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Clinical Methods Question Paper

Clinical Methods

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009

KENYATTA UNIVERSITY
FIRST SEMESTER EXAMINATIONS 2009/2010
SUPPLEMENTARY/ SPECIAL EXAMINATION FOR DEGREE OF
BACHELOR OF SCIENCE (NURSING AND PUBLIC HEALTH)

HNS 311: CLINICAL METHODS

DATE: Thursday 3rd December 2009

TIME: 11.00 am –1.00 pm

INSTRUCTIONS
Section A:
Multiple choice questions
1.
Which of the following is not a stymata seen in a patient with liver failure
a.
Flapping
tremors
b.
Lauconychia
c.
Palmer
erythema
d.
Acidotic
breathing

2.
Which of the following statements is true?

a.
Jaundice is best detected on the conjunctiva

b.
Central cynosis is detected on the tongue

c.
Palmer pallour is a sign of anemis

d.
Splinter haemorrhage is seen on the skin of patients with infective
endocarditis

Page 1 of 6
3.
Finger clubbing is a condition that indication that indicates the presence of

various conditions which one is false.

a. Brochiectasis

b.
Cyanotic heart disease
c.
Pulmonary
tuberculosis
d.
Chronic
bronchitis

4.
Which of the following is not a sign of a lower motor neurone disease?
a.
Areflexia
b.
Hypotenia

c.
Reduced muscle bulk

d.
Extensor planter reflexes

5.
The following are signs of meningitis in a 2 year old child. Which one is false?
a.
Beck
stiffness

b.
Kernig’s sign positive

c.
Tense anterior forntanelle
d.
Craniotases

6.
A 1 year old boy has the following vital signs: Respiratory rate-60/min, BP-

90/60mm/hs, Pulse rate-of 100 beats/min and temperature of 38oC. Which of

the following is true?

a.
The child has techycardia

b.
The child has respiratory failure

c.
Pheumonia is likely

d.
The child has hypotension

Page 2 of 6
7.
Which of the following is not a sign of raised intracranial pressure?

a.
Babriski sign positive

b.
Cracked pot appearance of skull

c.
Sunsetting eyes

d.
Wide anterior fontanelle

8.
Which of the following investigations should be requested for in a patient with

suspected duodenal ulcers?
a.
Abdominal
ultrasound
b.
Abdominal
X-ray
c.
Barium
Swallow
d.
Endoscopy

9.
Which is not a differential diagnosis of a 70 year old patient presenting with

jaundice and oedema
a.
Hepatoma
b.
Liver
cirrhosis
c.
Malmia

d.
Cancer of the postrate

10.
A chest X-ray of an 18 year old man shows a mediastinal shift. Which of the

following is not a differential diagnosis in this case.
a.
Pheumothorax
b.
Collapsed
lung

c.
Acute severe asthma

d.
Massive pleural effusion

Page 3 of 6
11.
The following are useful investigation in a patient with chronic respiratory

distress. Which one is not?

a.
Blood gas analysis

b.
Urea and electrolytes
c.
Spirometry
d.
Chest
CT-Scan

12.
Which of the following signs may be seen in a patient with hypothyroidism?
a.
Proptesis
b.
Tachycardia
c.
Hypothermia
d.
Anxiety

13.
The following signs are matched to the cardiac pathology that may cause it.

Which one is false?

a.
Displaced apex beat – Left ventricular hypertrophy

b.
Loud second heat sound- Pulmonary hypertension

c.
Tapping apex- Mitral Stenosis

d.
Pensystollic murmur-Aortic regurgitation

14.
The following are signs seen in severe asthma. Which one is not?
a.
Cynosis
b.
Tachycardis
c.
Shallow
breathing
d.
Stridor

15.
The following are signs seen in peripheral vascular diseases. Which one is false?

a.
Arterial bruit on the vessel

b.
Faint peripheral pulses

c.
Painless ulcers on limb

d.
Low skin temperatures

Clinical Methods Question Paper

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