DOH Programs

Question 1

What color: Iron, Iodine, VitA
(Sangkap Pinoy Seal Program

Answer 1

Iron (Green)
Iodine (Red)
VitA (Yellow)

Question 2

Top 3 Micronutrient Deficiency
(micronutrient:disease)

Answer 2

Iron:anemia
VitA:night blindness
Iodine:cretinism

Question 3

Most vulnerable to malnutrition
(According to PD491)

Answer 3

Pregnant
Lactating
Infants
Children

Question 4

Government support programs for nutrition

Answer 4

Sustansya para sa masa
Pan de bida (pandesal w/ vit a)
Nutri ban
Asin Law
Fidel salt

Question 5

3 somatotypes/body types (with description)

Answer 5

Ectomorph - skinny; difficulty in GAINING wt

Mesomorph - naturally muscular; easy gain/loss of wt

Endomorph - round; difficulty LOSING wt

Question 6

Tx for anemia worsened by hookworm & whipworm

Answer 6

Mebendazole + Iron supplement

Question 7

Vit A Deficiency (VAD) S/Sx

Answer 7

Night blindness/nyctalopia (earliest subj sx)
Xeropthalmia (earliest obj sx)
Bitot’s spots
Keratomalacia
Blindness (end stage)

Question 8

Define NYCTALOPIA

Answer 8

Impaired dark adaptation due to lack of rhodopsin; aka night blindness

Question 9

Define XEROPHTALMIA

Answer 9

Dry thickened conjunctiva & cornea

Question 10

Define BITOTs spots

Answer 10

Foamy soapsud-like spots on white part of the eye

Question 11

Define KERATOMALACIA

Answer 11

Corneal ulceration/erosion

Question 12

Vitamin A supplementation
SCHEDULE

Answer 12

Infant (6-11mo)
*100,000 IU (BLUE capsule)
*another dose after 6 mos

Pre-schooler (12-59 mos)
*200,000 IU (RED capsule)
*another dose after 6 mos

Question 13

VitA Deficiency
Tx SCHEDULE

Answer 13

Infants (BLUE cap.)
Pre-School (RED cap.)

Give one capsule:
1. Immediately upon dx
2. NEXT DAY
3. After 2 weeks

Question 14

Pregnant women
Vit A Supplementation
SCHEDULE

Answer 14

During Pregnancy (starting 4th mo)
*10,000 IU (colorless)

Postpartum (within 1st 4 weeks)
*100,000 IU (blue)

W/ xeropthalmia or nightblindness
*10,000 IU (colorless), 1 cap OD regardless of AOG

Question 15

Types of Protein Energy Metabolism (PEM)

Answer 15

KWASHIORKOR: protein

MARASMUS: calorie

MARASMIC KWASHIORKOR: protein and calorie - MOST SEVERE FORM

Question 16

Most widely used lab measure for malnutrition; good marker; better predictor than BMI

Answer 16

ALBUMIN

Question 17

Hallmark sign
Kwashiorkor vs Marasmus

Answer 17

Marasmus: visible generalized muscle wasting

Kwashiorkor: Edema of both feet

Question 18

Father of public hygiene & sanitation

Answer 18

MOSES

Question 19

Most abundant greenhouse gas
Acts as feedback to the climate

Answer 19

Water vapor

Question 20

Solid Waste Segregation
BLACK

Answer 20

Dry
Non infectious
Ex. Paper, plastic, bottles

Question 21

Solid Waste Segragation
GREEN

Answer 21

Wet
Non-Infectious
Ex. Leftover, peelings, rotten, fish bones

Question 22

Solid Waste Segregation
BLUE

Answer 22

Recyclable

Question 23

Solid Waste Segregation
YELLOW

Answer 23

Infectious/Pathologic
Ex. gauze, dressings, diapers, UMBILICAL CORD, PLACENTA, used PPEs

Question 24

Solid Waste Segregation
YELLOW with BLACK BAND

Answer 24

Infectious
Chemical/Pharmaceutical/Heavy Metal
Ex. Betadine, acid, formaldehyde, expired drugs

Question 25

Solid Waste Segregation ORANGE

Answer 25

Radioactive Toxic Ex. Radio isotopes, x-ray, any used in radiotherapy

Question 26

Solid Waste Segregation RED

Answer 26

Sharps Toxic Ex. Needles, syringes, scalpel, blade, STYLET, ampule, lancets

Question 27

Clinical Manifestation MARASMUS

Answer 27

NO DD ang BEAR **N**o liver enlargement & hair color change **O**ld man/wrinkled/chipmunk/monkey face w/ lanugo **D**iarrhea+**D**ehydration **B**aggy pants (refer stat) **E**ager/voracious appetite **A**ctive, Irritable **R**ibs prominent

Question 28

Clinical Manifestation KWASHIORKOR

Answer 28

I-POT Flag MO SA LEft **I**nfection risk **Pot** belly (enlarged fatty liver) **FLAG** sign **MO**on face **S**kin lesions **A**pathetic/Anemia/Anorexia **Le**thargic/unresponsive

Question 29

Age Kwashiorkor vs marasmus

Answer 29

Kwashiorkor: 1 1/2 - 2 yo (toddler) kwa**SHI-T**oddler Marasmus: <1 yo (infant) **Mara-in** ichura aka law-ay

Question 30

Common in both kwashiorkor and marasmus

Answer 30

Growth retardation *severe in marasmus*

Question 31

Greenhouse vs Albedo effect

Answer 31

Key words: Greenhouse gas - trap heat -> earth Albedo earth - reflect sunlight -> atmosphere

Question 32

4 rights of food safet

Answer 32

SOU-P CO-ST RIGHT **Sou**rce **P**reparation **Co**oking **St**orage

Question 33

WHO 5 Key Principle of Food Hygiene

Answer 33

1. Clean 2. Separate Raw and Cooked Foods (cutting board, shopping carts, wipe and sweep) 3. Cook thoroughly 70C 4. Safe Temp (ref <40C; within 2hrs) 5. Safe water & raw materials (boil 1-3mins; check exp date; avoid dents in cans; when in doubt throw it out)

Question 34

coined & founder & first PHN

Answer 34

Lillian Wald

Question 35

Coined CHN

Answer 35

Ruth Freeman

Question 36

“Nurse as community leader”

Answer 36

Florence nightingale