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Dicm 135: Clinical Methods Question Paper

Dicm 135: Clinical Methods

Course:Clinical Medicine

Institution: Kenya Methodist University question papers

Exam Year:2014

KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2014 EXAMINATION

SUPPLEMENTARY EXAM
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE
UNIT CODE : DICM 135
UNIT TITLE : CLINICAL METHODS
TIME : 2 HOURS

INSTRUCTIONS

Write your University number and not name
Use a pen
Attempt all Questions
Multiple choice Questions
Mark T for True and F for False
You score a mark for every correct response
You lose 1 mark for every wrong response
You do not score nor lose any mark for not responding
Answer all the Questions on MCQ’s paper

PART A – ESSAYS

Question One

Discuss history of the present illness in a patient who complains of coughing and chest pain.

Question Two

How do you examine the abdomen?

PART B – SHORT ANSWER QUESTIONS

Question One

Define the following terms:

Fetid
Alopecia
Pyuria
Nausea
Vertigo

Question Two

What five areas do you inspect while examining the head and for each give a clinical feature.

Question Three

List five areas (organs) which are usually auscultated.

Question Four

List five qualities elicited while doing palpation.

Question Five

Mention the use of each of the following clinical diagnostic equipments

Auroscope
Tendon harma
Tape measure
Sphygmomanometer
Spatula

PART C – MCQ’s

Question One

The symptoms of autonomic system include the following:

Urine incontinence
Atrophy
Inostintary movements
Parasthesia
Erythema

Question Two

The following statements are true.

Deviation of 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 bronchial asthma
Koilonychias means brittleness of the nails
Tinea corpooris can cause alopecia.

Question Three

Concerning urinary system;

Dysuria is an indication of urethral inflammation
Both dysuria and frequency may be present together
Lumbar pain may be an indication of pyelonephritic
Leukorrhoea is a symptom of menopause
A colicky pain in the lumber region.

Question Four

The best place of checking for jaundice is

Conjunctiva
Sclera
Nail beds
Palm
Frenelum

Question Five

The following percussion notes are arranged according to the conditions that produce them

Tympany - pneunarothorax
Dullness - pneumonia
Stony dullness - intestinal obstruction
Hyperesonance - bronchial asthma
Resonance - ascites

Question Six

The importance of family history is that it gives information on:

Heredity conditions
Marital status
Occupation
Infections disease
Cigarette smoking.

Question Seven

The following statements on abdominal examinations are true.

Symmetrically distended abdomen may be due to fluid
Visible peristalsis may be due to peritonitis
Caput medusa are seen in patients with cirrhosis of the liver
Enlarged organ on the right hypochondrium is possibly the spleen
Visible scars may be surgical.

Question Eight

Rectal examination is indicated in the following

Anal irritation
Anal pain
Tenderness
Tone of anal sphincter
Presence of rectal mass.

Question Nine

A patient with history of allergy may present with

Asthma
Goiter
Eczema
Dermatitis
Lymphadenopathy

Question Ten

In assessing high cerebral functions the following are major components.

Speech
Muscle bulk
Memory
Intelligence
Co-ordination

Question Eleven

The following statements are true

Bleeding of gums is due to lack of vitamin B12
Koplik spots are found on mucous membrane of the mouth
Pharyngitis is to inflammation of the throat
Smooth tongue is usually due to iron deficiency
Polyps are growth found on the surface of the nose.

Question Twelve

Examination of a mass may provide the following information:

Size
Duration of existence
Consistency
Motility
Texture

Question Thirteen

The following statements are true

Loss of smell is due to disturbance of the 2nd cranial nerve.
Difficulty in chewing is due to damage to the 5th cranial nerve
Deafness is due to disturbance to the 1st cranial nerve
Loss of taste is a result of the 9th cranial nerve damage
Limitation of neck movement is due to the 7th cranial nerve disturbance.

Question Fourteen

The following are skin symptoms

Colour
Strains
Bleeding
Moisture
Body shape.

Question Fifteen

Central cyanosis is

Due to severe haemorhage
Examined for on the nail beds
Confirmed by the extremities being warm
Confirmed by lips being blue
Confirmed by the tongue being smooth

Dicm 135: Clinical Methods Question Paper

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