DEC 16 – INDUSTRIAL HYGIENE 1. “The highest degree of physical, mental and social wellbeing of workers in all occupations.” a) b) c) d) e) Occupational Safety Ergonomics Occupational Health None of the above Industrial Hygiene 2. An occupational health practitioner, as defined under Rule I, Section I of this IRR must have had at least _____ year experience in the field of or practice of occupational health and safety. a) b) c) d) 10 years 5 years 3 years 2 years 3. __ refer to the concentrations of a substance in which nearly all worker’s may be exposed day after day for a working lifetime without adverse effects. a) b) c) d) e) TLV TWA STEL REL PEL 4. Minimum intensity for emergency lighting as per Chapter 7 of PD 856 a) b) c) d) 10 lux 0.5 lux 5 foot-candles 5 lux 5. ___ is the average concentration for a normal 8-hour workday and 40-hour workweek, to which nearly all workers maybe repeatedly exposed day after day without adverse effect. a) b) c) d) e) TLV PEL STEL TWA REL 6. It is a noise characterized by a rapid rise to a peak sound pressure level followed by a small negative pressure wave or by decay to the background level. a) b) c) d) Type C Impulse Continuous noise Type A impulse Type B Impulse 7. It is the height of the peak or depth of the trough measured from the zero-pressure line. a) b) c) d) e) Sinusoidal Amplitude Wavelength Period Frequency 8. One revolution or cycle of sound per second is a) b) c) d) e) dbA meter per second bel cps Hertz 9. ___ confirms the occurrence of suspected hazardous agents, their characteristics and degree of exposure through qualitative and quantitative measurements and laboratory examinations/analysis. a) b) c) d) e) Administrative Control Evaluation PPE Recognition Control 10. The velocity of sound in air at 20℃ is taken as __. a) b) c) d) e) 170 m/s 746 m/s 2.04 m/s 340 m/s 42.4 m/s 11. The loudness of a noise is expressed by its ___ a) b) c) d) e) Frequency Sinusoidal Wavelength Period Amplitude 12. A young healthy ear can detect frequencies over a range of about ___ Hz a) b) c) d) e) 100 to 50,000 1,000 to 50,000 20 to 20,000 0.10 to 1,000 1 to 10,000 13. What is the permissible sound level in a 2-hour exposure as per OSHA? a) b) c) d) e) 100 dBA 110 dBA 105 dBA 97 dBA 95 dbA 14. Infrasonic sound has a frequency below __ Hz a) b) c) d) e) 1,000 0.10 20 100 20,000 15. __ is a sound that contains only one frequency a) b) c) d) e) audible sound Monotone sine wave Pure tone Sound level 16. ___ is used to determine various frequencies in a sound. a) b) c) d) e) f) Sound level meter None of the above Long-band analyzer sine wave analyzer Narrow-band analyzer Thermometer 17. ___ – hearing loss due to aging process. a) b) c) d) e) Bilharzia Presbyopia Presbycusis Masking Acoustic trauma 18. Referring to ear drum a) b) c) d) e) Tympanic membrane Anvil Cochlea Stirrup Hammer 19. ___ dBA is the threshold of hearing for a young person with very good hearing while ___ dBA is the threshold of pain. a) b) c) d) e) 10; 130 0; 90 0; 120 10; 120 20; 90 20. It is a dimensionless unit to express physical intensity or sound pressure levels. a) b) c) d) e) All of the above SPL Sinusoidal Decibel Watts 21. According to World Health Organization (WHO) a level of __ is considered a safe noise level in a city. a) b) c) d) e) 65 dB 45 dB 25 dB 90 dB 35 dB 22. What weighting scale is used to measure and compare the effect of airplane noise on the human ear? a) b) c) d) e) D scale C scale A scale E scale B scale 23. ___ is most commonly used in measurements regarding impact on humans and the sound levels a) b) c) d) e) D scale A scale B scale E scale C scale 24. What do you call the permanent hearing loss that results from very brief exposure to a very loud noise? a) b) c) d) e) Masking Presbycusis Speech interference Acoustic trauma Temporary Threshold shift 25. The standard reference level for sound pressure level is ___ while the threshold of human hearing for sound intensity is ___. a) b) c) d) e) 20 Pa; 10 raise to -12 W/m2 20 μPa; 10 raise to -6 W/m2 20 μPa; 10 W/m2 20 μPa; 10 raise to -12 W/m2 20 Pa; 0.0002 dynes 26. In amplitude of sound, which of the following is the correct equivalent? a) b) c) d) e) 1 sone = 40 phons 1 sone = 50 phons 2 sones = 60 phons 10 sones = 40 phons 1 sone = 20 phons 27. It is a measure of the perceived noise level (PNL), in decibel, in relation to the noisiness or acceptability of a sound level. a) b) c) d) e) Amplitude Sinusoidal Intensity Day-Night Sound level Noys 28. The __will measure the amount of potentially injurious noise to which an individual is exposed over a period of time. However, it does not identify noise sources. a) b) c) d) e) Octave band analyzer Sound level meter Sound analyzer noise dosemeter Cathode ray oscillograph 29. Is responsible for research on worker health and safety. It also recommends new standards to OSHA and supplies OSHA with scientific and technical expertise for the rule making process. a) b) c) d) e) PEL OSHA ANSI OSCHR NIOSh 30. Workstation design, repetitive motion, improper lifting/reaching, poor visual conditions are examples of a) b) c) d) e) Ergonomic hazards Chemical hazards None of the above Bullying Physical hazards 31. Long time period between exposure to an agent and the onset of symptoms a) b) c) d) e) Teratogen sub-acute Acute Infection Chronic 32. In toxicology, OPIM means a) b) c) d) e) Old and Present Industrial Medicine On Permissible Indicated Measurement Occurring and Potential Infective Mechanisms Oncogenic Particulates and Infectious Materials Other Potentially Infectious Materials 33. Speech interference a) b) c) d) e) Nausea Presbycusis Masking Threshold shift Acoustic trauma 34. Regarded as the “Father of Industrial Medicine” a) b) c) d) e) Aristotle Dr. Alice Hamilton Ulrich Ellenborg Bernardo Ramazzini Percival Pott 35. The following statements are true except a) b) c) d) e) f) The greater the protective mass between a radioactive source and the worker, the lower the radiation exposure. Radiation level from sources can be estimated by comparing the square root of the distances between the worker and the sources. In occupations where there is exposure to ionizing radiation, time, distance, and shielding are important tools in ensuring worker safety. An exposure to laser radiation that is faster than the blinking of an eye can be hazardous. Danger from radiation increases with the amount of time one is exposed to it. None of the above 36. Who is the first Industrial toxicologist in US pioneering in the field of Toxicology and Occupational Hygiene? a) b) c) d) e) Bernardo Ramazzini Ulrich Ellenborg Dr. Alice Hamilton Aristotle Percival Pott 37. Systematic and scientific evaluation of the potential for toxicity when humans or wildlife are or will be exposed to hazardous compounds or situations a) b) c) d) e) Hazard Risk Hazard identification Risk assessment Permissible exposure limit 38. Consider a situation in which two separate regions in which oil spills have been reported at different frequencies. Which of the following statement is not true? a) b) c) d) e) f) g) Both regions experienced different hazard. Both communities experienced same level of hazard and risk. Both communities are threatened by the same hazard. Risk is higher for the community that has reported more oil spills A and B C and D NONE of the above 39. The ratio of gamma or X-ray dose to the dose that is required to produce the same biological effect by the radiation in question. a) b) c) d) e) G-M counter rem mev rep RBE 40. ___ is the SI unit of absorbed dose. It is equivalent to the absorption of 1 J/kg and also equal to 100 rads. a) b) c) d) e) Gray Curie Roentgen REM Sievert 41. One __ equals the radiation dose having the same biological effect as a gray of gamma radiation. This is also equal to 100 rem. a) b) c) d) e) Sievert RBE Curie Radiation adsorbed dose Gray 42. The SI unit for of radioactivity is a) b) c) d) e) f) rem Becquerel positron Roentgen Curie Erg 43. It is the time in which a radioactive substance fixed in an animal body is reduced to half the original amount, resulting from the combined actions of natural radioactive decay and biological elimination. a) b) c) d) e) Biological half-life Effective half-life radioactivity constant Physical half-life Chemical half-life 44. The radioactive element most commonly detected in humans is: a) b) c) d) e) f) Plutonium Potassium Cobalt Selenium Calcium Iodine 45. These are solid particles capable of being blown about or suspended in the air by handling, crushing, cutting, drilling, grinding, rapid impact, spraying, detonators, or disintegration of inorganic or organic materials. a) b) c) d) e) Vapors Fumes Mists Aerosols Dusts 46. This kind of examination maybe required where there is under exposure to health hazards, such as lead, mercury, hydrogen sulfide, sulfur oxide, nitroglycol and other similar substance. a) b) c) d) e) All of the above Biochemical Examinations Special Examinations None of the above Diagnostic Examinations 47. A First-aider is a person that is capable to read and write and must have completed a course in first-aid conducted by what institution? a) b) c) d) e) DOH ACGIH None of the above OSHA PNRC 48. Which of the following is NOT referring to Anthrax? a) b) c) d) e) f) Malta fever None of the above Maladi Charbon Malignant Pustule Siberian Plague Ragpicker’s disease 49. Brucellosis or Bang’s Disease is named after __ who isolated the bacterium a) b) c) d) e) f) G. A. Bang Bruce Lee Bangs Garcia Anne Yah Bang David Bruce Anne Brucella 50. Two species of tiny coccobacilli in animal brucellosis are: ___ from cattle and ___ from pigs a) b) c) d) e) B. abortus; B. suis B. suis; B.burkholderia B. suis; B. abortus B. abortus; B.burkholderia B. pseudomallei; B.burkholderia 51. What is the minimum provision for yards, roadways and outside thoroughfares? a) b) c) d) e) 2 ft-candles 5 ft-candles 10 ft-candles 30 ft-candles None of the above 52. An employer need not put up an emergency hospital or dental clinic if there is a hospital or dental clinic which can be reached by motor vehicle within ____ minutes of travel and that the employer provides transportation facilities or which is not more than ____ kilometers away. a) b) c) d) 25, 10 25, 5 10, 25 5 , 25 53. A complete exhaust system shall include an air suction device, hoods, ducts, fans objectors, separators, and receptacles and all the other parts necessary for its proper installation, its inlet velocity shall be regulated at _____ meter/second for inlets between 3.66 to 4.88 meter above the floors. a) b) c) d) e) 2.54 meter /second 5.08 meter /second None of the above 0.61 meter /second 7.45 meter /second 54. Frequency of inspection for hazardous, small scale establishment with 1-50 employees a) b) c) d) e) Annually Once every 3 months Once every 2 months Once every month Semi annually 55. ________ is considered as Last resort” type of protection or control. a) b) c) d) e) Administrative PPE Sanitation Engineering Inspection 56. As per OSHS, every side of a platform more than __________ft. high shall be provided with guard rails and toe boards. a) b) c) d) e) 6.5 10.5 8.5 2.5 4.5 57. After erection or alteration, every hoist shall be tested and examined every __________ by a competent person and the result of such tests and examination shall be recorded in a logbook maintained for the purpose. a) b) c) d) e) 6 months 5 months 3 months Year 4 months 58. The following is not included in MSDS except a) b) c) d) e) f) Physical data Company information Hazardous ingredients/constituents None of the above All of the above Spill and leak procedures 59. As per Proclamation No. 115-A, November is a month observing safety on ___. a) b) c) d) e) f) School Industry & Commerce Farms Health & Sanitation Mines Air Transportation 60. ________ refers to the qualified first-aider, nurse, dentist, or physician, whose service/services have been engaged by the employer in order to provide occupational health services in establishment/undertakings. a) b) c) d) e) Occupational Health Director Occupational Health Personnel Occupational Health Practioner None of the above Option Occupational Physician 61. Dining facilities/mess halls shall be provided where there are ____ or more workers in an establishment. The recommended space requirement for four workers is ____ sq.meter. a) b) c) d) 15; 10.80 9; 15.12 12; 15.12 10; 10.80 62. The occupational health personnel and the first-aiders of every establishments shall undergo a minimum of ____ refresher training course in their respective fields at least once a year. a) b) c) d) e) f) 40 hours 12 hours 16 hours 10 hours 8 hours 24 hours 63. These are substances innate in any organism including humans. Their levels usually fall within a particular concentration so that metabolism will normally proceed. a) b) c) d) e) f) Refractory Toxicants None of the above Endogenous substances Xenobiotics POPs 64. As per Ch.7 of PD 856, the natural air supply in any workroom shall in no instance be less than __ cubic meter per second per person. a) b) c) d) e) 0.45 0.65 0.25 0.05 0.15 65. Body and leg protection for workers should be made of __ when working with or exposed with flame radiant heat. a) b) c) d) e) Fur Leather Rubber Wool Asbestos 66. As per Ch.7 of PD 856, the disposal of industrial wastes shall be in accordance with a) b) c) d) e) TLV of hazard from ACGIH IRR of RA 9003 In accordance with RA 6969 NIOSH IRR of RA 9275 67. Special examination abnormalities of the eyes a) b) c) d) e) done to determine the EEG Optometric exam Audiometric exam Osaka exam ECG 68. Charged particles emitted from the nuclei and having a mass and charge equal in magnitude to those of the electrons. a) b) c) d) e) Alpha particles Fission None of the above Gamma Beta particles 69. Ergonomic type concerned with optimizing the workplace, everything from teamwork to assessing teleworking and quality management. a) b) c) d) e) f) Organizational None of the above All of the above Physical Cognitive Environmental 70. Sorting: seiri ; ____ : shitsuke a) b) c) d) e) f) Sustaining Shining simplifying Standardizing Sistima Setting in order 71. 1 Gy is equivalent to a) b) c) d) e) 10 rad 100 rad 0.01 rad 0.10 rad 1000 rad 72. The origin of dust of Farmers’ lung disease is from _____. a) b) c) d) e) Mushroom compost Malt and barley Sugarcane stalks Mouldy hay Mouldy red pepper 73. ___ is the litmus test for 5S a) b) c) d) e) f) Constancy 3 minute rule Consistency Fivementimeter 30 second rule Electronic management 74. It is a unit of measuring gamma ray intensity in the air a) b) c) d) e) f) Rep Rad Sievert Roentgen Gray/hr MeV 75. __ is used to designate the thickness of a particular material that will reduce the intensity of radiation passing through the material by one-half. a) b) c) d) e) f) HVL Shielding Interventions Primary protective barrier MSDS ALARA 76. As per Philippine setting, Farmers and Fishermen is under Class/Group a) b) c) d) e) 6 4 8 5 7 77. Biological controls are frequently used to replace the persistent chemical pesticides. Which of the ff represents the greatest potential risk of using biological controls? a) b) c) d) Repeated applications or introductions are required to eliminate the pest population Biological controls prove to be more costly to use than chemical pesticides. The control agent attacks not only its intended target but also beneficial species. The control agent mutates and is no longer effective control agent 78. Which of the following is not a correct description of radiation unit? a) b) c) d) e) None of the above Rem – biological effect of absorbed nuclear radiation Bequerel – is the unit measurement of energy of ionizing radiation. Gray – quantity of ionizing radiation that results in absorption of 1 J or energy/kg of absorbing material Roentgen – exposure from gamma or X-ray radiation equal to a unit quantity of electrical charge produced in air. 79. CAS Registry or CAS number is a unique numerical identifier by the CAS to every chemical substance. CAS is a a) b) c) d) e) A registered or accredited office under American National Standard Institute A division of Agency for Toxic Substances and Disease Registry Regulated organization under IUPAC None of the above A division of the America Chemical Society 80. It describes the radiation which is emitted when electrons are decelerated or "braked" when they are fired at a metal target. a) b) c) d) e) f) Crashinotrope Half value layer Positron Bremsstrahlung Disintegration Radiation weighting factor 81. What is the correct hierarchy of control from best control to last resort of control? a) b) c) d) e) Elimination, Substitution, Quarantine, Engineering, Administrative and PPE None of the above PPE, Administrative, Engineering, Quarantine, Substitution, and Elimination Substitution, Elimination, Engineering, Administrative and PPE Elimination, Quarantine, Substitution, Engineering, Administrative and PPE 82. n-hexane, lead, arsenic, carbon disulphide will cause systemic poisoning in a) b) c) d) e) liver and hematopoietic system Circulatory system Peripheral nervous system All of the above kidney 83. It performs policy & program development, and advisory functions for the Department in the administration and enforcement of occupational safety and health. a) b) c) d) e) f) None of the above NIOSH OSHA DOLE BWC OSHC 84. Carcinogenic is to cancer while teratogenic is to a) b) c) d) e) Low secretion of testosterone Low secretion of progesterone Mutation of genes sterility Defect in natal (baby) formation 85. The distance contaminants, primarily particles are thrown by the initial emitting velocity before being slowed by air friction to the settling velocity. a) b) c) d) e) None of the above Blown distance Aerodynamic distance Throw distance Terminal distance DEC 16 – PUB HEALTH 1. Which of the following is not normal skin microbiota? a) b) c) d) e) Streptococcus Propionibacterium Staphylococcus Corynebacterium Micrococcus 2. All of the following diseases are caused by Staphylococcus except: a) b) c) d) e) boil scalded skin syndrome impetigo of the newborn toxic shock syndrome (TSS) acne 3. Which microorganism is responsible for otitis externa? a) b) c) d) e) Micrococcus spp. Propionibacterium spp. Pseudomonas aeruginosa Streptococcus pyogenes Staphylococcus aureus 4. Infection of the dermal layer of the skin with S. pyogenes causes: a) b) c) d) e) otitis externa. erysipelas. scalded skin syndrome. acne. necrotizing fasciitis 5. All of the following cause conjunctivitis except: a) b) c) d) e) Neisseria Pseudomonas Propionibacterium Haemophilus Chlamydia 6. Sporotrichosis is the most common type of: a) b) c) d) e) dermatomycoses. candidiasis subcutaneous mycoses. cutaneous mycoses. scabies. 7. Which of the following is not associated with Candida albicans? a) b) c) d) e) Susceptible to penicillin Susceptible to nystatin Whitish overgrowth of the oral cavity Bright red skin with lesions on the borders Immunosuppressed individuals 8. Ringworm is caused by a/an: a) b) c) d) e) fungus helminth arthropod nematode protozoan 9. Which microorganism does not commonly cause meningitis? a) b) c) d) e) Listeria monocytogenes Neisseria meningitidis Haemophilus influenzae Clostridium tetani Streptococcus pneumoniae 10. The diagnosis of bacterial meningitis requires a sample of: a) b) c) d) e) Sputum. Urine. Cerebrospinal fluid. Blood. Brain. 11. Reservoirs for rabies include the following, except a) b) c) d) e) Foxes. Raccoons. Bats. Mosquitoes. Skunks. 12. Which of the following vaccines has actually been implicated in causing the disease it is designed to prevent? a) b) c) d) e) Tetanus vaccine Pneumococcus vaccine Salk polio vaccine HiB vaccine Sabin oral polio vaccine 13. An unimmunized person is treated for tetanus with: a) b) c) d) e) Tetanus toxoid. Tetanus IgG antibody. DTaP vaccine. dT vaccine. Cephalosporins. 14. What is the best way to control West Nile encephalitis? a) b) c) d) e) Avoid endemic areas. Treatment of the patient. Elimination of the vector. Take antibiotics. Get vaccinated. 15. Which disease is not caused by an obligately intracellular bacterium? a) b) c) d) e) Endemic murine typhus Lyme disease Ehrlichiosis Rocky Mountain spotted fever Epidemic typhus 16. Puerperal sepsis is most frequently caused by: a) b) c) d) e) Escherichia coli. Clostridium perfringens. Streptococcus pyogenes. Brucella abortus. Staphylococcus aureus. 17. The majority of naturally-occurring anthrax infections are: a) b) c) d) e) gastrointestinal infections from eating undercooked food containing anthrax spores. cutaneous infections from endospore entry at a skin lesion. pneumonic anthrax contracted by contact with human carriers. sepsis due to transfusion with contaminated blood. pulmonary anthrax from inhalation of endospores. 18. A man found living in a rat-infested building develops a high fever and swollen lymph nodes in the armpit and groin, called buboes. A gram-negative bacillus is isolated from the patient, and the rats are found to be infested with Xenopyslla cheopis. What is the disease? a) b) c) d) e) Rat-scratch disease Cat-scratch disease Relapsing fever Lyme disease Bubonic plague 19. A patient has flu-like symptoms and a bull's eye rash on his leg. Investigation reveals that he had been hiking in Connecticut and had been bitten by two ticks. What is the diagnosis? a) b) c) d) e) Relapsing fever Bubonic plague Cat-scratch disease Deer-lick fever Lyme disease 20. All of the following are true for yellow fever except: a) b) c) d) e) Aedes aegypti is the vector. Burkitt's lymphoma may develop. liver damage may result from infection. fever, chills, and jaundice are frequent symptoms. control of mosquito populations can reduce the disease incidence. 21. One of the most serious infections of the upper respiratory system is: a) b) c) d) e) laryngitis. epiglottitis. pharyngitis. sinusitis. tonsillitis. 22. All of the following are true of streptococcal pharyngitis except: a) b) c) d) e) symptoms include local inflammation, swollen lymph nodes and fever. it is treated with penicillin or other antibiotics. infection may spread to the ear and cause otitis media. it is the most common cause of sore throat. diagnostic procedures involve bacterial culture or rapid antigen detection tests. 23. All of the following are true of diphtheria except: a) b) c) d) e) it is readily treated with antibiotics. it is caused by a gram positive, non-endosporeforming rod. complications may include damage to heart or kidneys. it is prevented by immunization with diphtheria toxoid. symptoms include the formation of a tough grayish membrane in the throat. 24. Haemophilis influenzae can cause all of the following respiratory infections except: a) b) c) d) e) Sinusitis. Epiglottis. Laryngitis. Otitis media. Influenza. 25. All of the following cause lower respiratory tract infections except: a) b) c) d) e) Blastomyces. Mycoplasma. Legionella. Chlamydia. Rhinovirus. 26. All of the following are true of tuberculosis except: a) b) c) d) e) It is transmitted by contact with infected humans. Infection has been greatly reduced due to mass immunization. Once phagocytized, the bacteria can survive inside the phagocytic cells. Extremely dangerous multiple drug-resistant strains have emerged. TB bacteria can survive for months on sputum contaminated materials. 27. If a patient has a positive tuberculin skin test, it means that: a) b) c) d) e) the patient was vaccinated with the BCG vaccine. the patient has a latent case of tuberculosis. the patient has an active case of tuberculosis. the patient has recovered from tuberculosis. All of the above are possible. 28. An outbreak of pneumonia occurs in a wing of a hospital housing kidney transplant patients. The source of infection is traced to the water supply of the air conditioner. This case describes transmission of which of the following? a) b) c) d) e) Streptococcus pneumoniae Haemophilus influenza Legionella pneumophila Histoplasma capsulatum Mycoplasma pneumoniae 29. Which of the following respiratory infections cannot be treated with antimicrobial drugs? a) b) c) d) e) Primary atypical pneumonia Otitis media Common cold Q fever Tuberculosis 30. You see flagellated cells in a microscopic examination of feces from a patient with diarrhea. You conclude the etiology is: a) b) c) d) e) Cyclospora. Giardia. Cryptosporidium. Taenia. Entamoeba. 31. All of the following pertain to Staphylococcus aureus which causes food poisoning except: a) b) c) d) e) it is resistant to high osmotic pressure. it is resistant to drying and radiation. it produces enterotoxins. it transmitted by contaminated drinking water. its growth can be prevented by refrigeration of foods. 32. Bacillary dysentery: a) b) c) d) e) does not respond to antibiotic therapy. causes "rice water" stools. is caused by members of the Shigella genus. is caused by bacteria that are part of the normal enteric microbiota. occurs after ingestion of bacterial toxins present in contaminated foods. 33. Which of the following can be prevented by cooking food? a) b) c) d) e) Salmonellosis Tapeworms Trichinosis E. coli hemorrhagic colitis All of the above. 34. The majority of traveler's diarrhea cases are caused by: a) b) c) d) e) Campylobacter jejuni. Vibrio vulnificus. Yersinia enterocolitica. Escherichia coli. Bacillus cereus 35. Which is true of Hepatitis A but not Hepatitis B? a) b) c) d) e) Causes liver inflammation Chronic carriers and blood transmission Leads to increased risk of liver cancer Fecal-oral spread via water and food Available vaccine 36. Which of the following pairs is not correctly matched? a) b) c) d) e) Pyelonephritis: inflammation of kidneys Prostatis: inflammation of prostate Cystitis: inflammation of urethra Dysuria: pain on urination Glomerulonephritis: inflammation of kidney glomerular capillaries 37. Which microorganism is responsible for approximately 75% of all UTI's and half of the nosocomial infections of the urinary tract? a) b) c) d) e) Escherichia coli Candida albicans Trichomonas vaginalis Streptococcus faecalis Staphylcoccus epidermidis 38. A hospitalized elderly patient with an indwelling catheter develops a UTI. The lab detects gram-positive bacteria. Which of the following is the most probable cause? a) b) c) d) e) Escherichia coli Streptococcus faecalis Candida albicans Staphylococcus saprophyticus Trichomonas vaginalis 39. All of the following are true concerning syphilis except: a) b) c) d) e) Tertiary stage: cardiovascular and neurological damage Incubation: 3 to 5-day incubation period Secondary stage: skin lesions on palm, and any surface area of the body Latent stage : no symptoms, but can persist for life Primary stage: chancre at initial site 40. Chancroid is: a) b) c) d) e) treated with penicillin. caused by a spirochete. associated with hard, painless genital lesions. a sexually transmitted disease. all of these JAN 16 – PUB HEALTH 1. Which disease is correctly matched with the common portal of entry? a) b) c) d) e) Influenza : mucous membranes of genitourinary tract Chlamydia : skin Hookworm : mucous membranes of genitourinary tract Poliomyelitis : mucous membranes of gastrointestinal tract Measles : parenteral route 2. Which of the following vaccines uses attenuated viruses? a) b) c) d) e) MMR vaccine Diphtheria vaccine Hepatitis B vaccine Influenza vaccine Tetanus vaccine 3. Infectious diseases which are easily passed from host to host within a population are best described as: a) b) c) d) e) contagious. chronic. acute. communicable. noncommunicable. 4. The occurrence of streptococcal bronchopneumonia in an individual recovering from influenza is an example of a/an: a) b) c) d) e) secondary infection. chronic infection. sporadic infection. subacute infection. latent infection. 5. Which of the following is the third stage of a disease? a) b) c) d) e) period of convalescence period of decline period of illness prodromal period incubation period 6. An exposure to __________ protects against infection with smallpox. a) b) c) d) e) Antibody Penicillin Cowpox Chemotherapy Normal microbiota 7. How would you recognize an antibiotic-producing soil bacterium on a plate crowded with other bacteria? The bacterial colony producing the antibiotic would be: a) b) c) d) e) Surrounded by a clear area. Star-shaped. Pigmented. Characterized by pseudopods. Visible as masses called mycelia. 8. Which is not a characteristic of the normal microbiota? a) b) c) d) e) Often are called the Normal Flora. Live within our bodies. Live on our bodies. May benefit the human host. Regularly associated with disease symptoms. 9. Mad cow disease is caused by a prion which is an infectious: a) b) c) d) e) Lipid. Piece of DNA. Sugar. Protein. Piece of RNA. 10. The term best associated with the cause of the disease is: a) b) c) d) e) pathogenesis etiology pathogen parasitism infection 11. Which of the following bacterial toxins binds to nerve cells, preventing chemical communication between nerve and muscle cells? a) b) c) d) e) E. coli endotoxin Staphylococcal enterotoxin Diphtheria toxin Botulinum toxin Erythrogenic toxin 12. If a patient has a deep tissue infection as the result of an animal bite on the arm, the portal of entry is described as: a) b) c) d) e) parenteral route. connective tissue. gastrointestinal route. respiratory route. skin. 13. Vector transmission is not responsible for: a) b) c) d) e) influenza. dengue. Rocky Mountain Spotted Fever. malaria. Lyme disease. 14. Which of the following diseases does not have a human reservoir? a) b) c) d) e) diphtheria Strep infections gonorrhea AIDS tetanus 15. Infections in which the pathogen is distributed throughout the body are referred to as "generalized infections" or: a) b) c) d) e) systemic infections. focal infections. zoonoses. local infections. emerging infections. 16. In the human intestinal tract, E. coli produces vitamins beneficial to the host and can inhibit pathogen growth. In turn, the bacterium is supplied with nutrients and an environment for growth. This symbiotic relationship between E. coli and its host is an example of: a) b) c) d) e) commensalism parasitism antagonism opportunism mutualism 17. In a healthy human, resident microorganisms would be found in all of the following areas except: a) b) c) d) e) tooth and gum surfaces bloodstream conjunctiva nasal passages lower urethra 18. All of the following methods are used for food preservation except: a) b) c) d) e) Commercial canning. Osmotic pressure. Deep freezing. Dessication. Direct flaming. 19. Some antimicrobial treatments kill microbes; some inhibit growth. Which term refers to an agent that inhibits bacterial growth? a) b) c) d) e) Bacteriostatic. Germicidal. Bacteriocidal. Fungicidal. Homeostatic. 20. An antiseptic is used when one needs to remove microbes from: a) b) c) d) e) foods, prior to canning. toilet surfaces. skin, prior to injection. food preparation areas. restaurant glassware. 21. In which phase of the growth curve is the population doubling time fastest? a) b) c) d) e) Log phase. Logarithmic decline phase. Stationary phase. Death phase. Lag phase. 22. Which of the following types of media is designed to suppress the growth of unwanted bacteria and encourage the growth of desired microbes? a) b) c) d) e) Differential media Selective media Enriched media Nutrient agar Defined media 23. Which of the following are mismatched? a) b) c) d) e) Hyperthermophiles : no water Psychrophiles : 0°C Extreme halophiles : 30% salt Extreme thermophiles : 100°C Acidophiles : low pH 24. An organism that you are studying grows at 4°C and at 25°C. However, it grows best at 20°C. This organism would be classified as a: a) b) c) d) e) psychrotroph psychrophile thermophile halophile mesophile 25. Pasteurization was first developed to kill __________ in wine. a) b) c) d) e) Endospore producing bacteria. Spoilage bacteria. All bacteria. Antibiotic producing bacteria. Disease causing bacteria. 26. The following are human prion diseases except: a) b) c) d) Kuru Mad cow disease Scrapie Creutzfeldt-Jakob disease 27. A virus that is outside a cell: a) b) c) d) phage prion virion viroid 28. Disease vector that belongs to the class Arachnida. a) b) c) d) Fleas Lice Mites Flies 29. A primary or definitive host is a host in which a disease organism a) b) c) d) Attains its maturity and goes through its reproductive stage. Becomes most easily identified by laboratory tests. Has not yet invaded an intermediate host. Enters the larval stage. 30. Complaint samples are those coming from private purchases which are believed to be spoiled, or not meeting with required standards. In case of poisoning, the complaint samples are further endorsed for toxicological examinations to what agency? a) b) c) d) NBI DOH FDA PNP 31. Color of choice of fresh pork meat. a) b) c) d) Light pink Bright red Dark pink Red 32. Serve as the first contact person at the community level for the health care delivery system of the rural health unit. a) b) c) d) Sanitation Inspector Public Health Nurse Municipal Health Officer Family Doctor 33. DPD stands for a) b) c) d) Diethylphenylenediamine Diethylparaphenylenediamine Dichlorophenyldiethyl Dichloroparadiamine 34. A dead animal shall be disposed by its owner within how many days after its death? a) b) c) d) 1 2 3 4 35. Under the local government code, Rural Health Unit is composed of the following except: a) b) c) d) Rural Health Midwife Municipal Health Officer Public Health Nurse Sanitary Engineer 36. A sanitary survey shall be a prerequisite for the issuance of the Drinking Water Site Clearance or __________ a) b) c) d) EHS No. 107 EHS No. 112 EHS No. 121 EHS No. 122 37. The approximate storage period for pork and shellfish at 0°F without showing any appreciable quality loss. a) b) c) d) 6 months 8 months 1 year Over 1 year 38. You are surveying your food establishment for unsafe conditions. Which one of the following situations requires corrective action? a) b) c) d) A trash receptacle with the lid off while in use. A handwashing station with a multi-use cloth towel for hand drying. Light colored ceramic tile being use for the walls of the food-preparation area. Anti-slip flooring provided in the warewashing area. 39. Which of the following is not considered as part of the big five food-borne illnesses? a) b) c) d) Salmonella Norovirus E coli Hepatitis B 40. Minimum number of cadavers that must be skillfully embalmed within one year period under the supervision of any registered embalmer as qualification of applicant for embalmer examination. a) b) c) d) 5 10 12 15 JAN 7 – VIROLOGY Refresher Exam 1. Study of viruses a) b) c) d) e) Virology Mycology Virusology Phycology Botany 2. Being regarded as the discoverer of viruses because of his experiment on a diseased tobacco plant. a) b) c) d) e) Henry Jenner Paul Frosch Louis Pasteur Dmitri Ivanovsky Friedrich Leffler 3. The first person to get and received inoculation of the rabies vaccine a) b) c) d) e) Joseph Meister Louis Pasteur Adolf Mayer Janet Parker Henry Bedson 4. Who developed the first vaccine that was extracted from cowpox? a) b) c) d) e) Martinus Beijerinck Adolf Mayer Louis Pasteur Edward Jenner Henry Bedson 5. The first rabies vaccine was developed by growing the virus in __, then drying the affected nerve tissue to weaken the virus. a) b) c) d) e) Commercial milk Human tobacco mosaic plant Rabbit Cattle 6. A British medical photographer who became the last recorded person to die from smallpox. a) b) c) d) e) Janet Parker Adolf Mayer Joseph Meister James Phipps Henry Bedson 7. On ___, the WHO announced that the world was free of smallpox. a) b) c) d) e) December 9, 1982 September 8, 1978 May 15, 1978 May 8, 1980 September 8, 1985 8. It is the world’s oldest smallpox vaccine, created in the late 19th Century by American Home Products, a predecessor of Wyeth. a) b) c) d) e) Calf lymph Poxvaxia ACAM2000 Dryvax Cyclovir 9. Virus is from a Latin word meaning a) b) c) d) e) Replicate Poison Particle Protein Suspicious 10. It is the first oncovirus that was used to study the development of cancer molecularly. a) b) c) d) e) RSV HIV HPV HSV TMV 11. One of the discovers of Poliovirus and being regarded as ‘Father of Blood Transfusion’ a) b) c) d) e) Francis Peyton Rous Karl Landsteiner James Phipps Erwin Popper John Snow 12. The virus responsible for the foot-and-mouth disease is a) a) b) c) d) Picornavirus Lentivirus Papillomavirus mimivirus None of the above 13. The first human (virus) disease shown to be caused by a filterable agent is a) b) c) d) e) Yellow fever Dengue TMV Malaria RSV 14. The term virus was coined by a) b) c) d) e) Martinus Beijerinck Adolf Mayer Louis Pasteur Edward Jenner Henry Bedson 15. In 1923, Alexander Glenny perfected a method to inactivate ___ with formaldehyde a) b) c) d) e) FMD Polio Botulinum toxin tetanus toxin CMV 16. ___ vaccine was developed by Jonas Salk a) b) c) d) e) Polio Diphtheria Smallpox Pertussis Measles 17. ___ is believed to be the first known victim of smallpox after examining the pustules found on his cheeks. a) b) c) d) e) Nebucadnesar Ramces V Tutankamen Nefertiti Anthony III 18. Viruses that infect bacteria a) b) c) d) e) Oncogenic Mimiviruses RSVs Bacteriophages Transcriptase 19. Concept of antiseptic surgery was given by a) b) c) d) e) Robert Koch Dmitri Ivanovsky Joseph Lister Alexander Fleming Robert Hooke 20. Severe Acute Respiratory Syndrome is caused by a) b) c) d) Lentivirus Picornavirus Poliovirus Coronavirus 21. Discovered an animal virus that causes foot-and-mouth disease in cattle (1898). a) b) c) d) Twort and Herelle Rous and Reed Landsteiner and Popper Loeffler and Frosch 22. __ virus was first discovered and is named after a forest in Uganda a) b) c) d) e) Ebola Marburg Chikungunya Zika Lassa virus 23. Which of the following is closely related to Chikungunya virus? a) b) c) d) e) Ebola virus Variola virus Marburg virus O’nyong’nyong virus All of the above 24. Viruses are __ a) b) c) d) e) Obligate parasites Resident flaura Pleimorphic microorganisms infectious microorganisms None of the above 25. It has a Greek root words meaning “grey marrow” a) b) c) d) e) Poliomyelitis Diphtheria Chikungunya Pertussis Measles 26. Which of the following is an example of enveloped virus? a) b) c) d) e) f) Herpes virus HIV Influenza virus Rabies virus All of the above None of the above 27. Rabies virus attacks a) b) c) d) e) f) Blood cells Saliva cells follicles kidney cells brain or nervous cells None of the above 28. Mump virus is a) b) c) d) An enveloped virus An enveloped RNA virus an enveloped RNA virus with helical nucleocapsid an enveloped RNA virus with icosahedral nucleocapsid 29. The size of viral genome is quite small compared with that of a cell. It varies from __ genes in hepatitis B virus to __ of genes in some herpesviruses. a) b) c) d) Two, hundreds Two, thousands four, hundreds four, thousands 30. Which of the following virus families is icosahedral? a) b) c) d) e) Herpesviridae Hepadnaviridae Togaviridae All of the above None of the above 31. Which of the following virus families is spherical? a) b) c) d) e) Flaviviridae Arteviridae Retroviridae All of the above None of the above 32. Suffix ending with -virales corresponds to __ of virus. a) b) c) d) e) Family Sub family Genera Order None of the above 33. The __ provides a list of exemplar viruses for each species recognized by the ICTV and links to their genomic sequence. a) b) c) d) e) Virus Gigaplex Data Virus Metadata Resource Virus Megaplex Data Virus Metadata Bank Virus Redbook 34. As of 2018, __ phylum, __ subphyla, __ classes, 14 orders, 5 suborders and 143 families of viruses have been defined by the ICTV. a) b) c) d) e) 1, 2, 3 2, 3, 4 1,2, 6 2, 1, 4 2, 4, 6 35. The __ is the only body charged by the International Union of Microbiological Societies with the task of developing, refining, and maintaining a universal virus taxonomy. a) b) c) d) e) ICTV Holmes Classification Baltimore Classification Linnaeus Classification All of the above 36. __ used Carl Linnaeus's system of binomial nomenclature to classify viruses into 3 groups under one order, Virales a) b) c) d) e) ICTV Holmes Classification Baltimore Classification Linnaeus Classification All of the above 37. Source of viral envelope is a) b) c) d) Host plasma membrane Endoplasmic reticulum nuclear membrane All of the above 38. Glycoproteins are proteins bound to a) b) c) d) e) Fats Proteins Carbohydrates Lipids All of the above 39. Bacteriophage has root word phagein meaning a) b) c) d) e) To attach To eat To multiply to die to surround 40. Which of the following is true regarding complex viruses? a) b) c) d) complex viruses are more intricate than the helical, icosahedral, naked, or enveloped viruses. The poxviruses (including the agent of smallpox) are very large viruses that contain a DNA core but lack a regular capsid and have in its place several layers of lipoproteins and coarse surface fibrils. Bacteriophage is another group of very complex virus. All of the above 41. Based from Holmes classification of virus, Phaginae infects a) b) c) d) e) f) Bacteria Plants Vertebrate animals Amoeba Invertebrate animals virus 42. Fifth disease is a viral disease transmitted primarily by respiratory secretions but can also be spread by contact with infected blood and is caused by a) b) c) d) e) f) Pithovirus Rhinovirus Mimivirus Pandoravirus Parvovirus picornavirus 43. It has the largest viral genome, containing 1.9 to 2.5 megabases of DNA. a) b) c) d) e) f) Pithovirus Rhinovirus Mimivirus Pandoravirus Parvovirus Picornavirus 44. Largest known virus a) b) c) d) e) f) Pithovirus Rhinovirus Mimivirus Pandoravirus Parvovirus picornavirus 45. The largest virus infects what organism? a) b) c) d) e) f) Bacteria Amoeba vertebrate plasmodium insect Balantidium 46. Which of the following is the correct sequence of large known viruses, from LARGEST to small size? a) b) c) d) Pithovirus, Pandoravirus, Megavirus chilensis, mimivirus Mimivirus, Megavirus chilensis, Pandoravirus, Pithovirus Pithovirus, Pandoravirus, mimivirus, Megavirus chilensis Megavirus chilensis, Pandoravirus, Pithovirus, mimivirus 47. __ is a very large virus, some of which are larger than typical bacteria. a) b) c) d) e) Parvovirus Girus nanovirus zombie virus None of the above 48. Togaviridae has root word toga meaning a) b) c) d) e) Robe Nozzle hat black envelope 49. The following viruses are not giant virus except a) b) c) d) e) Megavirus Mimivirus Mamavirus all of the above None of the above 50. World’s largest complex marine virus a) b) c) d) e) Megavirus chilensis Cafeteria roenbergensis virus Mamavirus Klosneuvirus None of the above 51. Which of the following is true about genome? a) b) c) d) e) A genome is the genetic material of an organism. Viral genomes can either be DNA or RNA. When viral genome is inside a host cell it directs synthesis of new viral proteins and replication of new viral genomes. All of the above None of the above 52. __ is a ___ covering that surrounds and protects the viral genome. a) b) c) d) e) f) DNA; protein Capsomeres; lipids capsid; protein envelope; protein RNA; protein capsid; lipids 53. The following statement is not true except a) b) c) d) e) Among the families of viruses that infect animals and human, those containing RNA genome outnumber those containing DNA genome. no double stranded DNA virus that infect plant is known DNA virus can either be double stranded, single stranded or triple stranded A and B A and C 54. _ are an order of viruses that contain the Megavirales or giant viruses which contain nine (9) families namely: Ascoviridae, Asfarviridae, Iridoviridae, Marseilleviridae, Megaviridae, Pandoraviridae, Phycodnaviridae, Pithvoridae, and Poxviridae a) b) c) d) Nucleocytoplasmic large DNA viruses Cytoplasmic Mega single stranded DNA viruses Nucleocytoplasmic large RNA viruses (NCLRV) Cytoplasmic DNA Megaviruses 55. Which of the following infects the Cafeteria roebergensis virus? a) b) c) d) e) Mavirus Navirus Pavirus Tavirus Davirus 56. __ is the genetic material of a __, incorporated into the genome of a bacterium and able to produce phages if specifically activated. a) b) c) d) e) Phage; bacteriophage Phage; Prophage Prophage; bacteriophage Prophage; Coliphage Phage, Varophage 57. The first virophage is __ and it was discovered with its co-infecting giant virus __. a) b) c) d) e) f) Zamilon; Acanthamoeba castellani mamavirus Sputnik; Zamilon Zamilon; Sputnik Acanthamoeba castellani mamavirus; Zamilon Sputnik; Acanthamoeba castellani mamavirus Sputnik 2; Zamilon 58. The following are virophages except a) b) c) d) e) f) Sputnik Zamilon Sputnik 2 Sambalon virus Sputnik 3 None of the above 59. Virophages are a) b) c) d) e) f) Double stranded DNA Double stranded RNA single stranded DNA single stranded RNA Either A or B All of the above 60. Family of virophages a) b) c) d) e) f) Lavidaviridae Togaviridae Mimiviridae Adenoviridae Flaviviridae Anelloviridae 61. What is a protein produced by host cells infected by viruses? a) b) c) d) e) Interferon Antiserum Histamine Vaccine All of the above 62. Which capsid symmetry is exhibited by most of the phages? a) b) c) d) e) Helical Complex Icosahedral None of the above Pleimorphic 63. Virologists have created mutant adenoviruses __ that target cancer cells. These cells cannot spread among normal cells, but when they enter cancer cells, they immediately cause the cells to self-destruct. a) b) c) d) e) ONYX XYZO ADONCO AZT YORME 64. What is the genus of the virus that causes hydrophobia? a) b) c) d) e) Lyssavirus Hantavirus Morbillivirus Lentivirus Oncornavirus 65. __ involves integration of viral genetic material into the host’s genetic material forming a ____. a) b) c) d) Lytic; prophage Lytic; prion Lysogenic; prophage Lysopgenic; prion 66. __is the early stages of viral replication, a period during which no mature virions can be detected within the host cell. This corresponds with the period of penetration, replication, and early assembly, and if the cell were disrupted at this time, no infective virus would be released. a) b) c) d) e) Biosynthesis Rendering attachment Maturation Eclipse 67. __ is the process by which foreign DNA is introduced into a cell by a virus or viral vector. An example is the viral transfer of DNA from one bacterium to another. a) b) c) d) Biosynthesis Translocation Transmutation Transduction 68. In virology, the “sense” of the strand relates to its readability into a ___. a) b) c) d) Protein DNA Nutrient glycogen 69. What is the correct sequence of multiplication cycle in animal viruses? a) b) c) d) e) Adsorption -> Penetration -> Uncoating -> Biosynthesis -> Assembly -> Release Penetration -> Adsorption -> Biosynthesis -> Uncoating -> Assembly -> Release Penetration -> Adsorption -> Uncoating -> Biosynthesis -> Assembly -> Release Adsorption -> Penetration -> Biosynthesis -> Uncoating -> Assembly -> Release Penetration -> Adsorption -> Biosynthesis -> Assembly -> Release -> Uncoating 70. Some animal viruses enter their host cell and permanently alter its genetic material, leading to ___. a) b) c) d) e) Cancer Metastasis Infection Cell mutation All of the above 71. Cytopathic has a Greek translation meaning a) b) c) d) Cell rupture Cell disease cell conversion cytoplasm conversion 72. The ___ is the genome of virus. a) b) c) d) Capsid Nucleic acid Capsomeres DNA 73. Negative sense RNA is the ___ and the positive sense RNA is the __. a) b) c) d) Infectious; non-infectious Enveloped; non-enveloped Non-infectious; Infectious Non-enveloped; Enveloped 74. Which of the following statement is not true? a) b) c) d) Protomeres (subunits) aggregate to form capsomeres which in turn aggregate to form the capsid. An example of naked helical is tobacco mosaic virus but no human viruses known so far. Viruses enter the body of the host in a variety of ways such as inhaled droplets, drinking contaminated water or eating raw/contaminated food, sexual intercourse, vertical transmission from mother to baby and bites of vector. None of the above 75. __ are infectious RNA molecules that cause a variety of plant diseases. a) b) c) d) e) Viroids TMV Prions Capsomeres Virions 76. Mimivirus is an extremely large double-stranded DNA virus that has been recovered from __. a) b) c) d) e) Plasmodiums Bacteriophages amoebas bacteria Prions 77. Virus may become latent in its host and reactivate at a later stage to give rise to symptoms such as VZV giving rise to a) b) c) d) e) Blisters Shingles Chicken pox Dengue Mumps 78. Which one of the following diseases or groups of diseases is not caused by prions? a) b) c) d) Certain plant diseases Creutzfeldt-Jacob disease of humans chronic wasting disease of deer and elk “mad cow disease” 79. Which of the following specific organ is being attacked by poliomyelitis, herpes, rabies, and measles? a) b) c) d) e) Skin or mucus membrane Eye nervous system Liver GI tract 80. Is a virus genome that is integrated into the DNA of a host cell. In the case of bacterial viruses, proviruses are often referred to as prophages (theoretically analogous to prophages) and sometimes referred as a latent virus. a) b) c) d) e) Provirus Virion Latenovirus coliphage Prion 81. Which of the following viruses is inactivated by ether? a) b) c) d) e) Herpesvirus Rhabdovirus Orthomyxovirus All of the above None of the above 82. Which of the following viruses is resistant to ether? a) b) c) d) e) Parvovirus Picornavirus Adenovirus All of the above None of the above 83. Which of the following is not properly matched of cell membrane receptors for viruses? a) b) c) d) e) f) g) Influenza virus – Sialic acid on glycoproteins including the glycophorin molecule A Rabies virus – Acetylcholine receptor HIV – CD4 molecule on T cells Epstein-Barr virus – C3d receptor on B cells Vaccinia virus – epidermal growth factor receptor C and D only None of the above 84. Which of the following is true regarding attenuated vaccines? a) b) c) d) It makes use of live virus. Rabies virus is the first attenuated virus it is actively multiplying which might revert to a wild type of virus. all of the above 85. Duration of virus replication cycle for picornaviruses is a) b) c) d) 40 hours 1 to 2 hours 6 to 8 hours 24 to 36 hours 86. A mass of neoplastic cells called a __, may be relatively harmless (or ___ ) or could be invasive (or ___). a) b) c) d) Tumor; malignant; benign Neoplasma; malignant; metastasis tumor; benign; malignant neoplasma; malignant; benign 87. Viral infection of the blood. a) b) c) d) Hemoglovir Leukovir septicemia viremia 88. In immunology, the interface between cells of the immune system that involves cell-to-cell signaling. a) b) c) d) Synapse Helper T Synctium Interferon 89. Giant, multinucleated cell formed by fusion of virally infected cell to neighboring cells. a) b) c) d) Synapse Helper T Synctium Interferon 90. In animal viruses, uncoating is the removal of a viral capsid ___. a) b) c) d) Outside the host cell After adsorption and penetration within the host cell All of the above