Dicm 333 :Medicine Ii Question Paper
Dicm 333 :Medicine Ii
Course:Clinical Medicine
Institution: Kenya Methodist University question papers
Exam Year:2014
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2014 (FQE) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE
UNIT CODE : DICM 333
UNIT TITLE : MEDICINE PAPER II
TIME : 3 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
PAPER TWO
Question One
The following are true of nephritic syndrome
Massive proteinuria
Hyperalbuminaemia
Generalized body malaise
Cedema of the lower limbs
Facial puffiness.
Question Two
Causes of iron deficiency anaemia include the following
Congenital defects as in sickle cell disease
Prematurity
Worm indestation by ascariasis
Ulcerative colitis
Pernicious anaemia
Question Three
The following drugs are used in the management of status epilepticus
Tegrettol
Phenobbarbitone
Glibencamide
Sodium valproate
Clonazepam
Question Four
The following are true of space occupying lesions
Haematoma may cause
Convalsions may be a feature
Vomiting is usually accompanied by nausea
X-ray of the skull always confirms the cause
Papiloedemia may lead to poor vision.
Question Five
Concerning thyroid storm
It is a life threatening meical emergency
It may follow austeral thyroidoctomy
Atrial fibrillation is a feature
Actibistics have a role in the management
Hypoglycaemia is a feature.
Question Six
HIV/AIDs is transmitted through
Sexual contact
Innoculation with infected blood products
Use of contaminated needles
Vertical transmission from mother to child
Fecal – oral route.
Question Seven
Regarding schistosomiasis
Man is intermediate host in the life cycle of schistosoma mansoni
Eosinophilia is common in the acute invasive stage of the disease
Maturing males and female S. mansoni pairs are usually found in venules of the bladder
Tissue granulomatous response is triggered by schistosome eggs rather than adults
Portal hypertension is a common complication of S. haematobium.
Question Eight
Clinical features of thyrotoxicosis include
Weight loss
Diarrloeas
Palpitations
Anxiely
Interlity
Question Nine
In Diabetic Keto Acidosis (DKA)
Characterized by ketonuria
Patient presents with blood ouger levels above 30 mmos litre
I/V fluids are essential in management
Most patient are likely to have metabolic acidosis
Insuli therapy is indicated
Question Ten
Causes of anaemia include
Severe malaria
Sickle cell disease
Leukemia
Leshmaniasis
Castroenteritis
Question Eleven
The following are diseases of the joints
Felty’s syndrome
Rheumatic fever
Osteoarthritis
Psoriasis
Infective endocarditis
Question Twelve
The causes of hypertension include
Renal disease
Cushing’s syndrome
Thyrotoxicosis
Family history
Phoechromocytoma
Question Thirteen
The causes of lower gastro-intestinal bleeding are;
Perforated duodenal ulcer
Chronic gastritis
Diverticular disease
Esopharyngeal varices
Epistaxis
Question fourteen
The following are the causes of acute gastro Enteritis
Chronic pancreatitis
Lymphoma
Bacterial infection
Food poisoning
Hookworm infestation
Question Fifteen
A 46 year old obese woman is admitted with two days history of a lower limb swelling. The limb is warm and tender;
She may be having cellulites
Filariasis is the most likely diagnosis
Deep venous thrombosis is likely
Elevation of the limb is important in treatment
Recent surgical removal of abdominal malignancy is the contributing factor
Question Sixteen
Regarding ankystomiasis
The parasite is fransmitted through oral route
Haemoptys may be a symptom
Iron deficiency anaemisa may develop
Stool for occur blood test is positive
Albenalazole 400mg is given for a period of five days
Question Seventeen
Concerning cerebral vascular accident
About 80% are due to haemorrhage
Aspirin is indicated in haemorrhagic cases
Thrombotic events occur in infective endocard it is
Raised blood pressure may be responsible
HIV is a predisposing factor
Question Eighteen
The following are true of urinary retension
Renal stones may be responsible
Urethral stricture may cause
Suprapubic catheterization is one way of management
Patient may have dysuria
Berign Arostatic hyperplasia is the cause in the elderly.
Question Nineteen
Regarding nephritic syndrome
Characterised by massive proteinuria
Oliguria is a sign
There is hypertension
Glomerular filtration rate is increased
Acute pyclonephritis is a differential diagnosis.
Question Twenty
The following are signs of upper motor neuron lesion
Hypertonic mucles
Decreased tendon reflexes
Extensor plantar response (Babinskis sign)
Fasciculation
Muscle wasting is pronounced
Question Twenty One
The following statements are true of infective endocarditis
It is the inflammation of the outer covering of the heart
Values are affected mostly
Bleeding into the skin is a sign
There is proteinuria
Erythrocyte sedimentation rate (ESR) is decreased.
Question Twenty Two
Concerning a case of pleural effusion
The onset of the disease is acute
Story dull percussion not is the finding
Mediastinal structures are deviated to the affected side
Vocal resonance is abscent
Breath sounds are increased.
Question Twenty Three
The following are true of leukemia
Acute leukamias are found in the elderly
There is bleeding tendencies
Bone marrows transplant has been proven to be curative
Irradiation doesn’t cause it
It is associated with chromosal abnormalities
Question Twenty Four
Concerning acute rheumatic fever
Blood culture will identify the causative organisms
The organisms respond to penicillin therapy
Emboli may cause strokes
Hepato-splenomegally is the finding
Erythromycin is an alternative in case of a patient being allergic to penicillis
Question Twenty Five
Peripheral neuropathy may be a complication of the following
Leprosy
HIV infection
Alcoholism
Diabetes mellitus
Hypoglycaemia
Question Twenty Six
In the case of severe bronchial asthma
May be treated as an outpatient case
Oxygen administration is indicated
The attacks may have persisted for more than 12 hours
I/V aminophylline in normal saline after a padding dose is advisable
An antibiotic is indicated.
Question Twenty Seven
The following features are suggestive of a grossly enlarged spleen
It extends to the umbilicus
It is pulsatile
It is bimannually palpable
It cannot be palpated above subcostal margin
It is dull on percussion.
Question Twenty Eight
The following are true of typhoid fever
It is an infectious disease
Constipation may be a symptom
Rose-red spots may be need on a light skin patient
Haemorrhage may be a complication
Blood culture is the most diagnostic method.
Question Twenty Nine
Regarding pneumothorax
It is the presence of air in the chest
Patrogenic causes are the commonest
Females are most affected
There is always an underlying lung disease in the elderly patients
Pleuritic chest pain is of sudden on set
Question Thirty
A comatose patient is brought to a Health Centre where you are the in charge. You decide on the following about the patient
Refer him immediately to level 5 hospital
Do thorough physical examination after obtaining relevant history
Give an injection of corticosteroid drug
Order for blood slide for malarial parasites
Do a lumber puncture.
More Question Papers
Exams With Marking Schemes
Popular Exams
Mid Term Exams
End Term 1 Exams
End Term 3 Exams
Opener Exams
Full Set Exams
Return to Question Papers