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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:2012

CLINICAL METHODS (DICM 206) 2ND TRIMESTER 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 206
UNIT TITLE : CLINICAL METHODS
TIME : 2HOURS

INSTRUCTIONS:

Read the instructions carefully.
Write your University Number (Not name)
Attempt all the questions in Section A, B&C
Multiple choice questions:
Mark T for True or F for False
You score a mark for every correct response
You do not score or lose any mark for not responding
You will be penalized 1 mark (minus) for every wrong response.
Do not use a pencil
Answer MCQs on the same question paper.

SECTION A (ESSAY QUESTIONS)

QUESTION ONE
With the use of stethoscope, list FIVE areas (organs) that are auscultated and describe the clinical signs you exept to hear from each. (10marks)

QUESTION TWO
Discuss the examination of the head. (10marks)

SECTION B (SHORT ANSWER QUESTIONS)

QUESTION ONE

Mention one cause for each of the following symptoms.

Urethral discharge
Dysuria
Urine retention
Urine incontinence
Haematuria

QUESTION TWO

List FIVE differences between an enlarged spleen and a mass on the left kidney.

QUESTION THREE

Define the following terms:

Pruritus
Vertigo
Tinnitus
Koilonychia
Alopecia.

QUESTION FOUR

Mention the use of each of the following clinical diagnostic equipments.

Auroscope
Tendon harmer
Tape measure
Sphygmomanometer
Tuning fork.

QUESTION FIVE

Match the following appropriately:

Atrophy- absence of smell
Anorexia – loss of voice
Aphonia- difficulty in speaking
Aphasia – loss of appetite
Anosmia – muscle wasting.

QUESTION SIX

List FIVE symptoms of respiratory system.

QUESTION SEVEN

Mention FIVE components of social (personal) History.

QUESTION EIGHT

List FIVE special methods of palpation.

QUESTION NINE

Patients can be examined in different positions for different reasons. Enumirate FIVE such positions and why they are examined so.

QUESTION TEN

Where are the following signs best examined?

Pallor
Central cyanosis
Jaundice
Dehydration
Lymphadenopathy.

SECTION C (MCQs)

QUESTION ONE

The following statements are true:
A. Shortness of breath at rest is due to cardio-vascular disease.
B. Dysentery is passing of loose stool mixed with blood
C. Loin pain is a symptom of gastro intestinal system.
D. Blood stained urine is called haemoptysis.
E. Orthopnoea is a condition of the bones

QUESTION TWO

The following statements are false.
A. Jaundice is a sign of hepatitis
B. Flatulence is met in cases of intestinal obstruction
C. In polyuria the colour of the urine is dark yellow
D. Polyuria means passing of urine frequently
E. Polyuria is a symptom of diabetes mellitus.

QUESTION THREE

Concerning past history:
A. Previous surgical history is of importance in diagnosis
B. A major previous illness may assist the clinician in relating it to the current condition
C. Knowing the use of certain drugs by the patient may assist the clinician in prescribing them
D. Previous blood transfusion may assist the clinician in estimating the

patients haemoglobin level.
E. The results of investigation may enable the clinician to know the diagnosis of the condition then.

QUESTION FOUR

On palpation, the following qualities are appreciated.
A. Texture of the skin
B. Strong dullness
C. Cardiac impulse
D. Vocal resonance
E. Fluid thrill

QUESTION FIVE

The following are the causes of tachycaridia
A. Thyrotoxicosts
B. Pregnancy
C. Aortic regurgitation
D. Severe anaemia
E. Myocardial infarction

QUESTION SIX

The following statements are true:
A. Symmetrically distended abdomen may be due to fluid
B. Visible peristalsis is usually due to peritonitis
C. Caput medusae are seen in cases of cirrhosis of the liver
D. Enlarged organ on the right side of abdomen may be the spleen
E. Visible scars on the abdomen may be due to either surgical or

therapeutic reasons.

QUESTION SEVEN

Percussion of the chest gives the following corresponding notes with the abnormality present.
A. Resonance – Lung consolidation
B. Hyperesonant – (Emphysema)
C. Stony dull – pleural effussion
D. Dullness – cardiac area.
E. Flat - normal

QUESTION EIGHT

The reason for percussing the abdomen is
A. To detect the shape of a mass
B. To detect the extent of the liver and spleen.
C. To differentiate enlarged spleen from the left kidney
D. To detect the muscle rigidity
E. To detect ascites

QUESTION NINE

The following are the indications of rectal examination
A. Anal irritation
B. Anal pain
C. Presence of blood on the stool
D. Routine examination
E. Patients with prostatic symptoms

QUESTION TEN

The importance of family history is that it gives information of the following
A. Hereditary conditions
B. Marital status
C. Occupation
D. Infectious diseases
E. Cigarette smoking

QUESTION ELEVEN

The purpose of isolating certain symptoms as chief complaints is to
A. Reduce the work of the clinician
B. serve as important clues for making differential diagnosis
C. enable the clinician to choose the appropriate drug.
D. guide in the appropriate investigation
E. serve as a reminder that these symptoms brought the patient for treatment.

QUESTION TWELVE

While reviewing the skin, the following symptoms are of importance
A. Colour
B. Sprains
C. Bleeding
D. Moisture
E. Body configuration

QUESTION THIRTEEN

The following are the symptoms of endocrine system:
A. Size of the hands are big.
B. Exopthalmos
C. Urticaria
D. Muscular weakness
E. Stiffness.

QUESTION FOURTEEN

A patient with history of allergy may present with
A. Asthma
B. Goiter
C. Eczema
D. Dermatitis
E. Lymphadenopathy.

QUESTION FIFTEEN

Infectious diseases include
A. Measels
B. Diabetes mellitus
C. Veneral diseases
D. Myositis
E. Pruritus

QUESTION SIXTEEN

The following statements are true:
A. Bleeding of gums is due to lack of vitamin B12
B. Koplik spots are found on mucous membrane of mouth
C. Pharyngitis is the inflammation of the throat.
D. Smooth tongue is usually due to iron deficiency
E. Polyps are growths found on the surface of the nose.

QUESTION SEVENTEEN

The following statements are true of various cranial nerves.
A. Loss of smell is due to 2nd nerve disturbance
B. Difficulty in chewing is due to damage of the fifth nerve
C. Loss of taste is a result of the nineth nerve damage
D. Deafness is due to disturbance of first nerve
E. Limitation of neck movement is due to seventh nerve disturbance.

QUESTION EIGHTEEN

Concerning the pulse
A. Tachycardia is when the pulse rate is 80 per min.
B. Tachycardia is found in cases of severe anaemia
C. Bradycardia is found in pregnancy
D. Collapsing pulse is met in case of essential hypertension
E. Low pulse volume is a sign of shock.

QUESTION NINETEEN

The following organs are in their true position in the abdomen:
A. The stomach is found in hypogastrium region
B. The spleen is found in right hypodrondrium
C. The bladder is in the umbilical region
D. The appendix is found on right iliac fossa.
E. The pancreas is on the left hypochondrium.

QUESTION TWENTY

The following statements are true
A. Pain of a patient with peptic ulcer disease is at epigastric region
B. Generalized abdominal pain may be due to peritonitis
C. Suprapubic pain may be due to cholecystitis
D. Rebound tenderness is a sign salpingitis
E. Ballotment is method of palpating the kidneys.

Dicm 206:Clinical Methods Question Paper

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