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PREPARE YOURSELF IN NACTE RCH EXAM THIS YEAR
SECTION A: MULTIPLE CHOICE QUESTIONS
1. The major goal of Focused Antenatal Care (FANC) is to help women maintain normal pregnancies through:
A. Routine antenatal visits and proper abdominal examination
B. Individualized care to help maintain a normal pregnancy
C. Through assessment of diet/nutrition status
D. Through assessment of fetal wellbeing
E. Provision of adequate nutrition
2. The following is one of the step involved in closing a session:
A. Collect appropriate teaching aids
B. Linking to another activity
C. Discuss subject matter
D. Arrange next sessions
E. Introduce topic
3. One of the following is the component of Reproductive and Child Health (RCH) services:
A. Prevention and management of RTI/STIs and PMTCT
B. Management of obstetric emergencies
C. Dental services for pregnant women
D. Blood transfusion services
E. Cervical cancer screening
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BANK QUESTION OF REPRODUCTIVE AND CHILD HEALTH (RCH)
4. One of the following is among the Safe motherhood intervention.
A. Antenatal Care (ANC) checkup
B. (Tetanus Toxoid) TT immunization
C. Provision of women friendly care
D. Safe delivery anemia control
E. C and D
5. The following are the steps to be followed when conducting health education:
A. Ask for permission, prepare environment, Conduct evaluation, and conduct
session
B. Ask for permission, prepare session, prepare incentives and conduct session
C. Prepare session, prepare environment, conduct session and evaluate session
D. Prepare incentives, prepare beverages, prepare session and conduct session
E. Prepares session, prepare beverages and conduct session
6. The following is among the major causes of perinatal mortality:
A. Congenital anomalies
B. Congenital anemia
C. Congenital malaria
D. Meconium plug
E. Neonatal sepsis
7. The major goal of Focused Antenatal Care (FANC) is to help women maintain normal
pregnancies through:
A. Routine antenatal visits and proper abdominal examination
B. Individualized care to help maintain a normal pregnancy
C. Through assessment of diet/nutrition status
D. Through assessment of fetal wellbeing
E. Provision of adequate nutrition
8. What would you advice a woman who forgets to take one contraceptive pill more than 12
hours?
A. Stop using the contraceptive and plan to start the next month
B. Continue taking pill normally and use backup such as condom
C. Take two pills at once with food
D. Take two pills plus condom
E. Change to Depo-Provera
9. Dr John attended Rehema Ndimbo as a new client of family planning services. He
inserted implant as the client’s method of choose after counselling. Basing on
reproductive and child health (RCH) card flow, which card should he supposed to fill the
family planning information?
A. Reproductive and child health (RCH) card number 5
B. Reproductive and child health (RCH) card number 4
C. Reproductive and child health (RCH) card number 1
D. Reproductive and child health (RCH) card number 3
E. Reproductive and child health (RCH) card number 6
10. The following are the risk factors contributing to perinatal mortality, this risk factor the
community should know and work on solving:
A. Poor maternal health and low socio-economic status
B. Multiple pregnancy and antepartum hemorrhage
C. Low birth weight and intrauterine hypoxia
D. Congenital anomalies and birth asphyxia
E. Intracranial injury and birth asphyxia
11. Madam Beatha is a city college matron; she delivered a 3.6kg male baby three weeks ago. During
antenatal period, the baby received the antibody against rubella from her mother through the
placenta and therefore the child is now immune against rubella. What type of immunization is this
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity
12.In providing preventive therapies in rape survivor, the following are the best options
A. Administer the first dose of PEP as early as possible
B. Offer PEP promptly, preferably within 2 hours but not later than 72 hours after the
survivor was raped
C. Rape survivors presenting later than 72 hours after being raped should not be offered
PEP.
D. Determine HIV status before administering PEP in order to prevent the potential for
developing drug resistance
E. Refer the person to an HIV care and treatment center for enrollment and further
management.
13. Ibugulu was involved in a fight and sustained foot injury by a sharp object. In one of the
management of his wound, the doctor ordered him to be injected with tetanus toxoid (TT) to
prevent tetany. What type of immunity did Ibugulu develop following administration of TT?
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity
14. Dr. Mabula went back to his village while suffering from mump viral infection. And the disease
is highly contagious; however he wondered as to why no any other person suffered the same
diseases in that village. Later during his stay at the village he realized that, the society was
immune against that disease. What type of immunity was this?
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity
15. Magdalena is university student in Dar es Salaam but she comes from village where she was
exposed to different antigens i.e. bacteria, virus, fungi and different pollens and therefore she had
suffered different infections during childhood. These exposure/infections have made her to be
immune to different diseases in the city of Dar es salaam. This immune of Magdalena can be
explained by what type of immunity?
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity
16. One of the following is a killed vaccine
A. Rotavirus
B. Pentavalent vaccine
C. Measles vaccine
D. Oral polio vaccine
E. BCG vaccine
17. The mother has a 21 day old female baby following home delivery. She attends the first visit at
RCH clinic. Which of the following vaccines will be given
A. BCG
B. OPV0
C. OPV1
D. PCV1
E. Pentavalent-1
18. After performing an assessment on a 2 years and six month old male child, the information of this
child should be recorded on which card?
A. RCH 1
B. RCH 2
C. RCH 3
D. RCH 4
E. RCH 5
19. One of the important services offered postnatal is family planning. If you are a health care
provider at RCH, on which card you would record the family planning services
A. RCH 1
B. RCH 2
C. RCH 3
D. RCH 4
E. RCH 5
20. The screening tool for gender based violence contains a total number of how many questions?
A. Four
B. Five
C. One
D. Two
E. Three
21. The following are the types of violence which are covered in the Abuse Assessment Screening
Tool
A. Neglect, VAC and economic violence
B. Physical, sexual violence and safety of the survivor.
C. Emotional, physical, and sexual violence
D. Physical, economic and neglect violence
E. Sexual, emotional and neglect violence
22. The direct cause of maternal mortality include
A. Malaria
B. Anaemia
C. HIV/AIDS
D. Hemorrhage
E. Gestational diabetes
23. Child survival and safe motherhood (CSSM) is defined as
A. Intergrated reproductive health services with focus to reduce infant mortality and
morbidity
B. Maternal morbidity and mortality reduction oriented actions to improve women’s
reproductive health
C. Reproductive and child health with focuses to reduce child survival and maternal
morbidity and mortality
D. Any action that might improve women’s reproductive health with focus on increasing of
maternal morbidity and mortality
E. It include kangaroo mother care and skin to skin contact between the mother and child
24. Maternal mortality ratio: Number of pregnancy associated deaths per 100,000 live births.
According to Tanzania demographic health survey 2015/16, the current maternal mortality ratio
is
A. 556 deaths per 100,000 live births
B. 556deaths per 1000 live births
C. 67 deaths per 1,000 live births
D. 43 deaths per 1,000 live births
E. 25 deaths per 1,000 live births
25. Perinatal mortality is defined as death of the fetus after
A. 42 days of life per 1000 live births in a given time period
B. 28 weeks of gestation up to the end of 4 weeks of extra uterine life
C. 28 weeks of gestation up to the end of first week of extra uterine life
D. First 28 completed days of life per 1,000 live births in a given year or time period
E. 8 to 28 days of life per 1000 live births in a given year or time period
26. One of the following contraceptives method is not safe during breastfeeding
A. Implants
B. Depo-provera
C. Intrauterine device
D. Progestin-only pills
E. Combined oral contraceptives
27. The non-hormonal contraceptives methods includes
A. Depo-provera
B. Progestin-only pills
C. Combined oral contraceptives
D. Emergency contraceptive methods pills
E. Copper T380A intrauterine device
28. Characteristic of family planning counselling include
A. Time limit
B. Client centered
C. Provider centered
D. Formal lesson plan
E. Conducted in a group
29. A 36 years woman para 3 living 5 comes with her partner to the RCH clinic for family planning
counselling. They tell you that they are satisfied with the number of children they have. The best
family planning method you would you would counsel them to use is
A. Implants
B. Depo-provera
C. Calendar method
D. Combined oral contraceptives
E. Voluntary surgical contraception
30. The difference between comprehensive emergency obstetric care and basic emergency obstetric
care is
A. Administration of IV antibiotics
B. Administration of parenteral oxytocin
C. Administration of blood transfusion
D. Performing manual removal of placenta
E. Performing assisted vaginal delivery by vaccine extractor
31. According to World Health Organization, the recommended antenatal visits is
A. 1
B. 2
C. 3
D. 4
E. 5
32. Intermittent prevent therapy prophylaxis (IPTp) is normally given during
A. The fifth visit
B. The fourth visit
C. The third visit
D. The second visit
E. The first visit
33. In an otherwise normal pregnancy, the fourth visit should take place at which gestation age
A. 28 weeks
B. 42 weeks
C. 32 weeks
D. 34 weeks
E. 36 weeks
34. A fifth visit is arranged if the woman
A. Remains undelivered at GA of 40weeks
B. Develop pregnancy complication at GA 36 weeks
C. Develop puerperal sepsis
D. Has no lochia
E. Postpartum psychosis
35. The following is a method used to screen for cervical cancer in Tanzania.
A. Pap smear
B. Mammography
C. Abdominal Ultrasound
D. Transvaginal Ultrasound
E. HPV serology
36. The information of a pregnant woman during antenatal visits is recorded in RCH card number
A. 1
B. 3
C. 4
D. 6
E. 8
37. The information of 24 year old female P3L3 who come for Progestin only pills is recorded on
which RCH card Number?
A. 3
B. 1
C. 2
D. 5
E. 4
38. The information of 7 month old attending postnatal clinic is recorded on which RCH card
number?
A. 5
B. 4
C. 3
D. 2
E. 1
39. Components of safe motherhood initiative include:
A. Planning
B. Clean and safe delivery
C. Equity for women
D. PMTCT
E. Essential obstetric care
40. Perinatal mortality is mainly due to the following factor:
A. Intra-uterine hypoxia
B. Multiple pregnancy
C. Poverty
D. Inadequate trained staff
E. Poor infrastructure
41. One of the most common side effects copper IUCD is:
A. Amenorrhea
B. Prolonged and heavy bleeding
C. Anemia
D. Vaginal infections
E. Pelvic inflammatory disease
42. A contraceptive method which has an effect on breast milk is:
A. Microval
B. Depoprrovera
C. Implanon
D. Micrognon
E. Single rod implant
43. One of the following contraceptive methods delay the return of fertility when it is stopped
A. POPs
B. ECPs
C. IMPLANON
D. DMPA
E. COOPER T380A
44. According to the World Health Organization (WHO) adolescence covers which age
limit:
A. 9 to 15 years
B. 12 to 26 years
C. 12 – 29 years
D. 15 to 20 years
E. 10 to 19 years
45. The optimum temperature for Bacillus Calmette-Guérin (BCG), vaccine after
reconstitutions is:
A. +3oC to + 9oC
B. +4oC to + 6oC
C. +2oC to + 8oC
D. +2oC to + 10oC
E. +5oC to + 10oC
46. Post natal care involves:
A. Provision of health education on family planning
B. Provision of Antiretroviral therapy to all women
C. Promoting too frequent pregnancies
D. Balanced diet and encourage sleep
E. Allay anxiety and encourage sleep
47. According to Multi-Dose Vial Policy (MDVP), an opened vial can be used in subsequent
sessions for up to a maximum of …………………weeks,
A. 3 weeks
B. 2 weeks
C. 4 weeks
D. 6 weeks
E. 5 weeks
48. The purpose of data collection in monitoring and evaluation of vaccination Programme is
A. Determine progress of vaccination and program
B. Monitor progress
C. Identify a benefit populations or groups
D. Identify under five
E. Monitor the injections
49. All abandoned infants judged to be in their first 72 hours of life should be given NVP
(Nevirapine) as soon as possible and then daily for ………………, or until rapid testing
of the mother or infant confirms the absence of HIV exposure.
A. 6 months
B. 4weeks
C. 6 weeks
D. 10 weeks?
E. 5 months
50. A three-dose course of tetanus toxoid (TT) provides protection against maternal and
neonatal tetanus for at least
A. 5 years
B. 7 years
C. 10 years
D. 20 years
E. 25 years
51. One of the following is the components of immunization service:
A. Service plan
B. Logistics
C. Vaccine supply and quality
D. Disease surveillance
E. Advocacy and communication
52. ……………. Vaccine which originate from killed organisms
A. Hepatitis B vaccine (HepB)
B. Oral polio vaccine – (OPV)
C. Rotarix
D. Pentavalent
E. Measles
53. ………………occurs naturally when a person get infection
A. Body Immunity
B. Active immunization
C. Passive immunization
D. Artificial active immunity
E. Artificial passive immunity
SECTION B: MULTIPLE TRUE/FALSE
1. About eligibility criteria for female voluntary surgical contraception:
A. ………………..Breastfeeding women
B. ………………..Do not have husbands permission
C. ………………..Couples have finished childbearing
D. ………………..Client’s request after proper counseling
E. ……………… Women with three prior caesarean deliveries
2. In conducting outreach services the following are the key issues to be considered:
A ………………………. The health status of mothers and children to be visited
B. ……………………..Who need service but cannot come to Reproductive and
Child Health (RCH) clinics
C. ……………………….The proximity of satellite clinic to the target clinic
D. ………………………… Poor infrastructures of the targeted places
E. ……………………….There is endemic disease
3. Events which occurred in previous pregnancies that have influence on the management of the
current pregnancy include:
A. ……………….Emesis gravidarum in previous pregnancy
B. ……………….Fever during labor in previous pregnancy
C. ……………….Hypoglycemia and fever in previous pregnancy
D. ……………….Breech delivery and malaria in previous pregnancy
E. ……………….History of antepartum and postpartum hemorrhage
4. In provision of Focused Antenatal services the following principles should be observed:
A. ……………Population size
B. ……………Children rights
C. ……………Individualization
D. ……………Cultural awareness
E. ……………Integration of services
5. The following are barriers for follow up of reproductive services in adolescents
A. High cost of services
B. Unwelcoming environment
C. Gender barriers
D. Cultural barriers
E. Convenient location of services
6. The following are Characteristics of Adolescent-Friendly Health Services
A. Health Care Providers
B. Physical or logistical restrictions
C. Point of Delivery
D. Policies and Procedures in Place
E. Outreach to Adolescents
7. The following vaccines are live attenuated
A. Diphtheria
B. Yellow fever
C. Tetanus toxoid
D. Oral polio vaccine
E. Bacillus Calmette Guerin
8. In trying to collect evidence to link the alleged perpetrators to the assault, examples include the
following
A. Perpetrator’s new clothes
B. Used condoms
C. Grass and blood stains
D. Scratches and bite marks on the perpetrator
E. Bruises, tears, and cuts around the genitalia/anus
9. Regarding expanded programme on immunization
A. Measles vaccine is given at 6 month of age
B. Pentavalent-1, PCV-1 and Rota-1 start at 6 weeks after delivery
C. If BCG scar does not appear repeat injection within 3 months
D. If a baby misses OPV0, should not be given until after 14 days of delivery
E. BCG is given after birth or if not should be given any time during the first visit
10. Listed below are subunit/conjugate vaccines
A. Hepatitis A
B. Hepatitis B
C. Hemophilus influenza type b (Hib)
D. Pneumococcal
E. Human papilloma virus
11. The following are examples of medical neglect in violence against children
A. Failure to provide necessary medical or mental health treatment
B. Failure to provide psychological care
C. Refusal of health care for a child
D. permitting the child to use alcohol or other drugs
E. Delay in seeking/providing health care for a child
12. Values are a measure of one’s inner worth or one’s judgment of what is important in one’s life and
tend to develop while growing up, and influenced by the following
A. Family
B. Environment
C. Hospital
D. Religion
E. Hostels
13. The component of safe motherhood includes.
A. ………..Pre conception
B. ………..Antenatal care
C. ………..Intrapartum care
D. ………. 42 weeks following delivery
E. ………..Post abortion care
14. Family planning is a multi-dimension aspect defined by an individual or couple makes voluntary and
informed decision on
A. ……….When to start having children,
B. ……….How long to space between one sexual act and another,
C. ……….When to have sex and the number of coitus
D. ……….How many children to have and
E. ……….When to stop having children
15. The rationale for safe motherhood initiatives are
A. ……….It is very expensive
B. ….……Most maternal deaths have the same cause
C. …….…Safe motherhood is beneficial to the mother
D. ……….High maternal and perinatal morbidity and mortality rate
E. …...….. Most of complications during pregnancy are not preventable
16. Reproductive and child health services offered at any other health facility in Tanzania includes all of
the following.
A. …….…Child survival and unsafe motherhood (CSUM)
B. ……….Family planning
C. ……….Prevention and management of RTI/STIs and AIDS
D. ……….Prevention of Mother to Child Transmission
E. ……….Prevention and management of acute malnutrition during pregnancy
17. The following are the services given in the first antenatal visit
A. ……….Screen for risk factors in the index pregnancy
B. ……….Laboratory studies to Detect and treat conditions such as anemia, HIV, TB,
malaria and syphilis
C. ……….Provide individualized birth plan
D. ……….Give 2nd dose tetanus toxoid (TT) if appropriate
E. ……….Start iron and folic acid
18. Morbidity is defined as any symptom or condition resulting from or made worse by pregnancy. The
following are examples of morbidity
A. ……….Puerperal sepsis
B. ……….Eclampsia
C. ……….Vesico-vaginal fistula (VVF)
D. ……….Obstetric neuropathy
E. ……….Foot drop
19. Regarding the use of female condoms
A. ……….Can be inserted ahead of time
B. ……….Does not dull the sensation like male condom
C. ……….Texture feels more natural than male condom
D. ……….Needs to be removed immediately after ejaculation
E. ……….It does not protect against STI’s
20. The correct statement regarding implants as a method of family planning are
A. …….…They suppress ovulation
B. …….…Interfere with tubal motility
C. ……….They thicken cervical mucus
D. ……….Interfere with milk production
E. …….…Delays return of fertility after removal
21. The following are methods of supervision in immunization services:
A. ……………….Direct observation
B. ……………….Direct to mobile clinic
C. ……………….Review of health records
D. ……………….Interview with the client
E. ……………….Interview with health care provider
22. The following are the factors which can spoil vaccines
A. ……………….High temperatures
B. ……………….Freezing temperatures
C. ……………… Fridge Tag
D. ………………Vaccine Vial Monitor (VVM)
E. ……………… Light
23. …………. Are the important data needed to forecast vaccines
A. …………...Target area
B. ……………Vaccine storage rate
C. ……………Immunization coverage target
D. ……………Number of doses per child
E. ……..……..Number of staffs
24. Content of an Emergency Kit includes
A. ………………..Adrenaline
B. ………………..Hydrocortisone
C. ………………..oxytocin
D. ………………..Normal saline
E. ………………..IV catheter and tubing
F. ………………..antibiotics
25. Regarding cold chain:
A ………...... All vaccines are stored at the same temperature
B. ………....... Rota virus vaccine is not stored in the cold chain
C. ………...... Some of the refrigerators are powered by Kerosene
D. ………........Vaccines carriers are used when the refrigerators is out of order
E. ………........Was designed to increase immunization coverage to above 80%
SECTION C: MATCHING ITEMS
S/N | COLUMN A | S/N | COLUMN B |
1 | ………………..First Visit: | A | Give single dose of mebendazole |
2 | ……………….Second Visit: | B | Takes place at 16-20 weeks |
3 | ………………Third Visit: | is arranged if the woman remains |
|
4 | ……………….Fourth Visit: | D | Takes place at 20-24 weeks |
5 | ……………….Fifth Visit: | E | Give services provided during the first |
F | Advice on the importance of using |
|
|
G | Confirm whether the woman has |
|
|
H | Give 2nd dose of IPT between 36 to 40 |
|
|
2
S/N | COLUMN A | S/N | COLUMN B |
1 | ………….. Indirect Maternal death | A | Death that occurs after 72 hour after |
2 | ………….. Maternal mortality | B | A condition resulting from or made |
3 | ………….. Direct maternal death | C | Death of fetus after 28 weeks |
4 | ………….. Maternal Mortality ratio | D | Number of death in the first 28 |
5 | ………….. Maternal morbidity | E | Death of a woman while pregnancy or |
F | Death resulting from obstetric |
|
|
G | Death resulting from worsens of the |
|
|
H | Number of pregnancy associated death |
|
|
Match the family planning benefits in column B with their corresponding family planning methods in
column A
COLUMN A: FP method | COLUMN B: FP benefits |
1. ……….Combined oral | A. Dual protection |
2. ……….Progesterone only pills | B. Effective after 3 months of procedure |
3. ……….Intrauterine device | C. Highly effective when taken daily but should not be |
4. ……….Bilateral tubal ligation | D. Long acting method with protection up to 5 years |
5. ……….Condoms | E. Long acting method inserted into the uterus |
F. Permanent method and highly effective |
|
G. Permanent method but not as effective as IUD |
|
H. Safe for breastfeeding women after infant is 6 weeks |
|
Matching the family planning methods in Column B with their corresponding classification in column A
COLUMN A | COLUMN B |
1. …………..Permanent FP method for | A. Coitus interrupts |
2. …………..Fertility awareness FP | B. Implanon |
3. …………..Temporary natural FP | C. Female condom |
4. …………..Traditional FP method A | D. Sino-implant II |
5. …………..Temporary non hormonal | E. Basal temperature method |
F. Vasectomy |
|
G. Oviduct ligation |
|
H. Locational amenorrhea method |
|
Match the following definitions in column B with the terms applied in gender based violence and violence
against children in column A
COLUMN A: GBV/VAC TERMS | COLUMN B: GBV/VAC DEFINITIONS |
1. Victim/survivor F | A. Any actual or attempted abuse of a |
2. Economic abuse C | B. Unwelcomed sexual advances, |
3. Psychological abuse …H | C. Denying a woman access to and |
4. Child neglect…..G | D. Is the physical, sexual, economic or |
5. Sexual harassment….. B | E. Person/woman/man who has |
F.….. Person/woman/man who has |
|
G.….. Refers to failure by the |
|
H.…. Any act or omission that damages the |
|
Match the description of tools for GBV and VAC data collection in column B with the tools in column A
COLUMN A: GBV/VAC TOOLS | COLUMN B: DESCRIPTION |
1. Registe….. C | A. This form is used by the police force to |
2. Tally sheet…….. H | B. This is a data collection tool used by |
3. Pictogram form……. E | C. This is a data collection tool for |
4. Police Form No 3….. A | D. Is a presumptive identification of |
5. Examination documentation form….F | E. This is a data collection tool for |
F.…… This form is used for documenting key |
|
G.…….. This tool has five questions asking |
|
H.………. This is a data collection tool for |
|
Match the following definitions in column B with the terms in column A as applied in forensic evidence
collection in GBV and VAC
COLUMN A: FORENSIC TERMS | COLUMN B: DEFINITIONS |
1. Evidence ………E | A. A person who sees an event take place or |
2. Crime……….. G | B. Process of obtaining, processing, and |
3. Witness………… A | C. Linking the suspect to the crime (or de-link |
4. Forensic evidence…….. H | D. Is the process of meeting a person’s |
5. Chain of evidence ……….B | E. A piece of information indicating whether |
F.……. This may be indicated if there is evidence |
|
G. ……..An act or omission that constitutes a |
|
H. …………..Evidence collected during a medical |
|
MATCH THE FOLLOWING
S/N | COLUMN A | S/N | COLUMN B |
1 | ………….. Growth | A | Forms stable relationships |
2 | ………….. Cognition | B | Conflicts over control |
3 | ………….. Family | C | Seeks affiliation to counter instability |
4 | ………….. Peer groups | D | Sense of all- powerfulness |
5 | ………….. Sexuality | E | Perceives long-range |
F | Transposition of |
|
|
G | Recedes in favor of individual |
|
|
H | Physical maturity |
|
|
MATCH THE FOLLOWING
S/N | COLUMN A | S/N | COLUMN B |
1 | ………….. Disease surveillance | A | Strategy for the Reduction of Maternal, |
2 | ………….. Service delivery | B | Aim to increase incentive packages to |
3 | ...……… Advocacy and | C | Comprises forecasting vaccine needs, |
4 | ….……… Logistics | D | It ensures increase in financial support |
5 | …….…… Vaccine supply and quality | E | Includes monitoring of disease |
F | Includes delivery of vaccines to the |
|
|
G | Comprises social mobilization, |
|
|
H | Is exercised with pre-determined |
|
|
SECTION D: SHORT ANSWER QUESTIONS
1. What are the five (5) Challenges you can encounter during Counseling of Adolescents (5
MARKS)
2. What are five (5) barriers to adolescents obtaining sexual and reproductive health
information and services (5 MARKS)
3. Mention three (3) values governing decision making in provision of gender based
violence (GBV) and violence against children (VAC) services (3 MARKS)
4. Mention six (6) recommended laboratory investigations to be done to GBV (gender based
violence) and VAC (violence against children) survivors (6 MARKS)
5. Identify six (6) routine post-natal services for mother and infant (6 MARKS)
6. Mention five (5) guiding principles on immunization services (5 MARKS)
7. Mention five (5) essential qualities of a supervisor (5 MARKS)
8. Identify five (5) Risk Factors for Mother to Child Transmission (MTCT) of HIV (5
MARKS)
9. Regarding adolescent reproductive health services
A. Define the following terms
i. | Adolescence |
ii. | Youth |
iii. | Puberty |
B. List two primary sexual characteristics in female during adolescence
10. Gender based violence and violence against children is a common problem in Tanzanian children.
Outline five causes of GBV/VAC in Tanzania
11. The Ministry of Health in collaboration with UNFPA, UNICEF and WHO, has developed a
framework for country programming for adolescent health. The framework spells out the twin
goals of programming which include Promoting healthy development in adolescents and
Preventing and responding to health problems if and when they arise.
A. Outline four interventions which need to be delivered as a package in order to meet the
above goals
B. “Not all adolescents are equally vulnerable” what is the meaning of this statement?
12. List five target diseases which were mainly targeted by the Expanded Program on Immunization
13. List five forensic materials to be collected to GBV or VAC survivors
14. Enumerate five target groups for immunization in Tanzania
15. As clinical assistant on call, a 15 years old female is brought to the casualty suspected to have
been raped for the past 15 hours. Outline five basic investigations you will order for this client
16. Mention five tools used in vaccination in different health facilities in Tanzania
17. Mention five child rights as outlined by “The Law of the Child Act (LCA), 2009”
18. Mention one adverse effect of each of the following vaccines
i. | Oral polio vaccine … |
v. DPT vaccine
19. The Constitution of the United Republic of Tanzania (1977) contains a bill of rights which,
among other things, decrees against discrimination on the basis of sex and acknowledges every
citizen’s right to own property. Enumerate five GBV National Laws and Policies as outlined in
the constitution.
20. A 7 month old female child is brought to the RCH clinic for growth and development monitoring
and promotion services. The child is found to have bilateral pitting edema, swollen abdomen and
there is change in hair texture. Answer the following questions
A. What is development?
B. Mention two tools for growth and development monitoring and promotion
C. If the child weight for age (WFA) is below -3SD, what is your comment?
D. In the RCH the child’s length for weight (LFW) is found to be -2SD, what is your
interpretation for this finding?
21. Outline five contributing factors for gender based violence and violence against children
22. With regards to new-born and child health services, answer the following questions
A. What is developmental milestone?
B. In your clinical exam in reproductive and child health, you find a child who sits
unsupported, watches small moving objects, can say Da, Ba and Ka and try to feed by
putting objects in mouth. What is the age of this child?
C. Outline three factors affecting growth and development
23. The terms "gender-based violence" (GBV) and "violence against women" (VAW) are often used
interchangeably, since most gender-based violence is perpetrated by men against women
A. What is gender based violence?
B. List four types of gender based violence
24. After you have done fully assessment and treatment on GBV and VAC survivor, enumerate five tools that you will document the survivor’s services
25. List at least five contributing factors to morbidity in mothers
26. Mention five contributing factors to morbidity in child health
27. Outline five ways of preventing malaria during pregnancy
28. List five elements of FANC
29. Define the following terms
i. Mortality
ii. | Reproductive health |
30. Enumerate five conditions in which combined oral contraceptives are contraindicated
31. Mention five advantages of emergency contraceptives pills
32. Highlight five situations under which you can prescribe emergency contraceptive pills (ECPs
33. Outline five services given by a health facility with basic obstetric emergency care
34. As a clinical assistant officer at Nanjilinji dispensary, highlight five preventive interventions that you may offer to all pregnant women attending the Antenatal clinic
35. Shortlist five laboratory investigations which you would investigate to a pregnant women in the first antenatal visit
36. Write down five signs of effective breastfeeding
37. Outline five reasons for poor weight gain in 5 month child.
38. List five risk factors that facilitate maternal to child transmission of HIV infection
39. Enumerate five laboratory investigations that should be done before initiating HAART to a HIV infected pregnant woman
40. Mention five major causes of perinatal mortality: (5 Marks)
41. List down five preventive interventions provided for all pregnant women in Tanzania: (5
Marks)
42. What are the five major goals of Focused Antenatal Clinic: (5 Marks)
43. Mention five recommended laboratory investigations to be done during pregnancy: (5
Marks)
44. Identify five steps during assessment of an antenatal care (ANC) client: (5 Marks)
45. Outline five (5) underlying principles of provision FANC (Focus – Antenatal care) (5
Marks)
46. What are the contraindications of using copper intrauterine device (IUCD)? (5 marks
47. What are the purposes of family planning counseling? (5 marks)
SECTION E: GUIDED ESSAY QUESTIONS
1. Among the Millennium goal is to reduce maternal mortality for 75% by 2015. These goals
can be achieved by implementing Safe motherhood (SM) interventions. Pertaining to the
above statement.
A. List the components of SM initiative (05 MARKS)
B. Discuss the component SM initiative (10 MARKS)
2. Mwasoka is a clinical officer at Malekela District hospital. Yesterday he received one
couple which came for family planning counseling, so he planned to counsel them using
GETHER technique. Pertaining to the above statement. Explain the steps which Mwasoka
will go through in counseling clients using GETHER technique (15 MARKS
3. Describe the classification of family planning methods according to duration of action
4. Maternal mortality is still a major problem in the reproductive and child health in Tanzania.
Discuss the major six causes of maternal mortality in Tanzania
5. Discuss the major contributing factors to neonatal and perinatal mortalities in Tanzania mainland
6. Discuss the non-contraceptive benefits (six of them) of family planning services offered in
reproductive and child health services clinic in Tanzania
7. You are a clinical officer in-charge at Mikwambe dispensary and you deliver a mother who is a 36 years old, Para 5 with seven living children. Discuss how you would approach the mother for
counseling for family planning services
8. Discuss how you can explaining the different family planning methods available at your health
facility to the mother above
9. Describe the natural family planning methods in not more than two A4 pages
10. Hormone containing contraceptives are the commonly used family planning methods. Discuss the short acting hormone containing family planning methods
11. Oral contraceptives are the pills containing methods. Discuss the oral contraceptive family
planning methods
12. Mr. and Mrs. Pilipili comes to your consultation room seeking for family planning methods as they are satisfied with the number of children they have. Describe the family planning method you would recommend for the couple.
13. Family planning coverage in Tanzania is still a major reproductive health concern. Give six
reasons to support the statement
14. Explaining the rationale for safe motherhood initiatives
15. Describe the four pillars of safe motherhood interventions
16. Essential obstetric care is one of the pillars of safe motherhood initiatives. Discuss this pillar
17. Discuss the risk factors for pregnancy related complications
18. Gender-based violence (GBV) is a major global public health concern and is a risk factor for
adverse health outcomes. Discuss the impacts of on women’s health and pregnant women
19. Cancer screening (CS) and maternal and reproductive health has been included among the main issues pertinent to women’s health. Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death among women worldwide. Cervical cancer is the second most commonly diagnosed cancer and it is still the third-leading cause of cancer death in less developed countries including Tanzania. Explain the risk factors for developing breast and cervical cancer. Give at least six factors to each cancer.
20. Discuss the four visit ANC model outlined in WHO clinical guidelines
21. Breastfeeding is beneficial to the mother and child. Discuss these benefits
22. Describe how to use a female condom
23. Describe risk factors for mother to child transmission of HIV infection
24. Describe the core elements for provision of comprehensive PMTCT services
25. Theresa and Rodriguez are twin sister and brother and they are approaching the adolescence
period. Describe to them, the physiological changes they are likely to undergo during adolescence.
26. “The causes and contributing factors for gender based violence and violence against children can be explained by the ecological model” Discuss.
27. Adolescence is period during growth and development which is said to be a vulnerable period in young generation affecting a large group of adolescents. Discuss the major eight problems encountered by adolescents in Tanzania.
28. Reaching every adolescent and providing reproductive health services is a major target of
Tanzania health ministry in order to combat the major health problems affecting this generation.
Explain at least six reasons which hinder adolescents to obtain the adolescent friendly reproductive health services
29. Gender based violence and violence against children is a problem of public health concern.
Explain eight consequences of GBV and VAC.
30. Expanded program of immunization (EPI) was established worldwide in order to combat diseases of public concern, discuss the targeted diseases, target groups and their vaccines.
31. Explain six tools used in vaccination
32. You are clinical officer in-charge, describe how would you manage vaccine according to cold
chain protocol
33. What is growth and development, discuss how you would monitor growth and development in Tanzanian children.
34. Describe the adverse effects of pentavalent, OPV and BCG vaccines
35. Describe national policy and laws and their relation in GBV and VAC.
36. Explain eight sexual and reproductive health rights in relation to GBV and VAC
37. The primary aim of the Expanded Programme on Immunization (EPI) is to protect
children from immunizable killer diseases with the goal of contributing to the overall
reduction of infant and child mortality rates. The target groups are infants from
birth to 11 months and women of child bearing age (15-49 years).
A. State the main goal of Tanzania Expanded Programme on Immunization
(EPI) (3 MARKS)
B. Describe the objectives for the Expanded Programme on Immunization in
Tanzania from 2010 to 2014 (12 Marks)
38. With a vivid example, explain Challenges facing gender based violence (GBV)
survivors and violence against children (VAC) survivors for talking about GBV and
VAC (15 marks)
 | CMT NTA LEVEL 5){kind=link}
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