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Dcm 229: Surgery 11 Question Paper

Dcm 229: Surgery 11

Course:Clinical Medicine, Surgery & Community

Institution: Kenya Methodist University question papers

Exam Year:2012

KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2012(DAY) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE, SURGERY & COMMUNITY
HEALTH
UNIT CODE : DCM 229
UNIT TITLE : SURGERY 11
TIME : 3HOURS

INSTRUCTIONS: Answer ALL Questions in Section A and B and TWO Questions in Section C
Section A Questions every right choice (answer) shall be awarded 1mark and for each wrong answer shall be awarded - marks (-ve) mark. The marks for each question in Section B should be awarded the indicated marks.
The Section C Questions answer any TWO amongst the 3 and each should be awarded 25marks.
SECTION A
QUESTION ONE
Peritonitis can complicate to present with:
A. adhesions leading to intestinal obstruction
B. perforation of the gut
C. appendicitis
D. gastritis
E. paralytic ileus.
QUESTION TWO
The following are Benign tumour of the bone
A. Ostcoma
B. Chondroma
C. Multiple myloma
D. Osteocarcinonia
QUESTION THREE
Poorly treated trachoma can complicate and cause
A. Corneal ulceration
B. Ectropion
C. Entropion
D. Night blindness
E. Cataract.
QUESTION FOUR
Cataract:
A. Can result from uncontrolled diabetes melitus
B. Can originate as a complication of trachoma
C. Can develop with age
D. as a result of dictary intake
E. as a result of parysytic infection.
QUESTION FIVE
Tibial fractures:
A. are usually compound fractures
B. they are best managed conservatively
C. the best method of management’s surgical intervention
D. can be managed by use of gallows traction in elderly patients
E. the POP when applied should always imobilise the ankle and the knee
joints.
QUESTION SIX
The breast carcinoma:
A. may spread through the lymph modes
B. it has a genetical predisposition
C. its usually starts as a tender mars
D. its usually a painless tumour
E. its usually found in elderly patients
QUESTION SEVEN
A cute secretory otitis midia:
A. Obstruction of pharyngotympanic tube is a causative factor
B. Adenoid hypertrophy is not associated
C. is also associated with conductive deafness
D. is associated with sensory-neural deafness
E. can be managed with myrigotomy
QUESTION EIGHT
Cancer of the stomach is commonly found:
A. in the lesser curvature
B. in the greater curvature
C. in the phyloric region
D. in the cardiac region
E. its evenly spread in the potential site
QUESTION NINE
Hematuria in a person working in a rice irrigation farm:
A. Schistozoma haemotobium is the causitive agent
B. Schistozoma mansoni is a causitive agent
C. BPH should be rulled out if the patient is below age 50 years
D. Wilm`s tumour may be considered
E. None of the above
QUESTION TEN
Epistaxes in an elderly patient:
A. Is usually sign of generalized disease
B. Is usually associated with Rhinits
C. The bleeding is usually from the Little`s area.
D. The site of bleeding could be high up the nasal cavity
E. High blood pressure should be suspected.
QUESTION ELEVEN
John presented with a swelling in the right scrotum which was occasionally appearing and disappearing. He would press it and it feels filled with gas. He has
A. Hydrocoele
B. Ingeunial hernia
C. Femoral hernia
D. Scrotal elephantiasis
E. Orchitis.
QUESTION TWELVE
Jane 12 years old was playing with beans and inhaled one into the lungs.
A. Diagnosis is by single plane x-ray
B. Diagnosed by two plane x-ray
C. Dignosed by Auscaultation
D. Diagnosed and managed by Bronchoscopy
QUESTION THIRTEEN
Kocher`s Manouver
A. Is used for management of shoulder dislocation
B. Is used for management of colle`s fracture
C. is used for management of compound fractures of the ulna
D. is used for management of simple fractures of the Radius & ulna
E. is a procedure for diagnosis of anterior diclocation of the shoulder
QUESTION FOURTEEN
Undescended testis
A. Orchidopexy is the management of choice
B. Best managed at age 7 years
C. It may develop into malignancy if left unmanaged
D. Its commonly occurs bilatelly.
E. Its mostly complicated with testicular torsion
QUESTION FIFTEEN
Of the following paranasial sinuses it develops in the second 2nd year after birth
A. Frontal sinus
B. Maxillary sinus
C. Sphenoid sinus
D. Sphenoid sinus
E. None of the above
QUESTION SIXTEEN
Jaundice is associated with the following
A. Hepatoma
B. Hepatitis
C. Cancer of the head of pancrease
D. Cholestitis
E. Cancer of the stomach
QUESTION SEVENTEEN
Ring Block (Curcumfrentical local anaesthesia) should be
A. Always with adrenallnle
B. Should never have adrenaline
C. Plane local adrenaline in ineffective
D. Has no role during circumcision
E. None of the above is true.
SECTION B (Answer ALL Questions)
QUESTION ONE
Briefly discuss the Grave`s disease
a) Aetiology (2marks)

b) Clinical signs and symptom. (3marks)
QUESTION TWO
a) Classify the fractures of long bones. (2marks)

b) List the complication of fractures (3marks)
QUESTION THREE
List the:
a) Paranasal sinuses (2marks)

b) Describe the presenting signs and symptoms of patient with frontal sinusitis. (3marks)
QUESTION FOUR
Describe the
a) Aetiology (1mark)

b) Clinical symptoms. (2marks)

c) Management of a patient presenting with wet gangrene. (2marks)
QUESTION FIVE
Describe management of a patient presenting with a knee injury, who sustained on injury while playing football. (5marks)
QUESTION SIX
Describe Ludwig`s agina using the following sub-headings
a) Aetiology (1mark)

b) Clinical signs. (2marks)

c) Management. (2marks)
QUESTION SEVEN
Describe the
a) Classification of Burkitis Lymphouna. (1.5marks)

b) Clinical signs of one type its and management. (3.5marks)
QUESTION EIGHT
Describe the :
a) Aetiology (2marks)

b) Management simple goiter. (3marks)
QUESTION NINE
Describe the:
a) Aeliology (2marks)

b) Presentation (1mark)

c) Management of patient presenting with trachoma neonatorum. (2marks)
QUESTION TEN
Describe the management of a patient with stab wound of the chest at the 4th inter costal space posterioly right side. (5marks)
SECTION C (Answer any Two Questions)
QUESTION ONE
Discuss Hematuria in 70 year old man using the following subheading
Aetiology
(15marks)
Management
(10marks)
QUESTION TWO
Describe
The classification of buns.
(10marks)
The management of a patient with facial burns.
(15marks)
QUESTION THREE
Describe the management of a patient who is 65 years old presenting with fracture of the neck of the femour using the following subheadings.
Presenting signs symptoms
(5marks)
Diagnostic procedures.
(3marks)
Emergency management definitive management
(7marks)

Dcm 229: Surgery 11 Question Paper

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