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Dicm 206:Clinical Methods Question Paper
Dicm 206:Clinical Methods
Course:Diploma In Clinic Medicine
Institution: Kenya Methodist University question papers
Exam Year:2013
CLINICAL METHODS (DICM 206) 1ST TRIMESTER 2013
KENYA METHODIST UNIVERSITY
END OF 1''ST ''TRIMESTER 2013 EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE
UNIT CODE : DICM 206
UNIT TITLE : CLINICAL METHODS
TIME : 2 HOURS
INSTRUCTIONS
Write your registration number on each paper
Attempt all questions in Part A, B and C
Multiple choice questions
Correct response earns one mark
You lose one mark for every incorrect response
You do not lose a mark if you do not attempt
Answer all questions on MCQs paper
PART A : ESSAY
Question one
Discuss the history of the present illness in a patient who presented with the following complaints
Vomiting
Abdominal pain
Diarrhea
Question Two
How do you go about the examination of the respiratory system?
PART B: SHORT ANSWER QUESTIONS
Question One
List five areas you examined on the head
Question Two
Indicate which cranial nerve is affected when the patient complains of
Loss of smell
Taste disturbance
Lack of balance
Limitation of neck movement
Difficulty in chewing
Question Three
State the use of the following tools
Tendon harmer
Auroscope
Opthalmoscope
Spatula
Tuning fork
Question Four
Define the following terms
Alopecia
Anorexia
Polyphagia
Syncope
Tinnitus
Question Five
How is the 5th cranial nerve examined?
PART C: MCQs
Question One
While reviewing the skin the following symptoms are of importance
Colour
Sprains
Bleeding
Moisture
Body configuration
Question Two
Symptoms of autonomic system include the following
Urine incontinence
Atrophy
Involuntary movements
Paraesthesia
Erythema
Question Three
The following statements are true
Deviation on the trachea towards the lesion is due to pleural effusion
Neck stiffness may be due to meningitis
The use of accessory muscles of respiration is seen in asthma
Koilonychia means brittleness of the nails
Tinea corporis can cause alopecia
Question Four
Concerning genito-urinary system
Dysuria is an indication of urethral inflammation
A patient with a dysuria may also have urinary frequent
Lumbar pain may be an indication of pyelonephritis
Leukorrhoea is a symptom of menopause
A colicky pain in the lumbar region may be due to biliary stones.
Question Five
The following percussion notes are arranged in accordance with conditions that may produce them
Tympany – pneumothorax
Dullness – pneumonia
Stony dullness – intestinal obstruction
Hyperesonance – emphysema
Resonance – ascites
Question Six
The following statements are true
Vertigo is caused by lack of oxygen in the brain
Discharge from the ears is due to rhinitis
Epistaxis is nasal bleeding
Haematuria may be caused by schistosomiasis mansoni
Running nose may be due to allergy
Question Seven
The importance of family history is that it gives information on;
Hereditary conditions
Marital status
Occupation
Infectious disease
Cigarette smoking
Question Eight
The following statements are either true or false
Bleeding from the gums is due to deficiency of vitB12
Kopliks spots are seen on the mucous membrane of the mouth
Pharyngitis is the inflammation of the tonsils
Smooth tongue is due to iron deficiency
Polyps are growths on the surface of the nose.
Question Nine
Jaundice is best noted on the examination of
Conjunctivae
Frenelum of the tongue
Nail beds
Lips
Palm
Question Ten
The best position of the clinician when examining the
Spine is when seated infront
Respiratory rate, when seated infront
Cervical lymph nodes when seated infront
Chest when standing behind
Thyroid gland, when seated behind
Question Eleven
Under general examination, the following are not noted
Cleanliness
Texture of air
Pallor
Obesity
Koilonychia
Question Twelve
The following are cardio-vascular symptoms
Wheezing
Orthopnoea
Night sweats
Extertional dysponoea
palpitations
Question Thirteen
Central cyanosis is
Due to severe haemorrhage
Examined for on the nail beds
Confirmed by extremities being warm
Confirmed by the lips being blue
Confirmed by the tongue being smooth
Question Fourteen
Concerning the pulse
Tachycardia is when pulse rate is 80 per minute
Tachycardia is seen in a case of severe anaemia
Bradycardia is seen in pregnancy
Collapsing pulse is an indication of essential hypertension
Reduced pulse volume is a sing of shock
Question Fifteen
A patient with history of allergy may present with
Asthma
Goiter
Eezema
Dermatitis
Lymphadenopathy
Question Sixteen
On palpation the following qualities are appreciated
The texture of the skin
The stony dullness
The cardiac impulse
The vocal resonance
The fluid thrill
Question Seventeen
Concerning the examination of the abdomen
Symmetrically distended abdomen may be due to fluid
Visible peristalsis may be due to peritonitis
Caput meduse are seen in patients with cirrhosis of liver
Enlarged organ on the right hypochondrium is possibly the spleen
Visible scars on the abdomen may be surgical or traumatic
Question Eighteen
The reason for percussing the abdomen is
To detect the shape of a mass
To detect the extent of the liver and spleen
To differentiate the spleen from the left kidney mass
To detect muscle rigidity
To detect ascites
Question Nineteen
Retention of urine may occur in the following condition
Acute urethritis
Urethral stricture
Prostatic enlargement
Chronic glomerulonephritis
Schistosomiasis mansoni
Question Twenty
Concerning reflexes
Plantar reflex is a tendon reflex
Abdominal reflex is absent in upper motor neuron lesion
Normal corneal reflex will have one eye blink when touched with cotton wool
Babinskis sign is present when the great to is upward going in response to test
Ankle reflex is diminished in lower moton neuron lesion
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