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Dicm 227: Reproductive Health Ii Question Paper
Dicm 227: Reproductive Health Ii
Course:Clinical Medicine, Surgery & Community Health
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 : DICM 227
UNIT TITLE : REPRODUCTIVE HEALTH II
TIME : 3HOURS
INSTRUCTIONS:
Write your Reg No.
Section A consists of multiple choice Questions answer T for true and F for False.
A wrong answer results to substration of 1mark
Attempt ALL Questions
SECTION A
QUESTION ONE
With regards to focused antenatal care
A. At least two visits should be made
B. The last visit is made prior to
C. There is a fixed number of visits
D. Treatment of conditions is not one of the main objective
E. VDRL is no larger necessary.
QUESTION TWO
About perinatal mortality
A. Refers to death of neonate 28days after birth.
B. Birth asphyxia ia a caniva cause.
C. Includes still births.
D. Refers to death of the mother during pregnancy
E. Is a measure of the social economic status
QUESTION THREE
The following is true about caesarian section
A. is indicated if previous scar was a lower transverse.
B. Patients can be discharged in the 2nd post-operative day
C. Patients should be starved 48 hours following operation
D. Trial of scare for delivery can only be attempted after three years
E. Twins in vertex-vertex position should be delivered via c/s.
QUESTION FOUR
Leading causes of maternal deaths in Kenya
A. Hemorrhage
B. Abortion
C. Malaria
D. Typhoid fever
E. Obstructed labour
QUESTION FIVE
The following are pillars of safe motherhood.
A. Family planning
B. focused antenatal care
C. neonatal care
D. Comprehensive care center for HIV +ve patients
E. Voluntary counseling and testing.
QUESTION SIX
About the New- York heart association of classification of heart disease.
A. Class 1 refers to symptoms at rest
B. Class 11 refers to limitations of ordinary activity
C. There are four classes
D. There are five classes
E. Symptoms at rest with severe limitations are seen in class IV
QUESTION SEVEN
Factors increasing mother to child transmission of HIV
A. Seroconversion during pregnancy
B. Late clinical stage.
C. low viral load.
D. Amniotomy
E. Caesarian section.
QUESTION EIGHT
Vaginal delivery after a caesarian section scar can be attempted in the following
A. Foetal malpresentation
B. Cephalopevic disproportion
C. Two previous caesarian sections
D. Two years after the last one scar
E. A classical uterine scar.
QUESTION NINE
Risks for fetal maternal hemorrhage that leads to sensitization in case of rhesus factor incompatibility
A. Abortion
B. Multiple gestation
C. C/s
D. Abruptic placenta
E. Trauma
QUESTION TEN
Anti-retroviral therapy for PMTCT
A. triple therapy for all patients
B. patients with CD4+ count of 250 need triple therapy
C. nevirapine is given for to exposed infants.
D. nevirapine alone can be given from of gestation.
E. patients with CD4+ count =250 can have liver toxicity with nevirapine
Use.
QUESTION ELEVEN
Pelvic organ prolapse
A. Cystocele refers to bladder prolapse
B. procidentia refers to complete uterovaginal prolapse
C. procidentia refers to cervical prolapsed.
D. intrinsic collagen disorders are a risk.
E. Heavy lifting is protective.
QUESTION TWELVE
Symptoms suggestive of vesical vaginal fistula
A. Painful genital ulcers
B. foul odours
C. frequent urinary tract infections
D. urine incontinence
E. All the above
QUESTION THIRTEEN
Complications of polyhdraminos include.
A. pre-edampsia
B. fetal malposition
C. preterm labours
D. PROM
E. Umblilical card prolapsed.
QUESTION FOURTEEN
Laboratory abnormalities of hyperemesis gravidurums
A. metabolic alkalosis
B. Increased hematocrit.
C. elevated liver transaminases
D. hypokalemia
E. hyperkalemia
QUESTION FIFTEEN
Features of serven analysis during investigation for infertility
A. Motility
B. presence of infections
C. quantity
D. colour of semien
E. Morphology of sperms
QUESTION SIXTEEN
Symptoms suggestive of ovulation
A. Breast pain
B. Hirsutisim
C. Amenorrhea
D. Increased vaginal secretion
E. Irregular menses
QUESTION SEVENTEEN
Management of pregnancy with rhesus ISO-Immunization
A. Liley`s chart should be used.
B. Severely affected fetus can be transfused intra-uterine
C. mothers should be counseled not to conceive again
D. termination of pregnancy is indicated in severe cases
E. anti-se/rhogan should be given.
QUESTION EIGHTEEN
Complete role of hydatidiform disease
A. Triploid karyotype
B. present fetal tissue
C. slight elevation of ß- HCG
D. Hydropic villi are numerous
E. Absent fetal red blood cells.
QUESTION NINETEEN
Essentials of diagnosis of gestational tropholslastic
A. Uterine bleeding in 2nd trimester
B. Vaginal expulsion of vesicles
C. hyper-emesis gravidurum
D. Pre-edampsia in the 1st trimester
E. Absences of fetal heart sounds.
QUESTION TWENTY
Predisposing factors to multiple gestation
A. Big maternal status
B. low parity
C. oral contraceptive use
D. oriental race
E. Family history of twins
SECTION B (SHORT ANSWER QUESTION)
QUESTION ONE
Outline the clinical features of heart disease during pregnancy. (5marks)
QUESTION TWO
Explain the forms of breech presentation. (8marks)
QUESTION THREE
State the indirect causes of maternal mortality. (5marks)
QUESTION FOUR
State the components of post-abortal care. (3marks)
QUESTION FIVE
Briefly describe the treatment of polyhydrominos. (4marks)
QUESTION SIX
State the risks of an adolescent gravid (5marks)
QUESTION SEVEN
State the features of pastial hydatidiform mode. (6marks)
QUESTION EIGHT
Write short notes on hirsutism. (5marks)
QUESTION NINE
State the causes of amenorrhea. (5marks)
QUESTION TEN
List the risk factors for shoulder dystocia. (4marks)
SECTION C
QUESTION ONE
Mwari a 25 year old, primigravida at is diagnosed with HIV while attending the ANC, discuss how you investigate treat her and the baby to prevent transmission of the HIV virus. (15marks)
QUESTION TWO
a) Define obstructed labour. (2marks)
b) Discuss, the causes, risks, treatment and complications of obstructed
labour. (18marks)
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