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Speciallized Procedures

The document is an examination paper for the Kenya Medical Training College, specifically for the KRCHN class, covering specialized procedures. It includes instructions for answering multiple-choice questions, short answer questions, and long answer questions, as well as specific medical scenarios and procedures. The exam tests knowledge on various medical procedures, indications for examinations, and calculations related to intravenous infusions.

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Kendi Mwongera
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184 views3 pages

Speciallized Procedures

The document is an examination paper for the Kenya Medical Training College, specifically for the KRCHN class, covering specialized procedures. It includes instructions for answering multiple-choice questions, short answer questions, and long answer questions, as well as specific medical scenarios and procedures. The exam tests knowledge on various medical procedures, indications for examinations, and calculations related to intravenous infusions.

Uploaded by

Kendi Mwongera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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KMTC/QP-07/TIS

KENYA MEDICAL TRAINING COLLEGE – NYAMIRA


END OF YEAR 1 SEMESTER 2 EXAMINATION
MARCH 2013 KRCHN CLASS (PRE-SERVICE)
SPECIALIZED PROCEDURES

DATE: TIME: ..................

INSTRUCTIONS

1. Enter your examination number and question number on each page


used.

2. ALL questions are compulsory.

3. For part 1 (MCQs), write the answer in the spaces provided on the
answer booklet.

4. For Part 2 (SHORT ANSWER QUESTIONS), answer to each question


MUST be done on a separate sheet of paper.

5. For Part 3 (LONG ANSWER QUESTIONS), answer to each question


MUST be done on a separate sheet of paper.

6. Omission of and or wrong numbering of a question or part of the


question will result in 10% deduction of the marks scored from the
relevant part.

7. Do NOT use a pencil.

8. Mobile phones are NOT allowed in the examination hall.


KMTC/QP-07/TIS

SECTION I: MCQ QUESTIONS

1. Rectal washouts is performed to clean the lower bowels:

a. Before lower bowel surgery and sigmoidescopy.

b. Relieve abdominal distension and give the patient comfort.

c. before sigmoidoscopy and relieve constipation

d. Before sigmoidoscopy and relieve constipation

2. Indication of electro encephalogram is:-

a. Diagnose epilepsy

b. Diagnose liver cirrhosis

c. Diagnose nervous condition

d. Diagnose thyroid tumours

3. Indications of a bone marrow biopsy include:-

a. Lower number of platelets, low amounts of enzymes.

b. Low number of white blood cells, abdominal white blood cells

c. Acute oesteomyelitis, abnormal red blood cells.

d. Low amount of enzymes, abnormal white blood cells.

4. Liver biopsy can be performed under the following indications.

a. Evaluate diffuse disorders, test coagulation system

b. Diagnose space occupying lesion, record vital spins

c. Lapascopic studies, prothrombin time.

d. Diagnose space occupying lesions, diagnose disorders.


KMTC/QP-07/TIS

5. Cystocopy may be recommended for conditions like.

a. Haematuria, need for a bladder catheter, urinary tract infection.

b. Tumour, dysuria, biopsy.

c. Cells found in urine, incontinence, kidney stones.

d. Bladder endlargement, hydronephritis, kidney puncture.

Section II structured answer questions

1. Define and give Two (2) indications for each of the following examination:-

a. Sonogram

b. Magnetic resonance imaging

c. Bone marrow biopsy

d. Barium meal

e. Cholecystogram

f. Gastroscopy 18 Marks

2. Patient X is admitted to the ward and is for intravenous infusion i.e 500mls
Normal saline to run for 5 minutes.

a. Calculate the number of drop per minute. 3 Marks

b. State Three (3) indications of intravenous infusion. 3 Marks

c. Outline Four (4) complications patient X may present with due to


intravenous infusion. 4 Marks

Success.

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