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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 I
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

PART I

Question One

Disease diabetes mellitus in terms of:

Two common types and their characteristics
Clinical features
Chronic complications

Question Two

A 20 year old female comes to you with history of headache, visual disturbance and vomiting for two days.

What is the likely diagnosis

(2 Mks)

Mention five signs of this condition
Outline the investigations you will carry out to confirm your diagnosis.

Question Three

A 15 year old child has seen in OPD with a history of puffiness of the face. On further questioning he reports that he had a sore throat a week earlier which disappeared.

What does this patient have?
List other clinical features you expect to find on this patient
How do you manage this case?

Question Four

Describe the three types of jaundice you know the cause of each type and the clinical features of one types.

Question Five

Mr. Onyango, a 55 year old man presents to you with a history progressive dysphagia. He explains that it started with difficulty in swallowing solid food and now he cannot take fluids.

What is the most likely diagnosis of Mr. Onyango
List three etiological factors
What are the differential diagnosis
What diagnostic tests will you carry out?

Question Six

Discuss severe malaria under the following headings:

Definition of severe malaria
List five clinical features of severe malaria
How do you manage a case of cerebral malaria

Question Seven

A fifty year old patient comes to your clinic with history of awareness of his heart beat, getting tired easily especially on walking upstairs and difficulty in breathing on lying down on his bed

What is the likely diagnosis
Mention your findings on examination of this patient
Outline the management of this patient

Question Eight

Discuss the differential diagnosis of a patient who presents with haemoptysis
Which investigations will you carry to confirm the cause

Question Nine

An elderly patient is admitted to male ward with a history of long standing abdominal distension.

Which questions will you ask him TO search for the cause of this condition
What examinations will you carry out
List the investigations you will order.

Question Ten

Discuss dysentery under the following headings

Distinguish between bacillary and amoebic dysentery
Management of each type.

Dicm 333 :Medicine Ii Question Paper

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