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Dcmm 211: Clinical Pathology Question Paper
Dcmm 211: Clinical Pathology
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 : DCMM 211
UNIT TITLE : CLINICAL PATHOLOGY
TIME : 3HOURS
INSTRUCTIONS:
Write your Registration Number
Section A, has MCQs, answer T for True and F for false, a wrong answer results in substraction of 1 mark
Sections B &C have short and long essay questions attempt all Questions.
SECTION A
QUESTION ONE
Raised white blood cells count occur in
A. Leukemia
B. Lymphomas
C. Aplastic anaemia
D. Infections
E. Spleromegaly
QUESTION TWO
Causes of elevated urinary protein
A. Urinary tract infections
B. Nephritic syndrome
C. Glomevulonephritis
D. Nephrotic syndrome
E. Polycystic kidney disease.
QUESTION THREE
Important factors in blood clotting include
A. Platelets
B. Endotrelial cells
C. Clotting factors
D. Blood vessel constrictions
E. All the above
QUESTION FOUR
Obstructed jaundice is characterized by
A. Elevated liver transamises
B. Rise in direct bilitubin
C. Rise in indirect lalitubin
D. Rise in alkaline phosphatase level.
E. Rise in urea leves in serum.
QUESTION FIVE
HbAic is a measure of
A. Serum glucose level
B. Renal damage in D.M.
C. Control of glucose over last 7 weeks
D. Duration of DM
E. atherosclevosis
QUESTION SIX
Concerning the thyroid hormones
A. Help on body metabolism
B. Cause reduction of TSH
C. Reduction of free T3 results to rise in bound T3
D. T3 is physiologically more active that T4
E. Have a diurnal variation.
QUESTION SEVEN
Microcytic anemia
A. is seen in folate deficiency
B. MCV of less than 96
C. MCV of more than 96
D. Iron deficiency anemia is the main cause
E. Occur in thallasemias
QUESTION EIGHT
Cardiac enzymes include
A. Troponin T.
B. Myoglobin
C. Tropomyosin
D. Creatinine kinase
E. Alkaline phosphatase.
QUESTION NINE
Causes of bleeding disorder
A. Leukemias
B. Hypercoagulability
C. Autoimione disorder
D. X-linked disorder
E. Liver failure
QUESTION TEN
Peripheral blood fetus can diagnose the following
A. Sickle cell anaemia
B. Chronic gralulocytic leukeremia.
C. Malaria
D. Acute myeloid leukaemia, M3.
E. Macrocytic anaemia
QUESTION ELEVEN
With regards to a lipid profile.
A. HDL level increase is protective of atherosderos
B. LDL levels increase is protective of atherosclerosis
C. Covonary atherosclerosis rises with cholesterol production.
D. is disrupted in case of DM.
E. Test is carried in a fasting patient.
QUESTION TWELVE
The following results in hypoproteinciemia
A. Chronic liver failure
B. Nephrotic syndrome.
C. Malnutrition
D. Malabsorption
E Protein losing eiteropathy.
QUESTION THIRTEEN
Bacterial meningitis is characterized by
A. CSF protein level of > 45g/di
B. Rise in LDL
C. Increase in leucocyte count of CSF
D. Increase lymphocyte count of CSF
E. Tubid CSF
QUESTION FOURTEEN
Space occupying tesious in the brain include
A. Taenia saginata.
B. Malaria
C. Tuberculous grainuloma
D. Brain tumour.
E. Toxoplasmosis
QUESTION FIFTEEN
Serum anaylse
A. Associated with hepatitis.
B. Rises in salivary tumours
C. Elevated in acute pancreatits
D. Elevated in renal failure.
E. Returns to normal levels earlier than serum lipase incase of pancreatitis.
QUESTION SIXTEEN
Main electrolytes measured in renal function test.
A. Na+
B. Mg++
C. Ca++
D. K+
E. Cl-
QUESTION SEVENTEEN
Asthma is characterized by
A. Eosinophilia
B. Rise in serum lgE.
C. Fall of FeV1
D. Peak expiratory flow variability
E. Improvement of lung function tests.
QUESTION EIGHTEEN
The following is matched correctly
A. Con`s syndrome overproduction of aldosterone.
B. Cushing disease-overproduction of ACTH.
C. Addison`s disease-overproduction of cortisol.
D. Graves disease – Hypothysoidism.
E. Phaecromocytoma- Adrenal medulla failure.
QUESTION NINETEEN
Obstructive disorders of the lung
A. Chronic bronditis
B. Asthma
C. Emphysema
D. Bronchilitis
E. Pneumonia.
QUESTION TWENTY
Leukemia`s are characterized by
A. Anaemia.
B. Thrombocytosis
C. Thrombocytopenia
D. Splenomegaly
E. Infections
SECTION B (SHORT ANSWER QUESTIONS)
QUESTION ONE
Explain TWO types of diabetic mellitus. (4marks)
QUESTION TWO
While listing examples, explains the forms of acute renal failure. (6marks)
QUESTION THREE
List the CSF findings in viral meningitis. (5marks)
QUESTION FOUR
Describe the pathogenesis of rhematic fever. (5marks)
QUESTION FIVE
State the organisms involved in bacterial endocarditis. (5marks)
QUESTION SIX
State the forms of Hodgkin lymphoma. (4marks)
QUESTION SEVEN
Outline the risk factors of acute leukemia. (5marks)
QUESTION EIGHT
State the causes of acute liver failure. (6marks)
SECTION C (LONG ANSWER QUESTIONS)
QUESTION ONE
Classify and describe the forms of anaemia. (15marks)
QUESTION TWO
Describe the risks of atherosclerosis. (15marks)
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