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Dicm 206: Clinical Methods Question Paper
Dicm 206: Clinical Methods
Course:Clinical Medicine & Surgery
Institution: Kenya Methodist University question papers
Exam Year:2011
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE & SURGERY
UNIT CODE : DICM 206
UNIT TITLE : CLINICAL METHODS
TIME : 3 HOURS
Instructions:
Attempt ALL the Questions
Write your Admission Number on every answer sheet
Use a pen and not Pencil
PART A
ESSAY QUESTIONS
Question One
Discuss the history of the present illness in a patient complains of abdominal pain, diarrhea and vomiting.
Question Two
How do you go about the examination of a patient who presents with a history of respiratory condition/disease?
PART B: SHORT ANSWER QUESTIONS
Question One
Define the following terms:
Fetid
Alopecia
Pyuria
Nausea
Vertigo
Question Two
List FIVE symptoms of endocrine system.
Question Three
What FIVE areas do you inspect while examining the head and for each give a clinical feature.
Question Four
Mention FIVE areas (organs) which are usually auscultated.
Question Five
List FIVE qualities elicited by palpation.
Question Six
Outline FIVE differences between an enlarged spleen and a mass on the left kidney.
Question Seven
Mention the use of each of the following clinical diagnostic equipments.
Auroscope
Tendon harmer
Tape measure
Sphygmomanometer
Spatula
Question Eight
List TEN signs you will be looking for while doing general examination of a patient.
Question Nine
Odours in clinical practice provide valuable and immediate dues. List FIVE important specimens and the valuable information each provides
Question Ten
How do you examine Trigeminal nerve?
PART C: M.C.Qs
Question One
The importance of isolating certain symptoms as chief complaints are to:
Reduce the work of the clinician.
Serve as important clues for making the differential diagnoses
Enable the clinician to choose the appropriate drug
Guide in guide in the appropriate investigation
Serve as reminder that threes symptoms brought the patient for treatment
Question Two
Concerning past history:
Previous surgical history is of importance in making diagnosis
A major previous illness many assist the clinician in relating it to the current condition
The knowledge of use of a drug may assist the clinician in prescribing it
Previous blood transfusion may assist the clinician in estimating the patient’s haemoglobin.
The results of an investigation carried out on a patient may enable the clinician to know the diagnosis of a condition then.
Question Three
Under general examination, the following are normally checked
Emaciation
Position of the trachea
Redness of the eyes
Cleanliness
Lymphadenopathy
Question Four
The symptoms of autonomic system include the following
Urine incontinence
Atrophy
Involuntary movements
Paraesthesia
Erythema
Question Five
Response true or false
Deviation of the trachea towards the lesion is due to pleural effusion
Neck stiffness may be due to menegitis
The use of accessory muscles of respiration is use in bronchial asthma
Koilonychia means brittleness of the nails
Tinea corporis can cause alopecia
Question Six
About genitor-urinary system
Dysuria is an indication of urethral inflammation
In presence of dysuria, there may be also frequency
Lumbar pain may be an indication of pyclonephritis
Leukorrhoea is a symptom of menopause
A colicky pain in the lumbar region can be due to billiary stones.
Question Seven
The best place for checking jaundice is
Conjuctiva
Sclera
Nail beds
Palm
Frenelum
Question Eight
The following percussion notes are arranged according to the conditions that produce them
Tympany – Pneumothorax
Dullness – Pneumonia
Stony dullness – intestinal obstruction
Hyperesonance – Emphysema
Resonance – Ascites
Question Nine
True or False
Vertigo is caused by lack of oxygen in the brain
Discharge from the ears is due to rhinitis
Torticolics is caused by meningitis
Epitaxis is nasal bleeding
Urinary frequency is a symptom of endocrine system.
Question Ten
The importance of family history is that it gives information on
Heredity conditions
Marital status
Occupation
Infectious disease
Cigarette smoking
Question Eleven
The best position by the clinician when examining the:
Spine is when seated infront
Vital signs, when seated infront
Cervical lymph nodes when seated infront
Chest when standing behind
Thyroid gland when seated behind
Question Twelve
Concerning the pulse:
Tachycardia when the pulse rate is 80 per minute.
Tachcardia is found in the case of severe anaemia
Bradycardia is found in pregnancy
Collapsing pulse is seen in cases with essential hypertension
Reduced pulse volume is a sign of shock
Question Thirteen
True or False
Limitation of neck movement is seen in damage to the 12th cranial nerve
Muscle atrophy is a sign of sensory system
Poor control of urine means urine incontinence
Cynosis can also be seen in disturbance of autonomic system.
Hallucination means a believe that cannot be altered by rational argument.
Question Fourteen
On palpation the following qualities are appreciated.
The texture of the skin
The stony dullness
The cardiac impulse
The vocal resonance
The fluid thrills
Question Fifteen
The following are the cause of tachycardia
Thyrotoxicosis
Myocardial infarction
Pregnancy
Aortic regurgitation
Severe anemia
Question Sixteen
The following are the findings on auscultationof the chest.
The symmetry
Vesicular breath sounds
Adventitious sounds
Cardiac thrills
Pleural rub
Question Seventeen
Infectious diseases include the following:
Measles
Diabetes mellitus
Venereal diseases
Myositis
Pruritus
Question Eighteen
True or False:
Symmetrically distended abdomen can be due to fluids.
Visible peristalsis may be due to peritonitis
Caput medusae are seen in patients with cirrhosis of the liver.
An enlarged organ on the right side of the abdomen is possibly the spleen.
Visible scars on the abdomen can be of either surgical or therapeutic reasons.
Question Nineteen
Rectal examination is indicated in the following:
Anal irritation
Anal pain
Tenderness
Tone of anal sphincter
Presence of rectal mass
Question Twenty
Retention of urine may occur in the following conditions
Acute urethritis
Urethral stricture
Prostatic enlargement
Chronic glomemlonephritis
Schistosomiasis mansoni
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