In using medical literature to provide optimal patient care, which among the following is the correct

sequence?
 Ask, Acquire, Appraise, Apply
 Acquire, Ask, Appraise, Apply
 Apply, Appraise, Ask, Acquire
 Ask, Advice, Assess, Assist
Which of the following is NOT an essential feature of COPC?
 A defined population
 A multidisciplinary team
 Community involvement
 Accessibility

Among the following patients with hypertension, which among them has no cardiovascular risk?
 70 – year old female, with a HbA1C of 7.0%, no dyslipidemia, non – smoker, with no family
history of CVD or hypertension.
 40 year – old male, married with 2 children, 20 pack – years smoker, and has an annual income
of Php 120,000.
 39 – year old female, non – smoker, occasional alcoholic beverage drinker, works as a bank
manager with a good work – life balance, no diabetes and no family history of CVD or
hypertension.
 50 – year old male, BMI of 30 kg/m2 , smoker for 25 years, LDL – C of 140mg/dl, HbA1C of 6.2%,
with no family history of CVD or hypertension.

A 47 year old patient brought his annual PE laboratories with the following results: FBS 105 mg/dl and
A1c 5.3%. Patient has a BMI of 22 with no family history of DM. Which among the following is the MOST
APPROPRIATE approach according to ADA?
 Start oral anti-hyperglycemic agent
 Repeat laboratories after 3 months
 Repeat laboratories after 1 year
 Repeat laboratories after 3 years

You referred Ms E Qual to cardio service and renal service after finding out that she had a previous MI
and that her creatinine clearance was slightly decreased. She was referred back to you for continuation of
care. Refusing any insulin treatment, the second line of treatment with proven benefit is?
 Glibenclamide
 Glyburide
 Acarbose
 Dapagliflozin

A 5-year-old child was brought to your clinic due to LBM, and vomiting. Laboratory workup was done
which revealed the following results: Na 122 meq/L, K 3.8 meq/L. Which among the following is correct?
 The patient has normal laboratories
 The patient should be managed with ORS
 The patient should be managed with ORS and Sodium tablets
 The patient should be managed with ORS and Potassium tablets
Based on the Genogram of this patient, what is the structure of the family?

 Blended family
 Step family
 Extended family
 Nuclear family
Which of the following diet is NOT recommended for patients diagnosed with Hypertension? 
 Fruits and vegetables
 Diet rich in red meat
 Low saturated fats and cholesterol
 Low – fat dairy

Formulation of good clinical questions is an important skill that you should develop. Which among the
following is correct with regards to the PICO Framework?
 P = Pharmacologic
 I = Intervention
 C = Confounders
 = Outliers

JM, works as an OFW and asked his wife Vi to stay with his parents so he will not worry so much about
her and their child. While Vi is rather happy with the way she was welcomed by her husband’s parents,
she has difficulty with disciplining her son on toilet training and even feeding against traditional ways of
child rearing being imposed by her mother in law. Her APGAR score will most likely be low in which
aspect?
 Affection
 Adaptation
 Partnership
 Growth
In critically appraising journals, which among the following appraisal questions falls under Applicability?
 Are the study patients in the main or subgroup analysis similar to my own?
 Is the objective of the article similar to your clinical dilemma?
 Were the criteria for search and selecting articles for inclusion and exclusion explicit and
reproducible?
 Are the results clinically and statistically significant?

In the practice of COPC, the functions of epidemiology include the following except:
 determination of health priorities on which the practice should focus, and the community's interest
and involvement
 subsequent epidemiologic surveillance of the various community health programs established in
the framework of primary care
 evaluation of the programs by epidemiologic methods to measure their effectiveness in changing
the community's state of health
 extension of community health epidemiologic programs beyond the framework of primary care,
e.g., by promoting health education programs in schools or community centers

A barangay health worker wants to ask how to make home made ORS for pediatric patients with LBM in
the community. Which among the following is the correct solution?
 1-liter clean water, one tablespoon salt, 4-5 tablespoon sugar
 1-liter clean water, one tablespoon sugar, 4-5 tablespoon salt
 1-liter clean water, one teaspoon salt, 4-5 teaspoon sugar
 1-liter clean water, one teaspoon sugar, 4-5 teaspoon salt

In pediatric patients with acute infectious diarrhea, which among the following is CORRECT regarding the
recommended diet for your patient according to the DOH CPG?
 BRAT diet is not recommended
 If feeding is not tolerated, delayed refeeding is recommended
 Diluted Lactose milk is recommended
 Change in age-appropriate diet is recommended

A 25 year old female patient came to your clinic with 3P's and an A1c of 7%. He has not other symptoms
with essentially normal PE findings. Which among the following laboratories is NOT RECOMMENDED
according to the DM Clinical Pathway?
 12-L ECG
 Fasting lipid profile
 Liver Enzyme Tests (AST/ALT)
 Creatinine

Which active listening skills is being demonstrated in this phrase, “This is the 5th time you had an
elevated blood pressure, and you are frustrated why it is still elevated. Is that it?”
 Paraphrasing
 Perception checking
 Reflecting feeling
 Reflecting experience
A key task in this family life cycle is accepting the multitude of exits and entries in the family system and
the development of adult-to-adult relationships between parents and children
 Launching Family
 Newly Married couple
 Family in Later years
 Unattached young adult

Which among the following is the responsibility of the family physician in the reaction to diagnosis illness
trajectory stage?
 Explore routinely the explanatory model & fear that patients bring to the Clinic set-up
 Aid the patient & the family in efficient & functional readjustment
 Coordinate all aspects of therapy and anticipate pathologic response
 Help the family assess the likely effect of the illness on the family, predict problems likely to arise

The following IS NOT A cardiovascular risk factor among Hypertensive patients?

 Age: > 40y/o
 BMI: >25 kg/m2
 LDL-C: >130mg/dl
 TG: >150 mg/dl

You worked up a diabetic in his annual examination and found out that he has an A1c of 7% and has
eGFR of 55  mL/min/1.73m2 . According to ADA, what is the most appropriate medication to add to his
ongoing Metformin prescription?
 Glimepiride
 Dapagliflozin
 Sitagliptin
 Liraglutide

The involvement of comprehensive medical interventions based on evidence and standards of care are
COMPONENTS of which patient-centered matrix?
 Data
 Analysis
 Management/Interventions
 Conclusion
Based on the family mapping above, which among the following is TRUE?

 John has over-enmeshed relationship with Jen

 Jen has a dysfunctional relationship with Jill
 There is coalition between Pedro and Jun
 Jun and John has a functional relationship
L.R., a 40 year – old male has been experiencing dizziness for the past week. His blood pressure at the
OPD were noted to be 140/100 mmHG and 150/100 mmHG. What is the classification L.R.’s blood
pressure based on the Philippine CPG on Hypertension?
 Normal blood pressure
 Borderline blood pressure
 Hypertension
 Hypertensive Emergency

A "No entry policy of unvaccinated individuals" best represents biopsychosocial issue in which part of the
PFC Matrix?
 Patient Centered
 Family Focused
 Community Oriented
 None of the above

Which of the following is not true regarding Hypertension in the pediatric age group?
 1-13y/o Normal BP: <90th Percentile; >13y/o Normal BP: <120/<80 mmHg
 1-13y/o Elevated BP: >90th Percentile to <95th Percentile or 120/80 mmHg to <95th Percentile
(whichever is lower) > 13y/o Elevated BP: 120/80 mmHg to 129/80 mmHg
 13y/o Stage 2 Hypertension: >140/90 mmHg
 None of the above

Define-Measure-Analyze-Improve-Analyze-Control are the steps involved in this CQI Process. Which

among the following has these steps?
 Baldridge Criteria
 PDSA Cycle
 PAFP Quality Cycle
 Six Sigma Cycle
You want to gather evidence with regards to diabetic retinopathy. However, you want to improve your
search by using the exact phrase diabetic retinopathy. Which among the following is the most appropriate
Boolean operator for this case?
 AND
 OR
 NOT
 Quotes “ ”

Based on the Philippine CPG on Hypertension, what is the recommended daily sodium intake for people
with pre - hypertension?
 230mg
 2300mg
 150mg
 1500mg

You identify that hypertension and diabetes is the prevalent non communicable disease in the community
you are taking care of. Which COPC step is being reflected at this step?
 Community health diagnosis and health surveillance
 Planning of intervention
 Implementation
 Evaluation

With regards to the Critical appraisal of journals, which is the correct sequence?
 Validity-Relevance-Applicability-Results
 Relevance-Results-Validity-Applicability
 Applicability-Results-Validity-Relevance
 Relevance-Validity-Results-Applicability

Which among the two-drug combination will address the volume dependent type of Hypertension in CKD
patients?
 CCB and Diuretics
 ARB and Diuretics
 Beta Blockers and Diuretics
 ACE and ARB

EBM involves 3 fundamental principles. Which among the following is INCORRECT?

 Optimal clinical decision making requires awareness of the best available evidence
 EBM provides guidance to decide whether evidence is trustworthy
 Evidence alone is sufficient to make a clinical decision
 Decision makers must always consider their patient’s unique predicament and values and
preferences
Having been involved with a patient who was diagnosed with a chronic kidney disease, you developed a
desire to help. You met other patients with similar problems in the course of your work. You thought about
helping their group and discussed with them what their problems are. A good objective will be to:
 Conduct a fund-raising activity to help with their out-of-pocket expenses
 Get their stories and use it to warn those who are potential candidates for CKD
 Organize and educate the group
 Identifying all CKD patients in the group without PhilHealth and ensure their enrolment before
their first dialysis

A 2 year old child was brought to your clinic with a mid upper arm circumference of 120mm, height of
100cm and weight 12.5 kg. No medical conditions and edema were noted. What is the most appropriate
assessment of this patient?

 Complicated Severe Acute Malnutrition

 Uncomplicated Severe Acute Malnutrition
 Moderate Acute Malnutrition
 No Acute Malnutrition

William and his wife are rather conservative having been brought up by strict parents. They let their 14
years old daughter’s preferences take priority over their ideals not wanting to force her to conform to their
standard. What type of parenting style do they demonstrate?
 Authoritarian
 Democratic
 Permissive
 Rejecting
J.L, 4 years old, from Baguio City, was brought to the clinic due to loose, watery, non- bloody stool
approximately 4-5x a day for 3 days. No fever or vomiting episodes. He was active, with fair to good oral
intake, and was noted to urinate with the same frequency before the symptoms were noted. What would
be the most appropriate initial impression based on the data above?
 Acute Gastroenteritis with no signs of dehydration
 Acute gastroenteritis with mild to moderate signs of dehydration
 Acute Intestinal Amoebiasis
 Suspected Covid

K.D., a 30 – year old male working as a bus driver consulted at the OPD because of a 3 – month history
of productive cough and weight loss. His chest – Xray and AFB exam showed he has PTB. While you
were explaining his condition, you noticed that he was fidgety. Upon probing, he stated that he is anxious
because he might lose his job. Assessing for psychosocial factors is included in what component of the
PFC matrix?
 Patient – centered Care
 Family – focused Care
 Community – oriented Care
 All of the above

F.L., a 45 year – old male, with diabetes, obesity and newly diagnosed hypertension was admitted due to
Community – Acquired Pneumonia. On Day 2 of hospital admission, the patient complained of a morning
headache. He stated that this occurs often along with abrupt awakenings accompanied by gasping and
dry mouth. What should you assess the patient for?
 Insomnia
 Migraine
 Obstructive Sleep Apnea
 Adjustment disorder
Which among the following diet is recommended to a family with a diabetic patient based on most DM
practice guidelines?
 Atkins Diet
 Mediterranean Diet
 Ketogenic Diet
 Pinggang Pinoy

A 1 year old child was admitted to your MAM Treatment Program. Which among the following is TRUE
with regards to routine child health services?
 Vaccination status of child should not be checked on admission
 Vitamin A 100,000 IU oral should be given if not given in the last 6 months
 Albendazole 200mg single dose if not taken in the last 6 months
 Iron is given once a month for children with iron-deficiency anemia

Which among the following is a social determinant of health?

 Health information system
 Health care and quality
 Financing
 Governance / Leadership
A patient was brought to your clinic with LBM and vomiting. On PE, the patient present was restless,
thirsty, and with poor skin turgor. Which is the correct formula for computing the ORS to be given in 4
hours?
 Amount in ml computed by multiplying weight in lb by 30
 Amount in ml computed by multiplying weight in kg by 50
 Amount in ml computed by multiplying weight in lb by 60
 Amount in ml computed by multiplying weight in kg by 75

Attending skills refers to the way in which we use our bodies to communicate the message nonverbally
that “I am listening to you”. Which among the following is true for attending skills?
 Lean backwards
 Open posture
 Eye contact is continuous
 Sit directly in front of patient

Your diabetic patient rolled her eyes and crossed her arms when you mentioned that she needs to be
started on insulin. Which among the following is an example of reflecting experience?
 “You seemed frustrated a while ago when I mentioned that you need insulin?”
 “Uh huh, and then?”
 “We have been unable to control your sugar and you can’t understand why you need to be
started on an insulin regimen. Is that it?”
 “I noticed a while ago, you crossed your arms and rolled your eyes when i was talking about
insulin, could you tell me what was behind that?”

Which among the following is NOT PART of the five essential features of COPC?
 Use of epidemiologic and clinical skills as complementary functions
 Non-involvement of the community in the promotion of its health
 Accessibility is not limited to geographic accessibility but refers also to the absence of fiscal,
social, cultural, communication, or other barriers.
 Defined programs to deal with the health problems of the community
Which first order task is applicable to this family?

 Supplying adequate space, facilities and equipment for the expanding family.
 Establishing a mutually satisfying system for getting and spending money
 Extend social contact outside of home includes dating clubs, and recreation
 Setting up a comfortable home for themselves that accommodate periodically other members of
the family
Lorna is a 38/F came in for a scheduled follow up. She is a G2P2 (2002) on her 24th week AOG. From
her records you noticed that Lorna’s blood pressure has increased since her last check twelve months
ago. You plan to start Lorna on anti-hypertensive medication. Which among them are best recommended
for her case?
 Losartan
 Captopril
 Methyldopa
 Amlodipine

The best measure for dehydration is the percentage loss of body weight, but most infants and children
presenting at the emergency department do not have a record of their recent weight. According to
EXISTING EVIDENCE compared with this, the 3 BEST signs associated with hydration are?
 Capillary Refill Time, Skin Turgor, Urine Output
 Capillary Refill Time, Skin Turgor, Abnormal Respiratory Pattern
 Abnormal Cardiac Rate, Skin Turgor, Dry Mucous Membranes
 Skin Turgor, Urine Output, Absent Tears

In monitoring pediatric patients admitted in an acute care setting undergoing rehydration, how frequent
should you check the hydration status of your patient based on the DOH CPG?
 At least every 30 minutes
 At least every 60 minutes
 At least every 120 minutes
 At least every 240 minute

In the continuity clinic, a hypertensive patient was concomitantly diagnosed to have gouty arthritis. Which
among the following anti-hypertensives may be given to your patient due to its added uricosuric effect?
 Carvedilol
 Captopril
 Losartan
 Diltiazem

A four step problem solving technique used to improve processes is called the:
 Ponder-Do-Choose-Act
 Perform-Decide-Calibrate-Assess
 Plan-Design-Chase-Assist
 Plan-Do-Check-Act

Which of the following is NOT AN INDICATION for diabetes screening among overweight patients
according to the ADA guidelines?
 History of Gestational diabetes mellitus
 BP 140/90 mmHg
 First Degree relative with diabetes
 HDL 90 mg/dL
A patient came to your clinic with multiple symptoms. Which among the following phrases is an example
of Direct Lead?
 “Yes”, “Go on”
 “Which symptom are you most concerned about?”
 “You seemed anxious when you were expressing your symptoms. Am I right?”
 “You have back pains, shoulder pain, abdominal pain and headache these past weeks”

Which among the following is the correct sequence for COPC?

 Identify Community Health Problems - Develop Intervention - Define and Characterize
Community - Monitor impact of intervention
 Develop Intervention - Define and Characterize Community - Identify Community Health
Problems - Monitor impact of intervention
 Define and Characterize Community - Identify Community Health Problems - Develop
Intervention - Monitor impact of intervention
 Develop Intervention - Monitor impact of intervention - Define and Characterize Community -
Identify Community Health Problems

When is the BEST TIME to advise parents/caregivers for follow up checkup for a child with MODERATE
ACUTE MALNUTRITION?
 In 3 days
 In 5 days
 In 30 days
 In 60 days

A 1 year old child was brought to your health center for consultation. Patient’s weight and length was
plotted, her MUAC was 11.5 cm with no edema and no medical conditions noted. Which among the
following is the most appropriate approach?

 Send patient home

 Admit patient to MAM Treatment Program
 Refer for Uncomplicated SAM Treatment
 Refer for Complicated SAM Treatment
The father is frequently away from home and leaves the parenting responsibilities of their children
exclusively to his wife. This situation shows:
 Enmeshment
 Coalition
 Triangulation
 Disengagement

Results from the Family tools should be placed in which part of the PFC matrix?
 Data
 Analysis
 Diagnosis/Conclusion/Assumptions
 Management/Intervention

G.C., 1 year old, was noted to have diarrhea for the past 5 days, initially was able to feed properly then for
the past 12 hours was noted to vomit all she eats and drinks. Which among the following symptoms
and /or physical findings would you see that would classify her under severe dehydration?
 Not thirsty, RR: 26 breaths per minute, CRT:1-2 seconds, skin pinch goes back quickly, diaper
changed about 3-4x in the past 12 hours
 Drinks eagerly, RR: 39 breaths per minute, CRT:2 seconds, skin pinch goes back slowly, diaper
changed 3-4x in the past 12 hours
 Drinks poorly, RR: 34 breaths per minute, CRT: 2 seconds, skin pinch goes back slowly, diaper
changed 3-4x in the past 12 hours
 Drinks poorly, RR: 38 breaths per minute, CRT: 3 seconds, skin pinch goes back very slowly,
diaper changed 3-4x in the past 12 hours

At the Emergency room, you have attended to a Stroke patient, upon further assessment and work-up,
the patient is confirmed to have ischemic type of acute stroke and not a candidate for IV
thrombolysis/thrombectomy. If the BP of the patient is >220/>120 mmHg, the next management is?
 Maintain MAP between 110 to 130 mmHg
 Labetalol 10mg IV over 1-2 minutes followed by continuous IV infusion of 2-8 mg/min may also be
used
 For the next 24 hours after treatment, the BP is recommended to be maintained at <180/105
mmHg.
 Careful BP lowering to 140-160 mmHg. Avoid reductions of >60 mmHg in 1 hour
According to ADA, which among the following patients is recommended to use hemoglobin A1c in order
to screen for diabetes mellitus?
 patients with hemoglobinopathies
 pregnant patients
 hemodialysis patients
 children and adolescents

S.J., a 35 year – old female, 35 weeks AOG came in to the Emergency Room because of dizziness and
edema. You noted that her blood pressure is 160/100 mmHg. Repeat blood pressure after 15 minutes
was noted to be 170/110 mmHg. What will be your initial treatment?
 Give IV hydralazine immediately
 Start the patient on amlodipine 10mg/tab 1 tab OD
 Start Losartan 50mg/tab 1 tablet OD
 Order for CBC, urinalysis, serum creatinine and liver enzymes
COPC stands for?
 Community Outreach Program Center
 Community Oriented Public Care
 Community Operations Program Center
 Community Oriented Primary Care

You are presented with this case at the ER: a 3 year old child with edema of both feet, with diarrhea, and
inability to finish breastfeeding. What is the appropriate diagnosis?
 No Acute Malnutrition
 Moderate Acute Malnutrition
 Uncomplicated Severe Acute Malnutrition
 Complicated Severe Acute Malnutrition

When is the best time to do a home visit for a child who is not responding to treatment?
 Immediately after diagnosing the child as Failure to Respond to Treatment
 Before discharge to check if the social and environmental circumstances promote maintenance of
health
 After the 2nd visit when the child still shows no response to treatment
 Anytime to check the caregiver’s adherence to the treatment protocol

Which among the following is TRUE of Ready-to-Use Supplementary Foods?

 consumed directly from the package
 prepared from local food sources
 micronutrient powder should be added
 can be given to children as wet feeding or as dry take home rations

Which of the following featured skills qualifies as epidemiological rather than clinical?
 Appraisal of health status of “well” persons, such as pregnant women, well children; periodic
health examinations of adults.
 Treatment is according to diagnosis and depending on resources of patients and medical
institutions.
 Continuing observation
 Intervention on basis of survey findings, often before any illness notified or recognized

Recommended advise to be given to caregivers of children diagnosed with elevated BP are the following,
EXCEPT:
 Engage in low to moderate exercise 30-60 minutes at least 3-5 times a week but preferably daily,
unless with medical contraindication
 Avoid alcohol intake and caffeinated energy drinks
 Weight loss intervention for identified overweight and obese children until a normal BMI is
attained (weight loss of 1 to 2 kg per month)
 Decrease intake of high sodium content and calorie-dense food and beverages, and to increase
intake of fruits and vegetables to 3-5 servings/day

According to ADA, which among the following is true about glycemic targets in hospitalized patients?
 Insulin therapy should be initiated at >200 mg/dl
 Hospitalized patients should not be managed with insulin
 Glucose range of 140-180 mg/dl is recommended
 Sliding scale insulin regimen is strongly recommended
P.L, a 25 year – old female, G1P0, 25 weeks AOG was noted to have a BP of 140/90mmHg on 2
separate reading. There was no noted proteinuria on urinalysis. The patient has no subjective complaints.
Which of the following medications is most appropriate prescription?
 IV hydralazine
 Amlodipine 5mg/tab 1tablet OD
 Losartan 50mg/tab 1 tablet OD
 Enalapril 10mg/tab 1 tablet OD

An asymptomatic patient with BMI of 26, came to your clinic with the following laboratories: FBS 115
mg/dl, and A1c 6.1%. He has no comorbidities and there was no heredofamilial diseases noted. Which is
the most appropriate approach?
 Advise weight loss and increase physical activity
 Start Metformin 500mg 1 tab BID
 Start Insulin therapy
 Refer to Specialist

An asymptomatic 33 year old patient with a BMI of 22 and no family history of DM, came to your clinic
with the following labs: FBS 126 and A1c 5.6%. Which among the following is the best recommended
approach?
 Repeat FBS
 Start Metformin 500 mg BID
 Start Insulin treatment
 Refer to diabetologist

Which among the following falls under Community Oriented Care under the PFC Matrix?
 Barriers to Care
 APGAR
 Previous History of Hypertension
 Issues on disclosure of illness to children

Which among the following is a foreground question?

 “What causes hypertension?”
 “How can hypertension be treated?”
 “What is the accuracy of digital BP apparatus vs digital in diagnosing adult patients with
hypertension?”
 “Why do patients with hypertension present with no symptoms?”
Based on the forest plot, which among the following is TRUE?

 There is no difference between control and intervention in terms of BP control

 Both Control and Intervention is equal in terms of BP control
 Control is better than intervention in terms of BP control
 Intervention is better than control in terms of BP control

In conducting chart review, what is the recommended sample size of clinical records that should be
evaluated in the initial assessment?
 5-15 charts
 10-30 charts
 20-40 charts
 30-50 charts

You are appraising charts using the clinical pathways for hypertension. In one of the charts, the doctor
requests 12 L ECG, FBS, creatinine and lipid profile. How would you appraise this chart based on the
laboratory criteria?
 Adequately Done
 Partially Done
 Not Done
 Invalid

A 10-month old patient with MUAC of 126mm and normal WFH. What is the next best step?
 Consider the patient as normal
 Treat the patient as Mild Acute Malnutrition
 Provide 75 kcal/kg/day
 Assess for bilateral pitting edema

When the team is trying to figure characteristics of their chosen subject such as age, gender, disease
status and treatment status, inclusion or exclusion criteria, they are doing which step of chart review?
 Identifying measures
 Identifying the patient population
 Determining sample size
 Analyze and apply results
According to most practice guidelines, the diagnosis of DM among adults are based on the following
clinical manifestations, EXCEPT:
 Polyuria, Polyphagia, Polydipsia
 Nocturia
 Weight gain
 Blurring of vision, numbness, or non healing wound

A patient chart you are reviewing shows a 30 year old female obese patient who has an A1c of 5.9%.
Which of the following management will make you evaluate the chart as 1 or Adequately done based on
the DM pathway recommendation?
 Metformin 500 mg OD
 Metformin 500 mg BID
 Insulin therapy
 Refer to specialist

A patient with depression was brought to your clinic. You notice that the patient is not taking care of
himself well and even take note of his unpleasant smell. Despite your observations, you still decide to
listen to what the patient is saying. What active listening skill is being demonstrated in this case?
 Probing
 Attending
 Leading
 Bracketing

With the appropriate test, Ms. E Qual was noted to be sobbing and her partner nearby was quiet the
whole time trying to process everything. She asked you to give her the best medication possible to control
her Diabetes Mellitus. Where are they in the In the Trajectory of Illness:
 Stage I Onset of Illness to Diagnosis
 Stage II Impact Phase – Reaction to Diagnosis
 Stage III Major Therapeutic Effort
 Stage IV Early Adjustment to permanency of the outcome

The Institute of Medicine mentions that health care should provide benefits based on best available
evidence. Which of the six dimensions pertains in this statement?
 Safe
 Efficient
 Effective
 Equitable

Mrs, Spleng Da who is a diabetic on insulin treatment, was brought to the ER, unconscious. Which among
the following is the initial diagnostics to do as an acute care approach?
 12 L ECG
 CBG
 Cranial CT Scan
 CBC
Mrs. Spleng Da, a 64 y/o diabetic female, is presenting with abdominal pain and diaphoresis. She is
maintained on Metformin 500mg BID and insulin, but is lost to follow-up. CBG is at 350 mg/dl and
urinalysis revealed 50 pus cells/hpf with +4 glucose and +3 ketones. Which is the most appropriate initial
diagnosis?
 Diabetes mellitus
 Hypoglycemia
 Hyperosmolar hyperglycemic non ketotic coma
 Diabetic ketoacidosis

The involvement of comprehensive medical interventions based on evidence and standards of care are
COMPONENTS of which patient-centered matrix?
 Patient-Centered Care
 Family-Focused Care
 Community-Oriented Care
 Universal Health Care
Jimmy, 80/male sought consult at your clinic. On examination BP was recorded at 150/90 mmHg, RR:19
HR:85 T: 36.5C. Based from this information, the following statements are correct EXCEPT:
 A goal of less than 130/80 is recommended for most adults with hypertension.
 The recommendation for Danny’s case is to start therapy.
 For patients 80 years old and above, a therapeutic threshold of 140/90 mmHg to achieve a goal
BP of less than 130/90 mmHg is recommended.
 In high-risk individuals, concomitant lifestyle changes and with medical treatment is needed while
for those who are low risk hypertensives, this can be addressed with diet and lifestyle
modifications.
In order to better understand the available resources for the family to solve their own problem, which
family assessment tool is best to use?
 Family Map
 Genogram
 APGAR
 SCREEM

Which of the following factors would you give the least importance in admitting the patient to a Targeted
Supplementary Feeding Program (TSFP)?
 WFL/H Z-score -3 to < -2
 MUAC 13 cm
 Absence of bilateral pitting edema
 Infants and young children 6–59 months

In order to better understand the family’s heredo-familial diseases and other underlying factors of a
client's present illness, which Family Assessment Tool provides the doctor BETTER help?
 Family Circle
 Genogram
 APGAR
 SCREEM
A pregnant patient came for a prenatal exam in your health center. 75 gram OGTT was done which
revealed the following results: Fasting 90 mg/dl, 1hr postprandial 190 mg/dl, and 2 hr postprandial 160
mg/dl. Which among the following is TRUE?
 The patient does not have GDM
 The cutoff for GDM is Fasting of 92, 1 hr postprandial of 190 and 2 hr postprandial of 160
 Patients should repeat this lab and fasting should be at least 12 hours for OGTT
 Patient should be on GDM therapy

The STEP in COPC requires the researcher to have a good epidemiologic study of the differential
distribution of particular health conditions and the factors that determine their distribution.
 Implementation
 Preliminary steps
 Community health diagnosis and health surveillance
 Planning of intervention
C.A., a 50 – year old female, married with 2 adolescent children, was diagnosed with cervical cancer. As
the FM resident  - in – charge, you conducted a family meeting using the CEA model to assess and
manage psychosocial factors. This is what level of Physician Involvement?
 Level 1
 Level 2
 Level 3
 Level 4

Which of the following patients would you consider for discharge from the treatment program for MAM?
 Baby Girl, 8 months of age, admitted by MUAC, 12 cm by 2 consecutive visits
 Baby Boy, 2 years of age, admitted by WFL/H Z-score, -3 on the first visit and -2 on the second
visit
 Baby Girl, 6 months of age, admitted by MUAC, 13cm on first visit and 12 cm on second visit
 Baby Boy, 1 year of age, admitted by WFL/H Z-score, -2 on first visit and -1 on second visit

D.C. 3 years old was diagnosed to have acute gastroenteritis with no signs of dehydration, how would you
instruct his guardian for hydration with ORS preparation?
 Give D.C. 50-100 mL (1/4 to ½ cup) after each stool
 Give D.C. 100 mL (½ cup) after each stool
 Give D.C. as much fluids as tolerated after each stool
 Can drink as much or as little as he wants as long as food and water intake is adequate

Structure, Flexibility, and Resonance are placed under what part of the PFC Matrix?
 Patient-Centered Care
 Family-Focused Care
 Community-Oriented Care
 Universal Health Care
In many patients with type 2 DM, glucose levels are adequately controlled with lifestyle changes or oral
drugs, and insulin is added when glucose remains inadequately controlled by ≥ 2 oral drugs. The addition
of insulin is the most effective with which of the following oral drugs?
 Alpha-glucosidase inhibitors
 Insulin secretagogues
 Oral biguanides
 Sodium-glucose co-transporter 2 (SGLT2) inhibitors

Which among the following is a second order task for a newly married couple?
 Making room in the system for wisdom and experience of the elderly population
 Differentiation of the self in relation to the family of origin.
 Realignment of relationship with extended families and friends to include spouse
 Accepting marital system to make space for children

A 10 year old patient was brought to the ER due to pallor, dizziness, and noted to have decreased urine
output after having diarrhea for 3 days. The requested laboratory test revealed anemia, decreased
platelet count, and markedly increased creatinine levels. What possible complication of diarrhea BEST
describes these findings?
 Hemolytic Uremic Syndrome
 Acute kidney injury
 Concommittant Dengue fever
 Sepsis