Global Final Mock Exam

A patient is referred from a district hospital to a central university hospital for a rare autoimmune disease. What level of care is this patient now receiving?

• Primary

• Secondary

• Tertiary

• Preventive

Answer explanation

The referral is from secondary (district hospital) to tertiary (university/central hospital) for a complex, rare condition needing super-specialist care.

Which of the following scenarios violates the principles of PHC the most?

• A PHC center offers family planning services to all.

• A PHC center stocks only imported, expensive brand-name drugs.

• The staff conducts sanitation education for schoolchildren.

• Midwives provide care to pregnant women in remote villages.

Answer explanation

PHC should provide affordable, essential drugs, not costly medicines that limit access

In a village where parents are refusing childhood immunizations due to fears about vaccine safety, which PHC action would be the most strategic first step to increase vaccine uptake?

• Increase the vaccine supply and offer them door-to-door

• Refer all unvaccinated children to the nearest district hospital

• Launch a dialogue-based community awareness campaign using trusted local figures

• Enforce mandatory vaccination through legal penalties

Answer explanation

The root problem is misinformation and mistrust. The best approach is to build trust through education and respectful communication. Using trusted local leaders to guide discussion makes people more likely to listen and accept vaccines — this fits perfectly with the health education element of PHC.

In which year did the WHO and UNICEF hold a conference that shifted global health focus from hospital-based care to community-oriented Primary Health Care?

• 1961

• 1973

• 1978

• 1985

Comprehensive PHC, as introduced at Alma-Ata, includes all of the following EXCEPT:

• Providing curative, preventive, promotive, and rehabilitative services

• Involving communities in health decision-making

• Prioritizing cost recovery and selective care over equity

• Addressing the broader determinants of health, like water and educatio

A village health worker visits homes to provide follow-up care, refers serious cases to the hospital, and teaches families about clean water. Which components of Comprehensive PHC are being fulfilled?

• Only integration

• Integration and empowerment

• Only social determinants

• Only referral care

Which of the following combinations matches the comprehensive model of PHC?

• Health = absence of disease; control = doctor; strategy = surgery

• Health = physical and mental wellbeing; control = specialists; strategy = medication

• Health = community-defined wellbeing; control = medical system; strategy = drug-based

• Health = positive wellbeing; control = individuals and communities; strategy = multisectoral collaboration

Which of the following BEST describes the purpose of the Demographic Transition Model (DTM)?

• It explains migration patterns in urban areas.

• It shows how population changes as a result of infectious disease spread.

• It tracks a country’s transition from low to high income based on trade.

• It models the shift from high birth/death rates to low birth/death rates during economic development.

A country has improving healthcare, falling death rates, but cultural factors keep birth rates high. What stage of demographic transition model does this describe?

• Stage 1

• Stage 2

• Stage 3

• Stage 4

• Stage 5

Answer explanation

Stage 2 = death rate falls (health improvements), but birth rate remains high.

Which of the following is LEAST likely to be a major cause of death during the early stages of the epidemiologic transition?

• Malaria

• Diarrheal disease

• Tuberculosis

• Ischemic heart disease

Answer explanation

Heart disease is non-communicable and appears later, as populations age