EXAMINATION FOR COMMUNITY HEALTH EXTENSION WORKERS

(CHEW)

OBJECTIVES QUESTUONS:

1. Etiquette can be defined as

(a) A system which guides and controls the behavior and
manifest in character and mind
(b) Code of manners behaviors and actions
(c) Qualities a person has learned to believe are important and
worth while
(d) Occupation which demands a high standard and for
education as well
2. The objectives of standing orders does not include:
(a) Legal protection of the health workers
(b) To provide a systemic framework for history taking and
physical examination
(c) To encourage the often time expensive and time consuming
laboratory investigations
(d) Provide a framework for evaluation of cases
3. Which of the following has the least of impact on health of the
community?
(a) Opening a clinic in the community
(b) Construction of read to the village
(c) Opening of a new radio station
(d) Provision of pipe-born water
4. Psychologically, a CHEW is unlikely to earn confidence of a client
through
(a) Maintaining privacy
(b) Neglect of a client
 (c) Reassurance
(d) Professionally dressed
5. Outreach immunization session are conducted in the following
areas except
(a) Market place
(b) Chiefs palace
(c) Health facility
(d) Schools
6. The following drugs are effective in the treatment of the mentally
ill person except
(a) Chlorpromazine
(b) Diazepam
(c) Phenorbabitone
(d) Salbutamol
7. Mental sub normality means:
(a) Capable of living independent life
(b) Capable of guiding self against exploitation
(c) Complete development of the mind
(d) Incapable of living independent life
8. Community diagnosis uses one of the following methods
(a) Observation
(b) Story telling
(c) Use of audio-visual aids
(d) Use of posters
9. Information obtained during community diagnosis does not
include
(a) Socio-economic
(b) Health and health related
 (c) Epidemiological
(d) Mental status
10. One of the following is not a right of a client/patient
(a) Right of consideration and respect, privacy and
confidentiality
(b) Unconditional acceptance as human being
(c) Receiving healthcare in accordance with his/her specific
needs
(d) Conditioned acceptance as a human being
11. One of these is the etiquette to be observed by the
Community Health Practitioner
(a) Have a generally positive attitude towards work
(b) Respect client/patient irrespective of his/her rank, religion,
culture, severity of conditions
(c) Use professional skill and the standing orders as a guide to
manage the clients
(d) Training others to function as members of the health team
12. One of the following is not a step in carrying out community
diagnosis
(a) Make entry through the LGA
(b) Sketch map of the community
(c) List of resources available in the community
(d) List of the traditional rulers in the community
13. One of these is a minor tranquilizer
(a) Largatil
(b) Diazepam
(c) Promethazine
(d) Piriton
14. Contraindication means
(a) A sign or symptoms suggesting that a certain of treatment
should be avoided
(b) Unfavorable or harmful result
(c) Ability to endure drug administration
(d) Ability to develop no adverse effect
15. Factors that determine the drug selection for a specific
health facility include all but one
(a) Prevailing health problems
(b) Available funds
(c) Ability of health worker to cover many patients
(d) Acceptability
16. Factors that promote effective Health Education include all
except
(a) Ineffective approach
(b) Building on what people know
(c) Knowing the subject matter
(d) Favorable environment
17. Which of the following serves as the most common source
of specific information in a rural community
(a) State television
(b) Radio station
(c) Television and radio
(d) Town announcer
18. One of the following is not a rationale for household and
community water purification
(a) To make free from germs
(b) To increase odour and colour of water
 (c) To make water free from gases
(d) To increase life spam of stored water
19. One of the following is not an emergency situation
(a) Read Traffic accident (RTA) with severe bleeding
(b) Shock
(c) Compound fracture
(d) Strain
20. Treatment for Dysentery would be:
(a) Give Vitamin A
(b) Give ORS and Zinc supplements
(c) Give Ciprofloxacin for 3 days
(d) Give multivitamins and minerals
21. One of the following is not an acceptable behavior a
professional should have
(a) General positive attitude towards work with a cheerful
personality
(b) Genuine desire to help people
(c) Should offer explanation to patients on charges for services
in an honest manner
(d) Flare up with patient
22. NACHPN means:
(a) National Association of Community Health Practitioners of
Nigeria
(b) National Association of Country Health Practitioners of
Nigeria
(c) National Association of community Health Practitioner of
the National
 (d) National Association of Concerned Health Practitioner of
Nigeria
23. Which of the following is not a code of conduct of
community Health Practitioners?
(a) Set a high standard
(b) Use of Standing Orders
(c) Knowing your colleague
(d) Maintaining two-way referral system
24. One of the following is not a type of marriage
(a) Ghost marriage
(b) Levirate marriage
(c) Bigamy
(d) Social Marriage
25. One of the following is not a form of defense mechanism
(a) Denial
(b) Protection
(c) Institution
(d) Regression
26. A person who send message is known as:
(a) Decoder
(b) Encoder
(c) Receiver
(d) Messenger
27. One of these is not a barrier to effective communication:
(a) Personality
(b) Poor listening
(c) Poor planning
(d) Adequate knowledge
28. One of the following is not educational technology sued in
communication
(a) Flannel graph
(b) Tapes
(c) Tele conference
(d) Simulation
29. One of the following is an advantage of team work in health
care delivery:
(a) It is difficult to operate
(b) It creates a vacuum
(c) Personality difference among members of the team
(d) Promotes effective healthcare
30. Clinic based function of CHEW does not include:
(a) Spending 70% of time in clinic attending to patients
(b) Carry-out day to day clinic administration with CHO
(c) Collect and collate monitoring and evaluation data
(d) Provide integrated PHC services
31. One of these is not a component of PHC
(a) Maternal and child care
(b) Exclusive breastfeeding
(c) Treatment of minor diseases and injuries
(d) Provision of essential drugs
32. All are steps in conducting community diagnosis except
(a) Entry into the community through LGA
(b) Identify the boundaries of the community
(c) Make sketch map of the community
(d) Make unimportant notes of community landmark
33. Steps in planning for situation analysis include the following
except
(a) Contacting the development committee
(b) Obtaining men, materials and instruments to be used
(c) Excluding members of the community in planning
(d) Arranging logistics for interviewers
34. Pharmaco-vigilance is also known as
(a) Drug interaction
(b) Drug safety
(c) Drug composition
(d) Drug allergy
35. One of the following drug is not classified according to
function
(a) Anti malaria
(b) Antibiotics
(c) Capsule
(d) Antiemetic
36. All are sources of drugs except
(a) Recombinant DNA technology
(b) Plant sources
(c) Biodegradable source
(d) Animal source
37. One of the following is a step-in setting Drug Revolving Fund
(DRF)
(a) Provide accountability in drug management
(b) Identify sources of fund for initial speed stock
(c) Reduces self-medication
(d) Facilitates the availability of essential rugs
38. In PHC, essential drugs are
(a) Expensive drugs
(b) Drugs given in adequate dosage
(c) Drugs used in the treatment of rare diseases
(d) Drugs that was indispensable for health care needs of the
majority
39. The referral of patient from primary to higher level is said to
be complete when
(a) The patient fully recovered
(b) The patient dies
(c) There is feedback
(d) The patient partially recovered
40. The purpose of two-way referral is to
(a) Make for good flow of patients
(b) Ensure continuity of care
(c) Make supervision easy and fair
(d) Explain to the patent how to take drugs
41. The normal distance in near vision is
(a) 6 meters
(b) 60 centimeters
(c) 30 centimeters
(d) Hand movement (HM)
42. The normal weight gain in a child is tripled at
(a) 24 months
(b) 18 months
(c) 12 months
(d) 6 months
43. Indirect assessment of nutritional status in children is by
 (a) Information on food budget at household
(b) Weighing and charting his weight
(c) Checking the conjunctiva of a child
(d) Measurement of mid upper arm circumference strip
44. Breast self examination (BSE) is conducted
(a) Shortly before menstruation period
(b) Shortly after menstruation period
(c) During menstrual period
(d) Anytime of the months with no regards to menstruation
period
45. Work performance for CHEWs by curriculum schedule is
(a) 20%/80% in the clinic and the community
(b) 40%/60% in the clinic and the community
(c) 50%/50% in the clinic and the community
(d) 80%/20% in the clinic and the community
46. Specific age for malnutrition in children is from
(a) Under five years
(b) Above one year
(c) After six months
(d) Under two years
47. The normal weight of a new born at birth is
(a) 2kg
(b) 3kg
(c) 3.5kg
(d) 4kg
48. Fertilization of ovum occurs on the
(a) - or+ 14 days after menstruation
(b) – or + 28 days after menstruation
 (c) - 7 days of coital action
(d) – 21 days before coital action
49. Types of wounds are all but one of the following
(a) Incision
(b) Abrasion
(c) Depression
(d) Laceration
50. The use of standing orders in management of conditions is
considered
(a) In all stages of patient care
(b) Clinical judgment of the condition
(c) During patient referral
(d) In review of patient condition
51. Data collection for PHC is from all these levels except
(a) Home
(b) Community
(c) Health facility
(d) Local government
52. Herd immunity means
(a) Immunity of herds and herds men
(b) Immunity of cattle only
(c) Immunity of the community members only
(d) Immunity of the expectant mothers and children
53. Types of ageing among humans are all but one
(a) Psychological ageing
(b) Mental ageing
(c) Physiological ageing
(d) Memory loss
54. Clients in need of family planning services include all except
(a) Mothers above 35 years
(b) Parents with genetic diseases
(c) Women under 18 years
(d) Deformed parents
55. Negative mental health does not include one of these
(a) Extreme anxiety
(b) Restlessness
(c) Unsecure appointment
(d) Love and affection
56. Clinical features in snake bite are all but one of these
(a) Cellulitis
(b) Pyomyositis
(c) Dysphasia
(d) Ptosis
57. One of these is a condition of grave danger in children
(a) Malnutrition
(b) Worm infestation
(c) Over weight
(d) Scabies
58. Which of the following is a deficiency disease of Ascorbic
Acid
(a) Pellagra
(b) Beri-beri
(c) Scurry
(d) Rickette
59. All the following factors can influence individual needs of
nutrients except
 (a) Physiologic condition
(b) Physical activities
(c) Growth and maturity
(d) Educational qualification
60. Which of the following is not an objectives in the use of
Standing orders
(a) Managing cases
(b) Illegal backing
(c) Uniformity care
(d) Increasing learning ability
61. The common site for taking include all of the following but
one
(a) Temporal artery
(b) Caratid artery
(c) Femoral artery
(d) Brachial artery
62. The road to health chart is used in assessing the health
status of children age from
(a) Birth - 2 years
(b) 6 months – 2 years
(c) 1 year - 2 years
(d) 0 - 5 years
63. The feeling of body organs or parts during physical
examination to identify areas of tenderness is
(a) Palpation
(b) Percussion
(c) Auscultation
(d) Inspection
64. Anatomy and Physiology is the study of
(a) Structure and their function
(b) Functions of structures
(c) Structure and system
(d) Body system
65. The importance of human resource training
(a) Creating new job opportunities
(b) Improving skills and knowledge of workers
(c) Defending the personal interest of workers
(d) Promotion of workers
66. Which one the following can be used to assess training
needs of a staff?
(a) Lecture
(b) Testing skills
(c) Post test
(d) Rationalization
67. The process of determining a disorder by a Community
Health Practitioner is
(a) Examination
(b) History
(c) Diagnosis
(d) Screening
68. The type of immunity acquired through sub-clinical infection
in which immunity is developed against that specific infection is
(a) Natural passive immunity
(b) Active natural acquired immunity
(c) Passive natural acquired immunity
(d) Passive artificial immunity
69. One of the following is not a function of the skeletal system
(a) Provide muscle attachment
(b) Form the body frame
(c) Aid in blood circulation
(d) Protect delicate organs
70. The simple hardening and narrowing of an artery is called
(a) Thrombosis
(b) Embolism
(c) Arteriosclerosis
(d) Atherosclerosis
71. In PHC management, the process of selecting goals,
objectives and determining how best to achieve them is
(a) Planning
(b) Directing
(c) Organizing
(d) Controlling
72. Telling subordinate what to do and ensuring compliance is
(a) Controlling
(b) Directing
(c) Reporting
(d) Staffing
73. The three (3) important features of good leadership are the
following but one
(a) Continuity
(b) Consistency
(c) Conspiracy
(d) Commitment
74. The financial document issued to a consumer on supply of
goods and services is
(a) Voucher
(b) Receipt
(c) Invoice
(d) Cheque
75. The number of death in mothers due to pregnancy, Labour
and delivery pueperuium in a year per thousand of the population
of the total birth (live/still) is
(a) Infant mortality rate
(b) Maternal morbidity rate
(c) Maternal mortality rate
(d) Still birth rate
76. The principle of accounting include all but one
(a) Business entity concept
(b) Accrual concept
(c) Cost concept
(d) Health concept
77. The level of health condition in a community can be
measured by the following indicator except
(a) Health policy indicator
(b) Health status indicator
(c) Socio-economic indicator
(d) Community survey by National bodies and NGOs
78. 4% chlorhexidine gel is associated with
(a) New born eye care
(b) New born cord care
(c) New born asphyxia
 (d) New born thermal care
79. Skin – to – skin contact is associated with
(a) Newborn eye care
(b) Newborn cord care
(c) Newborn thermal care
(d) Newborn asphyxia
80. One of the following is not birth preparedness and
emergency readiness
(a) Knowledge on danger sign
(b) Plan for a birth provider
(c) Plan for transportation in case of emergency
(d) Tetanus immunization
81. APGAR means
(a) Appearance, pulse, Grimace, Activity and Respiration
(b) Attitude, Pulse, Grimace, Activity and Respiration
(c) Appearance, Pain, Grimace, Activity and Respiration
(d) Appearance, Pulse, Grimace, Activity and Respiration
82. Management of retained placenta may include all except
(a) Manual removal
(b) Fundal pressure
(c) Hysterectomy
(d) Controlled cord traction
83. One of the following is not a factor associated with oral
health
(a) Mouth wash
(b) Regular intake of surgery foods
(c) Fluoridation
(d) Increase in calcium rich food intake
84. All the following are risk factors associated with coronary
heart diseases excluding
(a) High blood pressure
(b) Smoking
(c) Diabetes mellitus
(d) Malaria
85. Lacrimal apparatus is responsible for the following except
(a) Moistens the eye
(b) Nourishes the eye
(c) Produces the tear that washes away foreign substance
(d) Hold the eye firmly
86. One of the following is not a refractive error in primary eye
care
(a) Light is not directed directly on to the retina
(b) That one is experiencing short-sightedness
(c) That the eyes are completely blind
(d) That the eyes are long sighted
87. The United Nation (UN) declaration on the right of the child
encompass the following with the exception of
(a) The right to special care of handicapped
(b) The right to food and shelter
(c) The right to recreation and play
(d) The right to be delinquent
88. Sporadic means
(a) A disease that spread over a large region of the population
(b) A disease which affect one slowly but rather last a long time
(c) A disease that affect a few individuals regularly in scattered
forms in a population
 (d) A disease occurring at irregular interval or only in a few
place scattered or isolated
89. Which of the following disease condition can be relieved by
administration of a bronchodilator
(a) Blindness
(b) Asthma
(c) Epilepsy
(d) Diabetes mellitus
90. The outer structure of the ear does not include
(a) Auricle
(b) Helix
(c) Lobule
(d) Incus
91. The followings are cancers of the female reproductive
organs except
(a) Ovarian cancer
(b) Testicular cancer
(c) Cervical cancer
(d) Endometrial cancer
92. During inspection of food vendor, one of the following areas
should not be considered
(a) Personal hygiene
(b) Kitchen
(c) Utensils
(d) Family income
93. Which of the following is a benefit of school or meal
programme
(a) Reduction in school environment
 (b) Increase in school drop out
(c) Enhancement of quality of Education
(d) Good nutrition
94. One of these is not caused by protozoan
(a) Malaria
(b) Amoebiasis
(c) Tuberculosis
(d) Balantidiasis
95. In First Aids “A B C” means
(a) Airways, breathing, circulation
(b) Above, breast, circumference
(c) Airways, breathing, circumference
(d) Airways, bathing, circumcision
96. One of the following is not a symptom of menopause
(a) Hot flashes
(b) Mood changes
(c) Irregular menstrual period
(d) Regular menstrual period
97. Hypothermia is more common in
(a) Middle age
(b) Adolescent
(c) Toddler
(d) Elderly
98. The hormone that initiates the production of breast milk in
the body is
(a) Prolactin
(b) Oxytocin
(c) Andrenatin
 (d) Progesterone
99. The nutritional status of a child can be assessed directly by
all the following except
(a) Weighing the child
(b) Measuring the mid-upper arm circumference (MUAC)
(c) Pattern of breastfeeding
(d) General physical examination
100. All are importance of growth monitoring except
(a) Is to monitor good nutrition
(b) Monitoring weight gain
(c) Identifying children at risk of malnutrition
(d) Is to monitor his/her mother nutrition status