This document appears to be an exam for midwifery students at the University of Gondar assessing their knowledge of communicable disease control. It consists of 15 multiple choice questions testing students' understanding of topics like disease transmission, clinical manifestations of specific diseases, vaccination, and prevention methods. The exam aims to evaluate students' ability to identify infectious agents, apply epidemiological concepts, and demonstrate clinical reasoning around communicable diseases.

1. UNIVERSITY OF GONDAR
COLLEGE OF MEDICINE AND HEALTH SCIENCE
COMMUNICALBLE DISEASE CONTRONL MID EXAM FOR 3RD YEAR MIDWIFERY STUDENTS
DECENBER, 2013.
Name ------------------------------------------------------------ ID-------------------------Part I:- Choose the best answer and circle the letter of your choice (except the last question)
1.which one of the following can affect the development of active disease after infection?
A.patogenecity of the agent
B.dose of the agent
C.portal of entry
D.host age
E.all
2.which of the following disease wrongly match with its etiologic agent
A.HBRF----B.recurrentis
B.TBRF----B.duttoni
C epidemic typus-----R.typhi
D.meningitis----S.pneumonae
E.none
3. When we see communicable disease in Ethiopia:
A. It is the commonest cause of morbidity but not mortality
B. It is difficult to prevent and control
C. It has epidemic prone
D. Put most of the population at low risk
4.a 15 years old boy cames to the emergency OPD of GUH with sudden onset of high grade fever
,intense headache ,rash,seizure and loss of conciousness.lumbar pucture was done and gram negative
diplococci organism organism is seen on gram stain of CSF.which of the foolowing bacteria will be the
cause of the above symptom ?
A.S.pneumonia
C.H.influenza
S
B.N.meningitides
D.S.aureus

2. 5. One of the following is the clinical manifestation of typhoid fever.
A. Intermittent fever
B. C. tachycardia
C.
D. epistaxis
E. all
C. leukocytosis
6. Herd immunity works best under which of the following circumstances?
A.
B.
C.
D.
E.
The disease induced partial immunity
There is no means of transmission other than airborne
The population density is high
Immunes are uniformly distribute among susceptible
Alternative reservoirs exist
7. A patient presenting with a gradual onset of fever associated with chronic cough and
headache having neck stiffness on physical examination and leukocytosis predominantly
lymphocytosis on laboratory investigation. What will be your top diagnosis?
A. Pyogenic meningitis
D. anthrax
B. TB meningitis
E. pneumonia
C. tetanus
8.alivin or non living thing in which an infectious agent normally lives ,transforms and multiplies is refers
to:
A. carrier
B. reservior
C. host
D. vector
9.A disease which is caused by microorganism and transmitted by direct contact is described as:
A. Infectious disease
B. Communicable disease
C. Contagious disease
D. Tropical disease
10.Which one of the following is not true about communicable disease?
A. It is caused by infectious agent
B. It can be caused by toxic product of infectious agent
C. major causes of morbidity and mortality worldwide
D.it is transmitted only from infected person to susceptible host

3. 11.which one of the following is not the manifestation of tetanus?
A.trismus
B.generalised spasm
C.change in mentation
D.none
12.twenty students from university of Gondar went to Addis Zemen for team training program (TTP) last
year. Unfortunately 12 students found to have malaria infection and 8 kalazar infection with laboratory
investigation. Among malaria infected individuals 5 developed disease and 3 of them died. Among
kalazar infected individual 4 developed disease and 2 of them died. According to the above case scenario
which one is true?
A.malaria is more infectious but less virulent than kalazar
B.mlaria is less infectious but more pathogenic than kalazar
C.kalazar is less infectious but more pathogenic than malaria
D.kalazar is less pathogenic but more virulent than malaria
13.which of the following is true?
A.BCG vaccination prevents primary infection by M.tuberculosis in children
B.BCG is highly indicated for persons with HIV
C.being vaccinated with BCG is contraindication to do TST
D.BCG has protective effect against sever sever form of TB in children
14.which one of the following is correct about TB-HIV co-infection ?
A.HIV patients are less likely to transmit TB to others
B.most of the time HIV patients develop secondary TB
C.HIV patients has rapid response to anti TB treatment than others
D.HIV patients has typical presentation of TB
E.all
15. write at least three prevention methods of TB