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SPECIAL EXAMINATION AUGUST 2015 SEMESTER COURSE COURSE CODE DURATION FACULTY PROGRAMME LECTURER : COMMUNICABLE & NON-COMMUNICABLE DISEASE CONTROL : MPD 2143 : 2 HOURS 30 MINUTES : BIOMEDICAL AND HEALTH SCIENCES : DIPLOMA IN ENVIRONMENTAL HEALTH : MOHD AMIR BIN ARSHAD INSTRUCTIONS TO CANDIDATES This paper consists of three (3) sections: Section A – 30 questions (objective questions) Section B – 4 questions (short answer questions) Section C – 4 questions (essay questions) Answer all questions in Section A and B and only three questions in Section C. All answers of: Section A must be written in OMR objective paper provided. Section B and C must be written in answer booklet provided. The answer for each question must start on a new page. Candidates are NOT ALLOWED to bring any unauthorized items into the exam hall except with the permission of your invigilator. Do Not Open the Question Paper Until Instructed This Question Paper Consists of Eight (8) Printed Pages CONFIDENTIAL FBHS/MPD2143/AUG15 SECTION A: OBJECTIVE QUESTIONS (30 MARKS) CHOOSE ONE BEST STATEMENT TO ANSWER THE QUESTIONS 1. Normal range for adult blood pressure (A) (B) (C) (D) 140/90 mm Hg. 120/80 mm Hg. 130/70 mm Hg. 100/90 mm Hg. 2. An infectious disease is one that is (A) (B) (C) (D) caused by all bacteria. transferred by mosquitoes. spread from person to person. caused by a pathogen or its products. 3. Human Papilloma Virus (HPV) can lead to (A) (B) (C) (D) brain cancer. breast cancer. prostate cancer. cervical cancer. 4. Causes of cholera do NOT include (A) (B) (C) (D) unclean water. poor sanitation. genetic disorder. infectious pathogens. 5. Which of the following is an example of the spreading of disease by direct contact? (A) (B) (C) (D) Kissing Sneezing Sweating Coughing 6. In cardiovascular disease, plaques is refer to (A) (B) (C) (D) fatty acid. cholesterol. blood clots. mineral salts. CONFIDENTIAL/2 FBHS/MPD2143/AUG15 7. Which of the following is TRUE about Malaria? (A) (B) (C) (D) Vaccination available. The parasites infect the liver. Anopheles mosquito active at day light. Cannot be transmitted through organ transplant. 8. Rectal swab sample is required to diagnose the following disease (A) (B) (C) (D) Measles Hepatitis A Hepatitis B Typhoid fever 9. Which of the following is FALSE about Leptospirosis? (A) (B) (C) (D) Cause by rodent Night market worker is people at risk The bacteria found in infected urine of rodents Commonly transmitted directly from person to person 10. The primary risk factor for type 2 diabetes is (A) (B) (C) (D) obesity. family history. viral infection. being a member of a high risk population. 11. SARS is caused by (A) (B) (C) (D) Pox virus. Corona virus. Anthrax virus. Influenza virus. 12. Anthrax is caused by (A) (B) (C) (D) Virus. Fungus. Parasite. Bacterium. CONFIDENTIAL/3 FBHS/MPD2143/AUG15 13. Which of the following is FALSE about AIDS? (A) (B) (C) (D) It is a syndrome HIV is the only virus. It damage the immune system. Every person who infected with HIV will get AIDS. 14. The risk factors for type 2 diabetes mellitus include (A) (B) (C) (D) family history. being overweight. being a member of a high-risk population. All the above. 15. Which of the following statements is TRUE regarding the human immunodeficiency virus? (A) (B) (C) (D) It must reproduce inside another cell. It must link to a bacterium to reproduce. It requires a second virus to sexually reproduce. It is able to live on any surface such as a tabletop. 16. The following are waterborne disease EXCEPT (A) (B) (C) (D) Dysentery. Hepatitis A. Melioidosis. Influenza A. 17. Which of the following diseases can be transmitted from mother to fetus during pregnancy? (A) (B) (C) (D) Cholera. Syphilis. Gonorrhea. Human Papilloma Virus. 18. Inflammation of liver is BEST to describe of the following disease (A) (B) (C) (D) Leprosy. Measles. Hepatitis. Tuberculosis. CONFIDENTIAL/4 FBHS/MPD2143/AUG15 19. Which of the following describes the mode of HIV transmission? (A) (B) (C) (D) Intravenous drug use Unprotected sexual activity Infected mother to child before or during birth All of the above 20. Plague is a disease with the following criteria EXCEPT (A) (B) (C) (D) infectious agent is xenopsylla cheopis legendary disease known as black death bubonic plague is the most common types infection from person to person is possible 21. In Malaysia, Tuberculosis (TB) is an example of (A) (B) (C) (D) endemic. epidemic. prodemic. pandemic. 22. What is the organism that causes syphilis? (A) (B) (C) (D) Trichuris trichiura Treponema pallidum Neisseria gonorrhoeae human immunodeficiency virus 23. Filariasis is the disease (A) (B) (C) (D) caused by ectoparasites. that can transmitted from person to person. when people get infected with filarial worms. when parasites develop into adult worms in the lung causing swelling. 24. The following is TRUE about non-insulin-dependent diabetes EXCEPT (A) (B) (C) (D) Type 2 diabetes. Juvenile-onset diabetes. Maturity-onset diabetes. Body stops making insulin. CONFIDENTIAL/5 FBHS/MPD2143/AUG15 25. Which of the following is NOT a risk factor for cardiovascular disease? (A) (B) (C) (D) Stress Obesity Cigarette smoking Consumption of aspirin 26. Bacillus Calmette–Guérin (BCG) is a vaccine against (A) (B) (C) (D) Anthrax. Tuberculosis. Leptospirosis. Chikungunya. 27. Bacteria are known to cause (A) (B) (C) (D) Malaria. Cholera. Measles. Acquired Immune Deficiency Syndrome. 28. Which of the following is FALSE about Tuberculosis? (A) (B) (C) (D) Can used X-ray to detect TB. Require a semen sample for diagnosis. Mycobacterium tuberculosis as an infectious agent. People may get infected when tubercle bacilli exist in sputum of infected person. 29. People infected with this disease are likely to live with it throughout their lives. The disease is (A) (B) (C) (D) HIV Hepatitis A Melioidosis Typhoid fever 30. Which of the following is TRUE regarding gonorrhea? (A) (B) (C) (D) Shows clear symptoms. Caused by the virus Gonorrheus. Can be cured by avoiding sexual intercourse. Causing inflammation in several reproductive organs. CONFIDENTIAL/6 FBHS/MPD2143/AUG15 SECTION B : SHORT ANSWER QUESTIONS (40 MARKS) ANSWER ALL QUESTIONS 1. a. Define acute and chronic disease. b. List FOUR (4) types of acute and chronic diseases respectively. 2. a. Describe DTaP vaccination. (2 marks) (8 marks) (3 marks) b. Elaborate the term herd immunity. (2 marks) c. List FIVE (5) types of vulnerable people. (5 marks) 3. a. Identify infectious agent for measles. (1 marks) b. Describe the mode of transmission for measles. (3 marks) c. Elaborate preventive measure for measles. (6 marks) 4. a. Define depression. (2 marks) b. List FOUR (4) symptoms of depression. (4 marks) c. Describe preventive approaches for depression. (4 marks) CONFIDENTIAL/7 FBHS/MPD2143/AUG15 SECTION C : ESSAY QUESTIONS (30 MARKS) ANSWER THREE (3) QUESTIONS ONLY Question 1 Discuss on outbreak management. (10 marks) Question 2 Explain the prevention and control methods of Dengue fever. (10 marks) Question 3 Identify the risk factors for obesity. (10 marks) Question 4 Describe the prevention and control of food and waterborne diseases. (10 marks) END OF QUESTION PAPER CONFIDENTIAL/8