11/5/23, 10:46 AM Communicable Disease Final Coaching

COMMUNICABLE DISEASE FINAL COACHING B. Knee extended and ankle fiered

1.The nurse is to explain to a client and his family c. Leg extended with resistance.
about transmission-based precautions. It was D. Hip, knee and ankle flexed
verbalized by the client that he felt "Unclean and
disliked" because of the perception that he was highly
communicable. The nurse's MOST appropriate 6. In the nursing care plan prepared by the nurse, "Pain
instructions would include: related to meningeal irritation" is a priority nursing
1) Protective equipment used by the staff are to diagnosis.
protect the client. Which of the following should the nurse avoid to do to
2) Precautions are temporary and continuously prevent pain when positioning the patient?
evaluated a. Extend leg
3) Proper hand hygiene before and after visiting b. Flex the neck forward
the client is very effective in preventing c. Hyperextend the neck
infection d. Flex the hip.
4) Patient care items like glasses, pitchers,
basin must always be in clean condition to 7. The nurse understands that this leucocytes is related
prevent spread of infection to phagocytosis,
a. Neutrophils.
A. 2,3,4 b. Eosinophils.
B. 1. 2. 3 c. Basophils.
C. 1, 2, 4 d. Monocytes
D. 1, 3, 4
8. When discarding used needles and syringes after
2. Lace administered as prescribed antivenom and injection to the patient, which of the following is
tetanus toxoid to a client admitted with history of appropriate nursing action?
snake bite. If you were the newly hired nurse, which of
the following will you consider INCORRECT? a. Remove needle from syringe and discard them
A. Tetanus toxoid enhance effect of in separate containers.
antivenom. b. Recap needle, then discard the needle still
B. Amount of antivenom is dependent on the attached to the syringe into a container,
severity of reaction than weight of the client. c. Discard the uncapped needle and syringe
C. Complications induced may be prevented by into a container in the nurse station;
the tetanus toxoid. d. Discard the uncapped needle and
D. Antivenom is an antidote for snake bite. syringe into a container in the patient's
room,
Situation: Worthy, 4 years old is positive for Bacterial
Meningitis. 9. The nurse caring for an immunosuppressed patient
is diligent about protecting the patient from infection.
3. From the history obtained from the mother, which of When visitors come in, in addition to having them put
the following could be the possible method by which on isolation garb, the nurse would prohibit them
the infection was transmitted to the patient? bringing:
A. Drinking water in the community was a. A battery -operated DVD player.
contaminated. b. Baked broccolli with beans
B. Contact with respiratory secretions of c. Potted plants.
an infected person. d. Boxed candy.
C. Hands of caregiver was contaminated with
local discharges, 10. The patient with the diagnosis of Clostridium
D. Eating utensits of the child were difficile infection asks what has caused the diarrhea.
contaminated. The nurse responds that it is caused by
a. protozoal infection.
4. The physician prescribed lumbar tap. When the b. fecal-oral contamination.
nurse reads the laboratory results, which of the c. inflammatory response,
following reflects positive results indicative of Bacterial d. long-term antibiotic therapy.
Meningitis?
A. Decreased white blood cells, decreased 11. The nurse would anticipate a caesarean birth for a
proteins, high glucose client who has which infection present at the onset of
B. Normal white blood cells, increased proteins, labor?
high glucose a. Herpes simplex virus type 2
C. Increased white blood cells, increased b. Human papilloma virus
proteins, low glucose c. Herpes simplex type 1
D. Increased white blood cells, decreased d. Toxoplasmosis
proteins, low glucose
12. Surgical asepsis is observed when:
5. Assessment findings reveal positive Brudzinski sign, a. inserting an intravenous catheter
When the nurse flexed the child's neck forward, which b. disposing of syringe and needles in puncture
of the following behavior indicated a positive proof containers
Brudzinski's sign? c. washing hands before changing wound
A. Hip flexed and knee Extended dressing

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d. placing dirty soiled linen in moisture resistant b. regular-check up

bags c. drug compliance
13. Which of the following examples reiate to d. chest and x-ray
medical asepsis to reduce and prevent the spread of 19. Primary diagnostic tool in NTP case finding:
microorganisms? A direct sputum smear microscopy
1) Practicing hand hygiene B. chest x-ray
2) Reapplying a stenile dressing C, sputum culture
3) Sterilizing contaminated tents D. tuberculin testing
4) Applying a sterile gown and gloves.
5) Routinely cleaning the hospital environment 20. The nurse is teaching a patient who is starting
6) Wearing clean gloves to prevent direct contact antitubercular therapy with rifampin. Which adverse
with blood or body fluids effects would the nurse expect to see:
A. 2,3,4 a. Headache and neck pain
1. 1,2,3,4,5,6 b. Gynecomastia
C. 1,4,5,6 c. Reddish brown urine
D. 1,5,6 d. Numbness or tingling of extremities

14. Which action by a new nurse signifies an 21. If the patient is considered as relapse in the
understanding about infection control? treatment. He will fall on what category of the short
a. The nurse touches the inside portion of the course chemotherapy?
gloves only when wearing gloves, a. category 1
b. The nurse washes gloved hands before b. category Ila
removing. c. category I
c. The nurse uses her bare hands to change the E. category IV
dressing 22. In providing follow up instruction to Mark who
d. The nurse applies standard precaution received mantous test in the physician's office on
to all types of patients. Tuesday. The nurse tells the patient to return to have
the results (reading) on which of the following days?
A. Saturday
15 Several clients are admitted to an adult medical B. Tuesday
unit. The nurse ivould ensure airborne precautions for a C. Friday / 48-72hrs
client with which medical condition? D. Sunday
a. Autoimmune deficiency syndrome (AIDS)
with cytomegalovirus (CMV) 23. What is the rationale that supports muiti drug
b. A positive purified protein derivative treatment for clients with tuberculosis?
with an abnormal chest x-ray A. multiple drugs potentate the drug actions
c. A tentative diagnosis of viral pneumonia with B. multiple drugs reduce undesirable side-effects
productive brown sputum C. multiple drugs allow reduced dosages to be
d. Advanced carcinoma of the lung with given
hemoptysis D. multiple drugs reduce development of
resistant strains of bacteria.
16. The nurse is assigned to a client newly diagnosed 24. A 24 year old male bar tender comes to the clinic
with active tuberculosis. Which of these protocols for physical exam and asks to be tested for AIDS. The
would be a priority for the nurse to implement? nurse explains that the initial screening for AIDS will be
a. Have the client cough into a tissue and done via:
dispose in a separate bag. A. waster blot test
b. Instruct the client to cover the mouth with a B. polymerase chain reactión
tissue when coughing. C. CD4'T cell count
c. Reinforce for all to wash their hands before D. ELISA/EIA
and after entering the room.
d. Place client in a negative pressure 25. When educating a female with gonorrhea, the
private room and have all who enter the nurse should emphasize that for women gonorrhea.
room use masks with shields. A. is often marked by symptoms of dysuria or
vaginal bleeding.
Situation: Khaki is a regular recipient of isoniazid B. does not lead to serious complication
tablets. His children are Boknoy, Z y/o and Lenien, C. can be treated but not cured
4y/o. You followed-up Mang Khaki for failing to get his D. may not cause symptoms / 80%
tablets. asymptomatic
17. You explained the Importance of early diagnosis/
treatment and convinced her to go to the health center 26. Jarisch-Hersheimer reaction may be experienced by
for the client with syphilis after therapy with benzathing
a. bronchoscopy penicillin G. The characteristic manifestations of
b. chest x-ray Jarisch-Herxheimer reaction are EXCEPT
c. direct sputum smear microscopy A. Hypotension
d. tuberculin test B. Tachyphea
18. Case finding is essential for the control of TB. C. Tachycardia
However, this is useful only when followed by: D. Hives
a. home visits

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27. A female client with gonorrhea informs the nurse d. Ladderlike progression of fever with rose
that she has had sexual intercourse with her bf and spots on the trunk / Pathogmonic sign
asks the nurse." would he have any symptoms?" the
nurse responds that in men the symptoms of 35. The nurse is reinforcing home-care instructions for
gonorrhea include: the parents of a 3-year-old child with scabies
A. impotence (parasitic infection). Which statement by a parent
B. scrotal swelling indicates the need for further teaching?(-)
C. urinary distention
D. Dysuria / + Pus discharge sa testes A."I understand that I need to leave the scabicide on
28. The following are nursing interventions for patient for 4 hours before washing it off. (should be 8hrs!)
with chickenpox, except: B.'I will need to seal up all my child's non - washable
A. give ASPIRIN for fever / Basta bata, viral, toys in a plastic bag for at least 4 days." CORRECT
wag magbigay! / May cause Reye’s Syndrome C.'I realize that everyone who has come in contact with
B. TSB my child will need to be treated for scabies." CORRECT
C. calamine lotion D. "I know I need to wash all the clothing and bedding
D. hypoallergenic diet in hot water with detergent and dry in a hot dryer."
29. Annie is diagnosed with chickenpox. Her mother CORRECT
asks how she might have gotten the disease. What Is
the mast appropriate reply? 35. A pregnant client at 16 weeks gestation has a
A. " Chickenpox is an expected childhood illness blood sample for rubella antibody screening drawn.
that everyone gets. The test results reveal a low titer (mababa
B. " It is transmitted from direct contact, antibodies niya / susceptible). When discussing the
droplet spread. results with the client, what is an appropriate nursing
C. " It is inherited and transmitted through the action?
D. genes. *Rubella is live attenuated! Bawala sa pregnant. After
E. " It is possibly a side effect of recent kapanganak, give immediately.
vaccinations."
30. The virus of the chickenpox is found in the a. Arrange for the client to have a measles-
A. contents of the vesicles and the crust (Crust, mumps-rubella (MMR) immunization.
hindi na nakakahawa)
B. discharges of respiratory tract b. Explain to the client that the results are what is
C. both expected.
D. neither
c. Counsel client regarding potential birth defects
31. Characteristics of rashes of Herpes zoster d. Instruct the client to receive the rubella
(reactivation of chicken pox): immunization immediately after delivery.
A. unilateral
B. vesiculopustular rashes 37. Malaria ( a protozoal parasite) is produced by
C. never cross the midline an intraerythrocytic parasite by the genus Plasmodium.
D. AOTA In humans, malaria is caused by four plasmodia. Which
among the following choices produces most severe
Sign na hindi na nakakahawa chickenpox: Kapag disease and is common in the Philippines?
natuyo na lesions.
In 4 strains of malaria, the Falciparum is the MOST
32. Most common virus that causes diarrhea: FATAL!
A. giardia lambasts / smells like rotten eggs a. P. falciparum
B. rotavirus b. P. vivax (common ALL OVER THE WORLD)
C. adenovirus c. P. ovale
D. norovirus: d. P. malariae

33. A serious, often fatal form of gastroenteritis usually 38. Administration of which substance provides
eating canned and processed food: passive immunity?
A. Botulism / In infant, bawal ang honey
sakanila. *Active contains antibodies. Passive gives short term
B. Salmonellosis / Present in eggs protection.
C. Cholera / Produces rice – watery stool a. Vaccines
D. typhoid fever b. Toxoids.
c. Antitoxins
Situation: Richard, a 22 yrs old male, was referred to d. Immunoglobulins
the public health nurse by one of the midwives in the
community. He is sick of typhoid fever (caused by 39. A 32-year old client came for consultation at the
bacteria). The PHN plans for a home visit. health center with the chief complaint of fever for a
week. Accompanying symptoms were: muscle pains
34. The typical symptoms that the PHN expects to see and body malaise, a week after the start of fever, the
in Richard is/are the following: client noted yellowish discoloration of his sclera.
a. Headache, diarrhea, and abdominal pain History showed that he waded in flood waters about 2
b. Maculopapular rashes and koplik spots. weeks before the onset of symptoms.
c. General malaise and difficulty in swallowing

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Based on his history, which disease condition will you

suspect? 45. A sputum specimen was collected from Mr. Ramos
a. Hepatitis A for culture and sensitivity (sa anong klaseng
b. Hepatitis B antibiotic siya namamatay). This study is to
c. Tetanus ascertain which of the following facts?
d. Leptospirosis (you get this from urine of a. The virulence of microorganism involved.
the rodents / daga) NOT exclusive sa tao, b. The antibiotics which would be most
pwede din sa pigs. helpful
c. The patients probably reaction to the causative
40. You are the PHN in the city health center. A client microorganism
underwent screening for AIDS using ELISA. His result d. The patient's sensitivity to antibiotics.
was positive. What is the best course of action that you
may take? 46. You are caring for a client who had a near-
a. Get a thorough history of the client, focusing drowning incident in a lake. Which assessment will
on the practice of high risk behaviors. / Should you perform to monitor for possible complications?
be done before ELISA.
b. Ask the client to be accompanied by a * When drowned, you have ingested possible infected
significant person before revealing the result. water.
c. Refer the client to the physician since he
is the best person to reveal the result to the A. Check the client's blood glucose level before
client. meals.
d. Refer the client for a supplementary test, B. Assess the client's bowel sounds three
such as Western blot, since the ELISA result times daily.
may be false. / Si Doc lang may trabaho C. Check the client's skin for petechiae daily
nito! D. Assess the client's temperature every 8 hours. /
41. A patient who has tested positive for the human Correct sana kaso dapat every q1hr!
immunodeficiency virus (HIV) arrives at the clinic with
a report of fever, nonproductive cough, and fatigue. 47. The effectiveness of nurse's teaching regarding
The patient's CD count is 184 cells/mcl. How should the take home prescribed antibiotic self-administration is
healthcare provider interpret these findings? indicated in which statement of the client?
a. These findings provide evidence that the A. "I will see to it that the medication
patient has seroconverted schedules synchronized with my daily
b. The patient lo now in the latent stages of HE routine.
c. The patient is diagnosed with acquired B. I have read the prescription and its specific
immunodeficiency syndrome (ADs). instructions
D.his is an expected finding because the patient d. I fully understand the beneficial effects of the
has tested positive for HIV. antibiotic"
C. I will report side effects immediately.
42. Post exposure treatment is giver to persons villo
are exposed to rabies. It consists of the following: 48. Where should you put Mr. Alejar, with Caregory I TB
*Rabies – treat wound with salt and water. Then put (Airborned)?
betadine.
A In a room with positive air pressure and at least 3 air
A. Local wound treatment exchanges an hour
B. Passive immunization / Rabies IG: based on B. In a room with positive air pressure and at least 6 air
weight then inject it in the wound site. exchanges an hour
C. Active immunization (vaccination) / Contains C. In a room with negative air pressure and at least 3
inactivated immunization: Immurab and air exchanges an hour
Verorab through ID D. In a room with negative air pressure and at
D. all of the above least 6 air exchanges an hour

43. The nurse is assessing a patient with typhoid fever.

She has documented an erythematous macules on
the patients trunk. She documents this as;
A. Bitot's spot / Signs of Vit. A deficiency 49. A new.technology adopted by the Prilippines for a
B Cullen sign / Found in pancreatitis rapid diargnasis of TB in less than 2 hours?
C. Rose spots / Typhoid Fever A. Chest X ray
D. Forscheimer spot / Found in German Measles B. Sputum Microscopy
C. Xpert-MTE/ RIF / 1ml of sputum lang need ;
44. A kid is receiving a series of Hep B vaccines and checks for Rifampicin resistance.
arrives for a second dose. Before giving the nurse D. Mantoux Test
should ask the kid and parent about a history of a
severe allergic reaction to what? 50. Which of the following anti TB drugs would least
likely allergic reaction?
A. Eggs / Flu vax, MMR, Varicella * LEAST Likely – Isoniazid
B. Penicillin / Neomycin *Most likely – Streptomycin
C. Sulfoniamides A. Rifampicin
D. Yeast B. INH

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C. Pyrazinamide 57. What type of immunity is attained if a patient

D. Streptomycin received Sinovac vaccine (Inactivated Vaccine)?
A. Natural Passive Immunity
51. Which of the following anti TB drugs is B. Natural Active Immunity
contraindicated to pregnant woman? C. Artificial Passive Immunity / Antibodies dito!
A. Rifampicin D. Artificial Active Immunity / Vaccine
B. INH
C. Pyrazinamide SITUATION: - You are caring for Rolando, 58 years old,
D. Streptomycin / ototoxic and this may was admitted because of difficulty swallowing and
result to bingi na bata sa pregnancy. stiffening of the neck. He has history of a wound
laceration on his right hand sustained while gardening.
52. In removing protective devices, which should be Physician suspects Tetanus infection.
the exact sequence?
58. While you were preparing to administer oxygen
Donning – Go Ma Go Glo inhalation, Rolando had seizures and assumed an
Doffing - Glo Gog Go Ma opisthotonic position.
1. Eye wear or goggles Which of the ff. correctly describe the position?
2. Mask A. Head retracted, back arched and
3. Gloves feet extended
4. Gown B. Neck, hip, knee flexed and feet plantar
A. 3,1,4, 2 flexed.
B. 1,3,9,2 C. Head flexed forward, jaw clenched,
C. 2,1,4,3 arms pronated. and feet plantar flexed
D. Head hyper extended hip flexed and
53. Which new admission should the nurse plan to feet extended.
place in a private room with negative-pressure airflow? 59. Taking into consideration the incubation period,
which of the following data in Rolando's health history
Airborne sakits = MTV on air. will you consider relevant?
A. Client with rubella a. positive for type 2 diabetes mellitus
B. Client with strep throat b. Immunization status uncertain, no booster
d. Client with measles / Extrapulmonary TB = Not dose administered
contagious c. Wound laceration, sustained a week
C. Client with TB of the bone ago, was treated at home / Possible
tetanus!
54. A nursing instructor asks a nursing student to d. Wound pain, unbearable and unrelieved by
describe human immunoglobulin (passive = short analgesic
term). The student correctly states that these types of 60. To decrease stimuli that cause muscle spasms
vaccine are: and seizures, which of the ff. nursing interventions is
A. Vaccine that has their virulence diminished LEAST relevant for you to do?
so. as to not produce a full blown clinical a. Maintain a quiet, well ventilated, and
illness. / Live darkened room.
B. Vaccine that contains pathogens made b. Administer sedatives as prescribed.
inactive by either chemicals or heat / c. Monitor for hazards of immobility / NOT
Inactivated RELEVANT!
C. Bacterial toxins that have been made d. Perform physical care during time of maximal
Inactive by either chemicals or heat sedation
D. Vaccines collected from pooled blood of
people and provide antibodies to variety 61. During a seizure, which of the ff, are you
of diseases expected to do
FIRST
S5. While you are preparing to administer a tetanus a. Monitor vital signs especially the respiratory
toxoid vaccination for Carlo who had a punctured rate.
wound, he tells you that he had tetanus shot just 1 b. Place a padded tongue blade in the patient's
year ago. What will be your BEST response? mouth
A. " Antibody production slows down as c. Provide mechanical ventilation.
you age. You need a booster." d. Turn patient to his side / To decrease
B. "You probably do not need another the risk for aspiration.
vaccination now.
C. it won't hurt to receive an extra dose of the Situation: Patient with Rabies
toxoid." 62. Nursing care of clients diagnosed with rabies is
D. you need this vacation because the strain of provision of this comfortable environment which
tetanus changes every year. is:
56. What antibodies is transmitted through breastmilk? a. Adequately supplied with food and water
A. IgG b. Quiet and dark
B. IgA c. Provided with soft music
C. laM d. Accessible to medication
D. IgD 63. Nursing intervention for the patient would include:
* Patient with rabies is hydrophobic!

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a. Covering the IV fluid bag with paper 70. The community health nurses primary concern in
b. Opening the windows in the room the immediate control of hemorrhage among
c. Bringing extra fan for the patient to avoid patients with dengue is:
hyperthermia. a. A. Advising low fiber and non-fat diet
d. Avoiding dim light Providing warmth through light weight covers.
b. Observing closely the patient for vital
Situation: Patient with Dengue signs leading to shock
64. Which of the following treatment should not be c. Keeping the patient at rest.
considered if the child has severe dengue 71. Which of these signs may NOT be REGARDED as
hemorrhagic fever? a truly positive signs indicative of Dengue H-
a. Use plan C if there is bleeding from the nose or fever?
gums a. Prolonged Bleeding Time.
b. Give ORS if there is skin petechiae, persistent b. Appearance of at least 20
vomiting and positive tourniquet test. petechiae within 1 cm square /
c. Give aspirin. Should be 2.5 cm – 1inch
d. Prevent low blood sugar c. Steady increasing hematocrit count
d. Fall in the platelet count
65. An important role of the community health nurse in 72. Which of the following was MOST likely the
the prevention and control of Dengue H-fever description of Bobby's fever prior to onset of hematuria
includes: that supported the physician's diagnosis of DENGUE
a. Advising the elimination of vectors by FEVER?
keeping water containers covered
b. Conducting strong health education * Dengue in fever is BIPHASIC / Saddle back
drivers/campaign directed towards proper = Continuous high fever for 2-4 days then nawala,
garbage disposal after 1-2 days bumaba, then bumaba.
c. Explaining to the individuals, families, a. Intermittent fever for 4 days
groups and community the nature of the b. Onset of fever was abrupt and
disease and its causation / Health remained elevated for 4 days
Education! c. Abrupt onset of fever and
d. Practicing residual spraying with insecticides sudden drop on the 4th day
66. Community health nurses should be alert in d. Gradual increase of body
observing a Dengue suspect. The following is NOT an temperature and sudden drop on the
indicator for hospitalization of H-fever suspects. 4th day
73. With proper medical care and early recognition,
Dengue warning signs: case fatality rates are below 1%. On the other hand,
*Minor – rashes special attention needs to be given to these warning
*Abdominal pain - hospitalized signs as it could lead to severe dengue: Select all
a. Marked anorexia, abdominal pain and that apply
vomiting.
b. Increasing hematocrit count Severe abdominal pain
c. Fever for more than 2 days / Not a Persistent vomiting
warning sign. Delikado ang dengue kapag Bleeding gums
Nawala ang lagnat! Vomiting blood
d. Persistent headache Rapid breathing
Fatigue/ restlessness
67. The community health nurses primary concern in Hemoptysis / Not kasama
the immediate control of hemorrhage among patients Headache/ Probable dengue; should be
with dengue is; persistent to be considered.
a. Advising low fiber and non-fat diet A1,2,3,4,5,6
b. Providing warmth through light weight covers B.1,2,3,4,5,6,7.
c. Observing closely the patient for vital C.1,2,3,4,5,6,7,8
signs leading to shock D.1,2,3,4,5,7
d. keeping the patient at rest
68. Which of these signs may NOT be REGARDED as a 74. The nurse understands that the cycle of
truly positive signs indicative of Dengue H-Fever? transmission of the Dengue Fever virus begins
a. Prolonged bleeding time during which of the ff.
b. Appearance of at least 5 petechiae / *Aedes aegypti is the mosquito.
Should be 20! *Dengue comes from human.
c. Steadily increasing hematocrit count *Pinanganak ang mosquito ng walang dengue – nangat
d. Fall in the platelet count ng tao na may dengue – nagka dengue and mosquito.
69. Which of the following is the most important *Dengue virus first comes from nonhuman primates.
treatment of patients with Dengue H-Fever?
a. Give aspirin for fever  Pagkakasunod: C B D A
b. Replacement of body fluids a. Infected mosquito bites an uninfected
c. Avoid unnecessary movement of patient human.
d. Ice cap over the abdomen in case of melena b. Virus multiply in the midgut of the
mosquito

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c. Mosquito feeds on an infected A. Nocturnal anal itching

human B. weight loss
d. Mosquito's saliva is invaded by the C. chronic or relapsing diarrhea
virus during subsequent biting of D. flatulence
infected human. 81 A client with neutropenia has an absolute
neutrophil count of 900. What is the client's risk of
75. To prevent transmission of the virus to others. infection
Which of the ff. Is MOST appropriate isolation *Normal neutrophils = 1,500 – 6,000
measure the nurse should implement in the care Mild = 1,000 -1,500
of Bobby? Moderate = 500 -1,000
a. Screen the environment / para di Severe = <500
mahawaan ng lamok. a. Normal risk
b. Blood and body secretion isolation. b. Moderate risk.
c. Use gown, gloves, and mask c. High risk.
d. Use strict universal isolation d. Extremely high risk.
technique 82. The nurse is reviewing the lab reports of a client
who is HIV positive. Which laboratory report provides
76. The mother is preparing for their discharge. She information regarding the effectiveness of the
tells the nurse that she is relieved that everything is client's medication regimen?
fine and her daughter is now immune to dengue. The a. ELISA
nurse replies based on the knowledge that: b. Western Blot
*Kapag nagka dengue ka, pwede ka ulit magka c. Viral load
dengue. d. CD4 count
a. Immunity against one serotype can lead to 83. A client with AIDS related CMV is started on
immunity to other serotypes. cytoven (ganciclovir). The nurse should tell the client
b. Immunity against one serotype does not that the medication will be needed:
make the individual immune to other
serotypes. *AIDS may cause Retinitis (blindness)
c. Immunity against all dengue viruses is based a. Until the infection clears
on the individual's immune response. b. for 6 months to a year
d. Cross-immunity to other viruses is possible c. Until the cultures are normal
only if infected with DEN-4 seratype. d. for the remainder of life.

77. The mother of a child whose chickenpox rash first 84. The nurse is caring for a client with suspected
appeared 8 days ago asks the nurse when her child AIDS dementia complex. The first sign of dementia
may return to school without being contagious. Which in the client with AIDS is:
of the following is the nurse's most appropriate *AIDS damages our neuron.
response? *First sign ng AIDS sa dementia:
a. Changes in gait
*Pwede na bumalik sa school kapag, dry na ang lesion. b. Loss of concentration
* 1 week bago matuyo. c. Problems with speech
a. ‘Your child cannot return to school until all d. Seizures
the lesions disappear."
b. "Your child is contagious as long as your child 85. A second year nursing student has just suffered a
is itching." needlestick while working with a patient that is positive
c. “The contagious state of chickenpox is for AIDS. Which of the following is the most important
generally 2 weeks. action that nursing student should take?
d. “Your child is not contagious and may
return to school now." *Post Exposure Prophylaxis – decrease the chance of
having AIDS to 80% basta within 72 hrs.
78. When planning the care of a client diagnosed with *TRUVADA na binibigay ngayon --> Take daily for 28
asymptomatic herpes simplex virus type 2 (Hsv-2) / days within 72 hours.
Genital Herpes ; Viral (di effective antibiotic
dito), Which of the following should the nurse a. Immediately see a social worker
consider? b. Start prophylactic AZT treatment
c. Start prophylactic Perkamide treatment
a. There is no risk of transmitting the condition to d. Seek counseling
anyone else
b. After prescribed treatment, herpes simplex Situation. The Department of Health has vowed to end
virus type 2 is cured / can’t be cured na. Neglected Tropical diseases (NTDS) by 2030. In the
c. An antibiotic is used successfully in the Philippines, the NTDs that are prevalent include leprosy
treatment / can’t be cured by antibiotic. and rabies. One of the strategies to address this goal is
d. The client is a carrier, and still able to through conduct of Health Education program.
transmit the
79. The nurse assesses vihal clinical manifestation to 86. Public Health Nurse Gabriels is educating a group
be the priority in a child with Enterobius (pinworm) / of residents in Community X about rabies, A partcipant
pwet worm: asks, "How can you get the virus?" The nurse explains
*Scratch tape test before mag cr that the virus can be transmitted by which source?

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A. Saliva 93. Which of the following is NOT included in the

B. Blood control measures in infected birds?
C. Urine A Restrictions on the movement of the live poultry.
D. Stool B. Rapid destruction of all infected or exposed birds
C Transferring of the live poultry in another area
87. She emphasized that the bites, which are or location.
responsible for nearly 99 percent of human rabies D. Vigorous disinfection of poultry farms
infections, are those of the infected
a. Monkeys 94. There are measures that should be observed by the
b. Dogs humans to prevent bird fu infection. Which of the
c. Bats. following is NOT includes?
d. Cats
88 Nurse Gabriela explains that there are situations a. Non-poultry workers should avold contact
which increase risk of rabies. These are with the chickens and ducks as much as
possible.
a. stray dog bites b. All poultry farm workers should be
b. All of these given the current season's flu vaccine,
c. unprovoked bites c. Avold eating chicken or any poultry products
d. Animals display abnormal behavior. until the epidemic has abated
d. Advise people on proper cooking of poultry
89. In another health education session, Nurse meat and eggs.
Gabriela: explains about LEPROSY. Which of the
following should be included: 95. For patients with bird flu infection, health care
workers should observe the following, EXCEPT:
Treatment for leprosy: Multi Drug Therapy
- Rifampicin, Dapsone, Lamprene a. Establish a separate isolation facility
1. Leprosy is curable. b. Utilize Personal Protective Equipment (PPE)
2. Not all leprosy patients are infectious. / c. Avoid going near the patient as müch as
Kapag 1 week na uminom ng gamut, di na possible.
nakahahawa d. Apply the principles of handwashing.
3. Leprosy is hereditary.
4. Casual contact with a patient causes leprosy / 96. Which of the following has been recognized as a
Prolonged S2S dapat! significant risk factor for the development of
5. Regular and adequate treatment, is acute respiratory distress syndrome (ARDS) and
essential. death in patients with COVID-19?
90. Nurse Garbriela stated that a definitive a. Decreased Lactate dehydrogenase levels.
diagnosis of Leprosy is obtained through b. Elevated D - dimer tests / Malapot ang
a. blood examinations dugo = prone to Stroke / DVT /
b. Tuberculin testing Thromboembolism
c. Skin smears/biopsies / Fresh lesions! c. Neutropenia
d. Nasal smears d. Lymphocytosis

Situation: - In recent months, "bird flu" of avian 97. Syphilis is another infection that may impose risk
influenza caused a significant concern among the during pregnancy. Since we are under the practice of
people especially those in Central Luzon and Metro health science, you know that Syphilis is caused by:
Manila. It is both an emerging and re-emerging A Treponema Syphilis
infection, B. Neisseria gonorrhoeae
C Chlamydia Trachomatis
91. Which of the following statement is TRUE about D.Treponema Palidum
"bird flu?”
a. All forms of bird flu can easily cause 98. Under the second level of prevention, you know
illness to humans. that one the focuses of care is the screening of
b. Domestic poultry flocks are much less diseases screening test for syphilis?
vulnerable to infections.
c. Infected chickens can also infect a. VDRL
domestic animals like cats and dogs. / b. Western blot
Pig and Ducks! c. PSA
d. Only birds are normally infected d. ELISA
by the viruses, less commonly
pigs. 99. Which of the following are recommended infection
control measures upon arrival of a patient with
92. When humans are infected, the following signs and suspected COMo-19
symptoms of bird flu may appear, EXCEPT: a. Rapid triage of symptomatic infection
a. Fever b. Implement respiratory hygiene and
b. Sore eyes/Sore throat cough etiquette;
c. Chicken rashes c. Have a separate, well ventilated space
d. Body weakness that alus waiting symptomatic, patients
to be separated by 5 ormore feat.

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d. All of the above What is considered to be the underlying mechanism for

anosmia?
100. Which of the following is the most effective * Aquesia – loss of taste
method for prevention of COVID-19 infection in the *Anosmia – loss of smell / smell
health care setting? a. Apoptosis of frontal lobe neurons related to
a. Avoid exposure viral infection
b. Vaccination b. Viral injury of nasal respiratory epithelium
c. Handwashing c. Viral injury of nasal sensory olfactory
d. All of the above epithelium
d. Viral injury of the olfactory bulbs
101. Nurse Leah cautioned the nursing student that
client can develop multi drug resistant TB even to the 106. A 60-year-old male is admitted from home with
most 2 powerful anti TB agents. The MOST suspected COVID-19 infection due to fever and dyspea.
powerful anti TB agent according to World Health He has otherwise been well and has no other medical
Organization are: history of note. He is being assessed in the admissions
a. Isoniazid and Rifampicin unit and COVID-19 infection is probable. He complains
b. Isoniazid and Ethambutol of a 5-day history of progressive fever and more
c. Rifampicin and Ethambutol recently has been concerned by dyspnea.
d. Rifampicin and Streptomycin
e. Examination reveals a temperature of 38.5 °C, a pulse
102. Nurse Leah and the nursing student prepared the rate of 98 bpm regular, blood pressure of 112/78 mHs,
client for discharge. They made sure that the client respiratory rate of 18/min and his oxygen saturations
would submit sputum for TB treatment monitoring. are 92% inroom air. His chest is clear on examination,
Which is the CORRECT schedule for sputum smear Investigations return with normal FBC and a CRP of 30
analysis? mg/) (normal range <5).
a. At the end of the 1st, 3rd and 6th month. Which of the following would prompt his admission
b. At the end of the first, 3rd and 5th month. rather than discharge?
c. At the end of the 2nd, 5th and 6th a. Oxygen saturations of 92% on room air
month. b. Pulse 98 bpm regular
a. At the beginning of the 1st, 3ed and 6th c. Respiratory rate of 18/min
month. d. Temperature of 36.5 °C / High fever is
103. Where should you put Mr. Alejar, with Category I expected!
TB?
107. A 42-year-old female calls her GP surgery for a
a. In a room with positive air pressure and at teleplone consultation. She has a two-day history of
least 3 air exchanges an hour fever, sore throat and dry cough.
b. In a room with positive air pressure and at She has a past history of Addison's disease for which
least 6 air exchanges an hour she takes hydrocortisone 10 mg bd. She is suspected
c. In a room with negative air pressure and at to have COVID-19 infection. She has mild symptoms
least 3 air exchanges an hour presently and doesn't feel too bad.
d. In a room with negative air pressure
and at least 6 air exchanges an hour Her call is to enquire how to best manage her
104. A 72-year-old female is admitted with severe steroid replacement. She is speaking in full
COVID-19 infection having developed fever and sentences and explains that her temperature is
progressive breathlessness 7 days earlier. She has a currently 375 9C.
history of hypertension, for which she takes ramipel 10 Last week her husband, who is a healthcare assistant,
mg dally and amiodipine 10 mg daily. Her dinical was diagnosed with COVID-19 following a positive
condition detergigies despite high flow of oxygen. The throat swab.
cntical care team is called, and it is decided to transfer
the patient to ITU for ventilation, Roughly, what is the Which of the following is the most appropriate
crude mortality rate amongst such patients requiring approach to the management of her Steroid
mechanical ventilation? replacement therapy?
a. 1 a. Advise her to half the dose of her
b. 10& hydrocortisone
c. 50 % b. Continue on the current dose of
d. 70 % hydrocortisone
c. Double the dose of the hydrocortisone
Aquesia – loss of taste for the duration of the illness / To cope up
Anosmia – loss of smell / smell with stress / STEROIDS IN ADDISONIAN
CRISIS IS LIFE SAVING!
105. A 23 year old female physiotherapist presents d. Switch hydrocortisone to once daily
with symptoms of fatigue and anosmia. dexamethasone as evidence suggests that
She has no other symptoms. And her temperature is hydrocortisone may be assoclated with a worse
36.79C. As she works with patients, she is tested for prognosis
COVID 19 infection and is found to be positive through
RT-PCR testing of pharyngeal and nasal swabs. 108. A 55-year-old female is admitted to the hospital

Anosmia is an increasingly sign of COVID-19 infection. with fever and dyspnea. On initial examination, her
temperature is 38.3 °C, pulse 88 bpm, blood pressure

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112/80 mmg and oxygen saturations are 94% on 5 L of d. Streptomycin

oxygen.
113. Domiciliary treatinent of leprosy is embodied in:
She is suspected to have COVID-19 infection. As part of a. R.A. 4673 – Treated at home. 1 week
the investigations, a chest x-ray is performed which after tx, di na nakakahawa.
shows the following: b. R.A. 3573
a. Bilateral pleural effusions c. PD 996
b. Hilar lymphadenopathy d. R.A. 8504
c. Lobar consolidation
d. Peripheral ground glass 114. Leprosy is a chronic mildly communicable disease
pacification that mainly affects the following, except:

109. You are called by a neighbor to attend to his wife *MAIN TISSUES – Skin, MM, PN, Testes
who is 78-years-old and has collapsed in their house. a. Peripheral nerves
She has been ill and has had flu-like symptoms. She b. Skin
has had breathlessness, which has rapidly deteriorated c. Mucosa of upper respiratory tract
and culminated in her collapse. She collapsed about 3 d. Large Bones / SMALL BONES!
minutes ago and the neighbor knows you are a medic DALIRI, NOSE.
and has sought your help. You enter the room and find 115. The late signs and symptoms of leprosy are the
the patient unresponsive, with no respiratory effort. following, except:
and she is pulseless. You suspect that she has arrested a. Nasal obstruction / Early
as a consequence of COVID- 19 infection. The b. Lagopthalmos / Inability close eyelids
neighbour has dialled 911 and an ambulance has been c. Madarosis / Loss of kilay
dispatched. d. gynecomastia
116. World Health Organization (WHO) classified
How do you resuscitate this patient? leprosy in the basis of modern management of Multi-
a. Do not commence CPR as you have no Drug Therapy. In what classification when a patient
protective equipment and treated within G-9 months with non-infectious type?
aerosolisation is well described with a. lepromatous
CPR. Await arrival of the ambulance b. borderline
b. Do not give CPR and try and get a c. multibacillary
defibrillator from a park nearby d. Tuberculoid
c. Provide chest compressions only
d. Provide CPR at a ratio of 15 chest 117. The focus or emphasis of our nursing
compressions 1 1 breath management of patients with leprosy is on
prevention of having the disease and prevention
110. A 45-year-old male presents with deterioration of of complication, which includes the following:
breathlessness. His initial symptoms began 7 days ago
with a dry cough and fever. He has more recently 1) Health education on the nature of the
developed dyspnea. RT-PCR of throat and nasal swabs disease
returned 2 days ago confirming COVID-19 infection. His 2) Advocate healthful living through
symptoms of breathlessness have progressed over the proper nutrition, adequate rest, sleep
last 2 days. On examination, his temperature is 37.9 and good personal hygiene
°C, pulse 90 bpm reg, blood pressure 112/80 mmlig, 3) BCG vaccination
oxygen saturations are 90% at rest ( severe 4) Appropriate footwear
hypoxia na) on room air and he has a respiratory rate 5) Note change of address of patient
of 26/min.
Which of the following signs would define this patient a. 1, 3 and 5 only
as severe infection? b. 1,2, and 3 only
a. BP. 112/80 mmHg c. 1,2,3 and 4 only
b. Pulse 90 bpm d. 1,2,3,4 and 5
c. Respiratory rate 26/min 118. A pregnant client at 16 weeks gestation has a
d. Saturations 90% at rest blood sample for rubella antibody screening drawn.
• The test results = reveal a low titer. When discussing
111. Extra-pulmonary, Previously treated drug the results with the client, what is an appropriate
susceptitie (whether bacteriologically confirmed or nursing action?
clinically -diagnosed - CNS/bones or joints) is
categonzed as: A Arrange for the client to have a measles-mumps-
a. Category 1 rubella (MMR) immunization.
b. Category 2 B. Explain to the client that the results are what is
c. Category 2A expected
d. Category 3 C. Counsel client regarding potential birth defects.
D. Instruct the client to receive the rubella
112. Which of the following anti TB drugs is immunization immediately after delivery.
contraindicated to pregnant woman?
a. Rifampicin 119. When preparing a teaching plan for a client who Is
b. INH to receive a rubella vaccine during the postpartum
c. Pyradinamide

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period, the Nurse should include which of the e. causes severe electrolyte imbalances.
following?
126. A nursing student approaches an instructor
*Rubella is teratogenic. Wag magpabuntis for 3 months following a needle stick to the finger from a needle
muna. used for an injection with a known HIV positive cient.
a. The vaccine prevents a future fetus Which instructor statement is most accurate?
from developing congenital anomalies a. Post exposure prophylaxis will
b. Pregnancy should be avoided for 3 need to be started within 1 to 2
months after the immunization hours / for 28 days
c. The client should avoid contact with b. HIV antibody
children diagnosed with rubella c. Testing will need to be done in 6
d. The injection will provide immunity weeks and then again in 3 months.
against the 7-day measles. d. At the end of the clinical shift, you
Situation: Nashsep, 35 years old is HIV positive, Aside should make an appointment to see
from fatigue, Nashsep has no other complaints. your health care provider,
120. The result of the Enzyme Linked Immunosorbent e. Flush immediately with water for 10
Assay (ELISA) test was positive. The nurse understands minutes and cover with a bandage and
that this is a test to determine the presence of glove.
a. HIV antibody 127 When educating a female cent with gonorrhea, the
b. Actively replicating HIV nurse, should emphasize that for women gonorrhea
c. HIV-antigen antibody response a. is often marked by symptoms of dysuria or
d. Increased CD4 cell count vaginal bleeding.
121. Which among the following body ftuids transmits b. does not lead to serious complications.
HIV AIDS causative agent? c. can be treated but not cured.
1. blood d. may not cause symptoms until serious
2. vaginal secretions complications occur
3. seminal fluid
4. amniotic fluid 128. Jarsch-Herxheimer, reaction may be experienced
5. breastmilk by the chient with syphilis after therapy with
6. Saliva benzathine penicillin G. The characteristic
A. 1,2,3,4,5 manifestations of Jarisch-Henseimer reaction are:
B. 1,2,3.5 a. Rashes, itchiness, hives and pruritus
C. 1,2,3,4,5,6 b. Confusion, drowsiness and numbness of
D. 6 extremities
c. sudden episode of hypotension, fever,
122. A positive HIV antibody test like ELISA and tachycardia; and muscle aches = Mild like
Western blot indicates? shock signs!
• the patient has been infected with the d. Episodes of nausea and vomiting, with
virus, and the body has produced antibodies bradypnea and bradycardia
• HIV is active in the body, and the patient can 129. A pregnant woran is in the clinic for consultation
transmit the virus to others. with regards to STD'S. She inquires about Venereal
• Despite HIV infection, the patient does not warts and asks you about its specific lesion
necessarily have AIDS. appearance. Which of the following is your correct
• The patient is immune to HIV response to the chient?

123. Diarrhea in AIDS patient is called: a. Why are you asking about it? You might be a
a. Amoebiasis prostitute woman
b. Toxoplasmosis b. The lesions appear as caulifiower like
c. Cryptosporidiosis / Chronic lesions.
Diarrhea c. It appears as pinpoint vesicles surrounded by
d. Dysentery erythema.
d. The lesions can possibly obstruct the birth
124. This is the law that protects AIDS patient/patients canal
with HIV and health care workers.
a. R.A. 8054 / old HIV law 130. Zika is only a mild infection yet causes lifetime
b. R.A. 11166 effect on infants born with mother infected. What
c. R.A. 8504 complication commonly affects infants?
d. R.A. 8505
*Zika can be transmitted through sexual contact.
125. The primary reason that a herpes simplex virus a. Hydrocephalus
(HSV) infection is a serious concern to a client with HIV b. Microcephaly
Infection is that it c. Multiple Sclerosis
a. is an acquired immunodeficiency d. Guilian barre Sydrome
virus
b. (AIDS) defining illness. 131. Nurse Shalom explains to a mother whose ter-year
c. is curable only after 1 year of antiviral child just received a tetanus toxoid injection that the
therapy. toxoid vaccine confers which of the following
d. leads to cervical cancer. immunity?

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a. Long-lasting active immunity c. Intensify health information and advocacy

b. Lifelong natural immunity campaigns in its prevention control and
c. Intermediate artificial immunity elimination
d. Short-acting passive immunity d. Intensify environmental sanitation such as
proper drainage and cleanliness of
132. Should an outbreak of an gastrointestinal illness surroundings
resulting from an food-borne pathogen happens, Nurse 139. Paragonimus westermani or the Oriental Lung
Naomi would likely to think that this is a/an; fluke causes infection in the human population by
a. Attack rate eating inadequately cooked crabs and crayfish.
b. Secular trend Patients with paragonimiasis are usually misdiagnosed
c. Point source to have:
d. Event related cluster. *DOC – Praziquantel
a. Malaria
133. Which of the following denotes the resistance of b. Bacillary dysentery
an entire community to an infectious agent as a result c. typhoid fever
of the immunity of a large proportion of individual to d. Pulmonary tuberculosis
the agent? 140. Prevention of infection from entamoeba histolytica
is BEST done through which of the following practices?
a. Active immunity *Itsura ng tae sa amoeba = BLOODY MUCOID STOOL
b. Passive Immunity a. Eating only organic vegetables
c. Natural Immunity b. Washing food very well
d. Herd Immunity c. Cooking food properly
d. Boiling of water from questionable
Situation: - The department of health reported that source
filariasis is endemic in 45 out of 78 provinces in the
Philippines. You are assigned of province in Sarangani 141. Giardiasis is a disease caused by a flagellated
one of the endemic areas You know that filariasis protozoan and its prevalence is associated with which
carries a social stigma oving to the disfiguring of the following conditions?
appearance brought by the disease 1. Poor environmental sanitation
134. You recall that filariasis is caused by parasitic 2. Poor hygiene
nematode known as 3. Improper cooking of food / WATER!
a. Wuchereria bancrofti 4. Overcrowding
b. Necator americanus 5. Malnutrition
c. S. Heamatobium
d. Plasmodium falciparum A. 2,4,5
B. 1,3,4
135. The disease is transmitted to a person though C. 1,2,4
bites of an infected fernale mosquitos, known as D. 2,3,5
a. Aedes aegypti = Dengue zika
b. Cules Situation: The Department of Health has vowed to end
c. Anopheles = Malaria Neglected Tropical diseases (NTDs) by 2030.
d. Aedes poecillus In the Philippines the NTDs that are prevalent
include leprosy and rabies. One of the strategies to
136. You received a 36 -year-old man who was brought address this goal is through conduct of Health
by his wife to be tested for filariasis. The most likely Education program.
diagnostic test that he will undergo Is
*NBE – after 8pm. 142. Public Health Nurse Gabriela is educating a group
a. Immunochromatographic test (ICT) of residents in Community X about rabies. A participant
b. Rumpel Lead Test asks, "How can you get the virus?" The nurse explains
c. Urinalysis that the virus can be transmitted by which source?
d. Stool examination a. Saliva
137: A client in the ACUTE stage of filariasis will b. Blood
included which of the following clinical findings?" c. Urine
d. Stool
a. Hydrocele lymphedema, elephantiasis 143. She emphasized that the bites, which are
b. Lymphadenitis, lymphedema and orchits responsible for nearly 99 percent of human rabies
c. Orchitis, hydrocele, elephantiasis infections, are those of the infected
d. Lympangitis, lymphadenitis, epideymitis a. monkeys
b. Dogs
138. Effective methods that the government would c. Bats
likely to pursue to eliminate filariasis in the country are d. Cats
all of the following EXCEPT: 144. Nurse Garbrieta stated that a definitive diagnosis
of Leprosy is obtained through
a. Vaccination of all susceptible in high risk a. blood examinations
areas and high-risk population b. Tuberculin testing
b. Pursue annual mass drug administration using c. Skin smears/ biopsies
to drugs in all endemic areas for five d. Nasal smears
consecutive years.

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145. A nurse is teaching the mother of a child how to c. 1, 2,4

control and treat a problem with pediculosiscapitis d. 1,2,3,4
(head lice).
149. Which of the following is the drug of choice for
What is the most important information the nurse typhoid fever?
should give to the mother? a. Amoxicillin
*Permithrin shampoo is not used daily! d/t b. Chloramphenicol
nakakasira ng utak. c. Gentamycin sulfate
*Kung uulitin, dapat may interval ng 7-10 days. d. Cyclosporins
a. 1% permethrin (Nix) should be applied to the 150. Which of the following has been recognized as a
scalp daily for a week. significant risk factor for the development of acute
b. The clothing and bed linens should be respiratory distress syndrome (ARDS) and death in
thoroughly washed. patients with
c. The 1% permethrin (Ni) rinse should not COVID-192
be used again for 7 to 10 days. a. Decreased Lactate dehydrogenase levels,
d. Other children in the family will not need to b. Elevated D - dimer tests
be treated with 1% permethrin (Nic). c. Neutropenia
d. Lymphocytosis
145. A child is diagnosed with head lice, and the
mother asks how she should get the nits out of her COVID patient should isolate:
child's hair. The nurse should instruct the mother about - Mild symptoms: Isolate for 10 days after the
which of the following concerning head lice treatment? first s/sx.
a. After the hair shampoo treatment with - Severe symptoms: 20 days after first s/sx.
permethrin (Nix), the mother should use a Quarantine
fine tooth comb to remove the remaining
nits.
b. Apply the treatment to the scalp and leave it
on for & to 14 hours, then wash off and repeat
in 48 hours.
c. Hair shampoo treatment should be repeated
every day for 7 days.
d. Apply the antiviral topical agent directly to
the hair shaft, then shampoo normally.

147. A client receiving oral antifungai therapy for

fingernail fungus (onychomicosis) should be aware of
which of the following?
*Sa fingernails – 2 months
* Toenails – 3 months.

a. single dose of an oral antifungal agent is

usually sufficient.
b. Oral therapy is not effective in completely
eradicating fungal nail infections.
c. The medication should be taken twice daily
for only 1 week.
d. Nail fungal infections are difficult to
eradicate and require prolonged therapy.

148. Monkeypox is a viral zoonotic disease that

occurs primarily in tropical rainforest areas of central
and west Africa and is occasionally exported to other
regions. Monkeypox is usually a self-limited disease
with the symptoms lasting from 2 to 4 weeks. Severe
cases can occur. In recent times, the case fatality
ratio has been around 3-6%. What are the
possible transmission of the disease?

*Kahit tuyo, nakakahawa pa din siya.

a. oral sex with a person with
monkeypox
b. massaging a person with monkeypox
c. prolonged face to face direct contact
with a person with monkeypox
d. contact with respiratory secretions of
a person with monkeypox
a. 1,4
b. 2,3

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