promotion that can be used to assist Mr
Martin. (4)

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27
Q

Choose an outcome measure which can be used to determine the patients’
outcomes for the different domains of the International Classification of
Functioning, Disability and Health and justify your choice. (8)

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28
Q

Explain the importance of administering the Caregiver Strain Index outcome
measure. (2)

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29
Q

Compare community based rehabilitation (CBR) and community development. (8)

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30
Q

Explain the three levels of community participation. (3)

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31
Q

Why is participation important in CBR? (4)

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32
Q

Daniel is a 30 year old male who had a stroke three years ago. He is able to walk with a
walker for short distances. He lives in Soweto with his mother.
What are the benefits of home-based physiotherapy management for Daniel? (3)

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33
Q

Daniel is a 30 year old male who had a stroke three years ago. He is able to walk with a
walker for short distances. He lives in Soweto with his mother.
Outline a health promotion programme for Daniel and his mother. (10)

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34
Q

Daniel is a 30 year old male who had a stroke three years ago. He is able to walk with a
walker for short distances. He lives in Soweto with his mother.
Explain the generat levels of disease prevention. (4)

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35
Q

You have been working for two years in a primary health care facility in Diepsioot. You
have noticed that there is a high prevalence of obesity amongst children in the
community.
Using two key tools for health promotion, explain how you can address obesity in this community. (6)

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36
Q

Outline the Community Based Rehabilitation (CBR) matrix. (5)

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37
Q

Explain why the CBR matrix does not apply in the same way for all CBR
programmes. (5)

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38
Q

Explain three roles of physiotherapy in CBR implementation. (6)

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39
Q

Motivate for home-based rehabilitation to be an integral part of a primary health care
approach. (6)

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40
Q

Using a teaching and learning plan explain five benefits of using outcome measures
when assessing a client at home. (12)

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41
Q

Mr. Gumbi is 40 years old and recently had a stroke resulting in left hemiplegia. He lives in a small shack with his wife in Chaiwelo, who is a primary school teacher. During the day when his wife is at work, he is alone. Requires maximal assistance with transfer from bed to wheelchair. Mr. Gumbi used to be a captain of a local soccer team and is no longer part of it.
Explain your promotive role for Mr Gumbi. (6)

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42
Q

Mr. Gumbi is 40 years old and recently had a stroke resulting in left hemiplegia. He lives in a small shack with his wife in Chaiwelo, who is a primary school teacher. During the day when his wife is at work, he is alone. Requires maximal assistance with transfer from bed to wheelchair. Mr. Gumbi used to be a captain of a local soccer team and is no longer part of it.
Explain what information regarding Mr Gumbi’s home environment you would like to assess. (4)

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43
Q

Mr. Gumbi is 40 years old and recently had a stroke resulting in left hemiplegia. He lives in a small shack with his wife in Chaiwelo, who is a primary school teacher. During the day when his wife is at work, he is alone. Requires maximal assistance with transfer from bed to wheelchair. Mr. Gumbi used to be a captain of a local soccer team and is no longer part of it.
Use a teaching and lesson plan to educate Mr Gumbi on the benefits of home-based
rehabilitation. (10)

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44
Q

Mr. Gumbi is 40 years old and recently had a stroke resulting in left hemiplegia. He lives in a small shack with his wife in Chaiwelo, who is a primary school teacher. During the day when his wife is at work, he is alone. Requires maximal assistance with transfer from bed to wheelchair. Mr. Gumbi used to be a captain of a local soccer team and is no longer part of it.
Explain the first five Steps you would take in Starting a community based rehabilitation
programme in Mr Gumbi’s area. (10)

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45
Q

Mr. Gumbi is 40 years old and recently had a stroke resulting in left hemiplegia. He lives in a small shack with his wife in Chaiwelo, who is a primary school teacher. During the day when his wife is at work, he is alone. Requires maximal assistance with transfer from bed to wheelchair. Mr. Gumbi used to be a captain of a local soccer team and is no longer part of it.
Explain the principle of accessibility in primary health care for Mr Gumbi. (10)

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46
Q

Mr Khumalo is a 35-year-old man who was diagnosed with a left cerebral hemisphere stroke about three weeks ago as a result of hypertension. His highest functional level is sitting unsupported. He stays in Soweto with his 30-year-old wife who is a primary
school teacher. Mr Khumalo and his wife live in a double-storey house and their
bedroom is upstairs. He gets his medication from the local community health centre.
Describe the type of social grant Mr Khumalo can apply for. (5)

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47
Q

Mr Khumalo is a 35-year-old man who was diagnosed with a left cerebral hemisphere stroke about three weeks ago as a result of hypertension. His highest functional level is sitting unsupported. He stays in Soweto with his 30-year-old wife who is a primary
school teacher. Mr Khumalo and his wife live in a double-storey house and their
bedroom is upstairs. He gets his medication from the local community health centre.
Use the multi-level framework to outline determinants of Mr Khumalo’s health at
each level. (5)

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48
Q

Mr Khumalo is a 35-year-old man who was diagnosed with a left cerebral hemisphere stroke about three weeks ago as a result of hypertension. His highest functional level is sitting unsupported. He stays in Soweto with his 30-year-old wife who is a primary
school teacher. Mr Khumalo and his wife live in a double-storey house and their
bedroom is upstairs. He gets his medication from the local community health centre.
Using the first three steps of the rehabilitation process outline the rehabilitation
programme for Mr Khumalo. (10)

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49
Q

Mr Khumalo is a 35-year-old man who was diagnosed with a left cerebral hemisphere stroke about three weeks ago as a result of hypertension. His highest functional level is sitting unsupported. He stays in Soweto with his 30-year-old wife who is a primary
school teacher. Mr Khumalo and his wife live in a double-storey house and their
bedroom is upstairs. He gets his medication from the local community health centre.
Outline the principles of primary health care that you would apply at the
community health centre. (10)

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50
Q

Mr Khumalo is a 35-year-old man who was diagnosed with a left cerebral hemisphere stroke about three weeks ago as a result of hypertension. His highest functional level is sitting unsupported. He stays in Soweto with his 30-year-old wife who is a primary
school teacher. Mr Khumalo and his wife live in a double-storey house and their
bedroom is upstairs. He gets his medication from the local community health centre.
Explain four benefits of using outcome measures when treating Mr Khumalo. (4)

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51
Q

Mr Khumalo is a 35-year-old man who was diagnosed with a left cerebral hemisphere stroke about three weeks ago as a result of hypertension. His highest functional level is sitting unsupported. He stays in Soweto with his 30-year-old wife who is a primary
school teacher. Mr Khumalo and his wife live in a double-storey house and their
bedroom is upstairs. He gets his medication from the local community health centre.
Explain your preventative role in this family. (6)

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52
Q

As a physiotherapist, explain five benefits of home-based rehabilitation for children
living with disability. (5)

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53
Q

Differentiate between home-based rehabilitation and home-based care. (6)

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54
Q

Explain why community participation is essential to CBR. (4)

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55
Q

Explain two ways that community participation can be measured in a CBR
programme. (10)

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56
Q

Mr Sam is obese, explain the stages of change Mr Sam will go through to become
physically active. (10)

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57
Q

Explain your promotive role for Mr Sam. (5)

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