1. Mrs Banda, a 36-year-old marketer of a shanty compound is admitted to the health center
with confirmed diagnosis of Cholera.
a. Define Cholera .5%.
b. List two common sources of cholera infection .4%
c. State five signs and symptoms that Mrs. Banda will present with .15%.
d. Identify five nursing problem and write a nursing care plan in managing Mrs .Banda
50%
e. State five points you will include in your Information, Education and Communication
of Mrs. Banda .25%.
2. Mrs. Mwalikinya, a 35 years old farmer is admitted to the Female Medical ward in an
asthmatic attack.
(a)
State five (5) factors that precipitate and asthmatic attack.15%.
(b)
State five (5) clinical features of Asthma.15%.
(c)
Discuss the management of Mrs. Mwalikinya under the
following: -
(d)
(i)
Medical Management
10%
(ii)
Nursing Management
40%
Discuss five (5) points you will include in your Information Education and
Communication toMrs .Mwalikinya on prevention of Asthmatic attack.20%.
JAN, 2016 INTAKE
COURSE CODE: MMN 012
COURSE LECTURER: MR. LUMAMBA
DURATION 3 HOURS
(09:00-12:00)
18TH JAN, 2017.
Instructions
1. This examination paper has four (4) sections ; Section A is MCQ, B is one
2.
3.
4.
5.
word answer while section C is matching and section D has essay questions.
Answer the questions as instructed section by section
Write your Index number only as your form of identity
Copying is not allowed: you will be disqualified if found wanting
All the answers must be written in the provided answer booklet
SECTION A MULTIPLE CHOICE QUESTIONS
ENCIRCLE THE MOST APPROPRIATE ANSWER
1. If a great of fluid accompanied by respiratory embarrassment should occur in the patient
with pleurisy. The fluid may be removed by:
a. Coughing
b. Suctioning
c. Thoracentesis
d. Two hourly turnings of the patient.
2. Asthmatic attacks that are prolonged or recur in rapid succession are called:
a. Progressive asthma
b. Successful asthma
c. Status asthmaticus.
d. None of the above
3. Which of the following is NOT treatment for the common cold:
a. Plenty of fluids
b. Antihistamines
c. Antibiotics
d. Paracetamol
4.
A client diagnosed with active Tuberculosis would be hospitalized primarily for
which one of the following reasons?
a .To evaluate the condition
b. To determine his compliance
c. To prevent spread of disease
d. To determine the need for antibiotic therapy
5.
The permanent abnormal dilatation of bronchi and bronchioles is known as.
a.
Bronchiectasis
b.
Atelectasis
c.
Emphysema
d.
Hemothorax
6. The tubercle bacilli commonly enters the human body by:
a.
Injection
b.
Infection
c.
Inhalation
d.
Inoculation
7. Accumulation of pus within the pleural space is called:
8.
9.
10.
11.
a.
Empyema
b.
Emphysema
c.
Pneumo-thorax
d.
Haemothorax
Asthma is best defined as
a.
An inflammatory disease
b.
A stage progression of Broncho-constriction
c.
A Chronic obstructive disorder characterized by mucus hypertension
d.
A chronic obstructive disease characterized by mucus hyposecretion.
Adult category 2 TB treatment lasts for how long?.
a.
6 Months
b.
8 Months
C.
10 Months
d.
12 Months
The pathophysiology of pneumonia proceeds in four chronological stages known as:
a.
Congestion, Consolidation, Red Hepatization and Gray Hepatization.
b.
Resolution, Congestion, Red hepatization and Gray hepatization.
c.
Red hepatization, Resolution, Congestion, and Gray Hepatization.
d.
Congestion, Red hepatization, Gray hepatization and resolution.
Pneumonia is best defined as:
a.
Infection of the lung parenchyma
12.
13.
b.
Infection of the bronchus.
c.
Infection of the bronchioles
d.
Infection of the trachea
Tuberculosis affecting organs other than the lung tissue is called;
a.
Muscle Tuberculosis
b.
Pulmonary Tuberculosis
c.
Extra Pulmonary Tuberculosis
d.
Haematogenous Tuberculosis
Which of the following best defines medical nursing?
A
The science and art of caring for patients with medical conditions
b.
The care given to the sick or well
c.
The study of diseases
d.
Recognition of a particular disease
14.
Which one of the following is not a characteristic of Vibrio Cholerae?
A. Gram positive
B. Comma shaped
C. Aerobic
D. Non spore forming
15 . Stertorrhoea is good indicator of ………………………………….
A. Malabsorption of carbohydrate
B. Malabsorption of fat
C. Malabsorption of protein
D. Malabsorption of mineral salts
16. Tenesmus and fecal urgency are common in which GIT infection?
A. Dysentery
B. Cholera
C. Typhoid Fever
D. Katamaya Fever
a.
17. The organism salmonella typhi has affinity for the
a. Mucosal cells
b. Parietal cells
c. Submandibular nodes
d. Payers patches
18. The most common type of peptic ulcers are………………
A. Gastric
B. Oesophageal
C. Pyloric
D. Duodenal
19. 17. The worm that is associated with intestinal obstruction is…………………..
A. Beef tape worm
B. Ascariasis
C. Thread worm
D. Hook worm
20. Diseases that can be transmitted from one generation to another by a genetic or
chromosomal disorder in one or both gametes are best described as……………….
A. Genetic
B. Congenital
C. Developmental
Chemical
21. AST stand for:
22
a)
Alanine transferase
b)
Alanine amino transferase
c)
Aspartate amino transferase
d)
Alkaline phosphatase
.The procedure in which fluid is withdrawn from the abdominal cavity is known as
a. Thoracocentesis
b. Paracentesis
c. Lumber puncture
d. Ascites
23. looking inside the body for medical reasons using an endoscope is known as:
A. Biopsy
B. Endoscopy
C. Barium Meal
D. Barium swallow
24. Malabsorption of fats is associated with all the following except
a. Weakness and muscle crumps
b. Sexual dysfunction
c. Abdominal fullness
d. Bulky stools
25.A radio opaque examination of the oesophagus is called…………………
A .Barium swallow
b .Barium Enema
c .Biopsy
e. Barium Meal
26. Cholestography is used to visualize the …………………………
a.
Liver
b.
Spleen
c.
Bladder
d.
Gall bladder
27. Endoscopic examination of the colon is referred to as
a. Colonoscopy
b. Bronchoscopy
c. Gastroscopy
d. Proctoscopy
28. Which of the following terms best describes a syndrome?
a. A lesion or symptom resulting from the original disease
b. The search into the problem
c. Set of symptoms and signs occurring together
d. Numerous complaints of the patient
29. Factors influencing the occurrence of a disease are known as
a. Etiology
b. Pathogenesis
c. Predisposing
d. Exciting
30. Inflammation of the mucosa of the rectum is known as
a. Parotitis
b. Pharyngitis
c. Proctitis
d. Colonitis
31. A verbal interaction with a goal of acquiring information from a patient is referred to as
a. Rapport
b. Health assessment
c. Conversation
d. Interview
32. Regarding inspection; all the following statements are true except
a. It is a continuous process
b. Involves the sense of sight and smell
c. Observation with a purpose
d. Must be carried out after auscultation
33. Chief complaint focused history taking is also known as
a. Problem focused
b. Interval history
c. Comprehensive history
d. Chief history
34. Diarrhoea resulting from disordered water and electrolyte transport in the small intestine
is known as
a. Osmotic diarrhoea
b. Secretory diarrhea
c. Small volume diarrhea
d. Watery diarrhoea
35. A group of signs and symptoms resulting in defects in absorption of nutrients is referred
to as
a. Gastritis
b. Malnutrition
c. Zollinger Ellison
d. Malabsorption
36. The jejunum is
a. 2.5m long
b. 1.0m long
c. 2m long
d. 25m long
37. The middle section of the small intestine is
a. Duodenum
b. Jejunum
c. Colon
d. Ileum
38. Painful cracks that develop in folds of tissue at the corners of the mouth are known as
a. Acute gingivitis
b. Chronic gingivitis
c. Angular cheilitis
d. Thrush
39. Vincent’s stomatitis is caused by
a. Fusiform bacillus
b. Candida albicans
c. Staphylococcus aureus
d. Herpes simplex
40. Muscle crumps in cholera are due to
a. Loss of sodium
b. Loss of magnesium
c. Loss of chloride
d. Loss of potassium
41. The infection responsible for cystercecosis encephalitis is the
a. Taenia saginata
b. Diphyllobothrium latum
c. Taenia solium
d. Ancylostoma duodonale
42. All the following organisms are responsible for food poisoning except
a. Escherichia coli
b. Salmonella enteritidis
c. Clostridium perfringes
d. Campylobactor
43. Which of the statements is true about amoebic dysentery?
a. The bacteria attaches itself to colonic epithelium
b. Trophozoites are resistant to environmental conditions
c. It is a protozoal infection
d. Infection is by ingestion of mature cysts
44. The incubation period of typhoid is
a. 1 – 3 days
b. Few hours to 7 days
c. 1 – 3 weeks
d. 1 – 6 days
45. Enterobius vermicularis is also known as
a. Thread worms
b. Pin worms
c. Whip worms
d. Round worms
46. The intermediate host for taenia saginata is
a. Cattle
b. Fish
c. Pigs
d. Man
47. A radio opaque examination of the oesophagus is called…………………
a. Barium swallow
b. Barium Enema
c. Biopsy
d. Barium Meal
48.Cholestography is used to visualize the …………………………
a. Liver
e.
Spleen
f.
Bladder
g.
Gall bladder
49. The series of events/processes which occur in a disease is referred to as
a) Pathophysiology
b) Epidemiology
c) Pathogenesis
d) Pathology
SECTION B: COMPLETION 30 MARKS
Fill in the blank spaces using one or two words
21. ______________________ Is a severe asthmatic attack which cannot be controlled
with usual mediation
22. A
bluish
coloring
of
the
skin
,mucus
membrane
indicates……………………………………
23. A condition of the lungs characterized by collapsed and airless alveoli are called
…………………………….
24. The causative organism for typhoid fever is ______________
25. A substance that is produced from red blood cell destruction and is excreted in urine
know as………………………………………………………
26. The removal of a sample of tissue from the body for examination is called
______________.
27. ______________ is a human disease caused by a parasitic round worm called ascaris
lumbricoides.
28. The beef type worm is called ________________.
29. An infection of man with the larva stage of the pork tape worm (taeniasolium) is called
______________________.
30. ____________________ is the causative organism of peptic ulcer disease.
31. The toxin produced by vibrio cholera is called _______________________.
32. An investigation done in typhoid fever which reveals antibodies against salmonella
typhi which raise early and fall quickly is called ____________________.
33. __________________________ is the drug of choice for shigellosis
34. ______________________ is the causative organism for amoebiasis.
35. The inflammation of the oral mucosa that may extend to the bucal mucosa, lips and
palate is called __________________.
36. _____________ is the inflammation of the salivary gland.
37. _____________________ is the examination of body tissues and organs using the sense
of touch.
38. Transmission of diarrhoeal diseases is mainly by the fecal ………………… route
39. Hepatitis
that
result
from
exposure
to
certain
chemicals/toxins
is
called
………………hepatitis
40. Tape worms belong to class/group of worms called .........................................
41. Hook worm infestation is called by two hookworm species namely Ankylostoma
……………………… and Necator ……………………………….
42. ..................................... pylori this is an important cause of chronic gastritis and peptic
ulcers
43. A …………………………………..is a device that transmits ultra-sonic waves
44.
45. Presence of stones in the gall bladder is known as………………………….
46. Diphyllobothrium latum is the ……………………………………… tape worm.
47. …………………………….is used for testing sugar in urine by use of multi-sticks.
48. Endoscopy involving the rectum is known as ………………………….
49. Endoscopy involving the sigmoid is known as…………………………..
50. The causative organism of amoebic dysentery is ………………………… ……...
SECTION C: MATCHING QUESTIONS (20 MARKS)
COLUMN I
COLUMN II
1
Hepatitis A
a.
Usually caused by cholera
2
Hepatitis B
b.
Dilates the bronchus
3
Morbidity
c.
A diarrheal disease characterized by blood rice
Waterly stool.
4
Tonsillitis
d
The
technique
used
to
examine
the
characteristics of tissues and organs using the
sense of touch.
5
Severe dehydration
c
Acute
inflammation
of
large
intestines
characterized by blood and mucous in stool.
6
Liver cirrhosis
e
A diseased state, disability, or poor health
due to any cause
7
Palpation
f
A diarrheal disease characterized by periods of
Constipation and often accompanied by
tenesmus.
9
Inspection
The technique that determines the quality of
g
sounds obtained depending on the density of
the underlying tissue using fingers.
10 Auscultation
An infectious disease characterized by passing
h
of frequent watery rice like stool.
11 Percussion
12 Typhoid
i
j
Voice abuse
Type A influenza virus
13 Cholera
k
A disease characterized by passing watery stool
for more than 3 times in 24 hours.
14 Bacilliary dysentery
15 Amoebic Dysentery
l
m
16 Diarrhoea
17 Rhinitis
n
0
18 Laryngitis
p
Haemophilus bacteria
The techniques embraces listening to sounds
present in body cavities or body organs using
stethoscope.
Corona Virus
Can result
consumption
from
excessive
alcohol
Reduces production of Hydrochloric acid in
the stomach.
q
The technique used to determine patient
condition by comparing the stated age and
general appearance
The technique used to assess the weight of the
patient with general appearance.
s
Allergic Reaction
t
The technique that uses senses such as vision,
hearing and smell
An infectious diarrheal disease characterized by
r
v
pea’s soup like stool.
w It is blood borne commonly through needle
pricks.
x
Has faecal-route transmission
SECTION D ESSAY QUESTIONS
Question one is Compulsory. Choose one of either question Two or Three
Ms. Chanda aged 24 years old from a Nursing college has been admitted to your ward with a
diagnosis of pneumonia.
a. Define Pneumonia. 5%
b. State 5 signs and symptoms of pneumonia.10%
c. Explain the management of Ms Chanda under the following headings.
i. Medical Management .10%
ii. Nursing Care .5% each.
a. Environment
b. Maintaining patient airway
c. Positon
d. Observations
e. Nutrition and Hydration.
2. Philipo Mwale 16 years old was diagnosed with hook infestation.
a. Name the two causative organisms of hookworm infestation.5%
b. Describe the life cycle of hookworm. 30%
c. Explain two drugs you will give Philipo Mwale under following headings to treat
hookworm infestation.10%
a. Name of drug
b. Side Effects
c. Nursing Considerations.
D .Describe the Information, Education and Communication you will give to Philipo
Mwale on prevention of hookworm infestation.25%.
4. Mrs. Banda,36 year old marketer of a shanty compound is admitted to the health center
with a confirmed diagnosis of cholera.
a. Define Cholera.5%.
b. List two common sources of cholera infection.5%
c. State five signs and symptoms that Mrs. Banda will present with.15%
d. Identify five nursing problems and write a nursing care plan in managing
Mrs.Banda.50%.
e. Describe the Information ,Education and communication you will give Mrs. Banda to
prevent cholera.25%
WISHING YOU WELL..!