SURGERY SEM 4
KMTC/QP-08/TIS
KENYA MEDICAL TRAINING COLLEGE
PORT REITZ
DEPARTMENT OF CLINICAL MEDICINE
EXAM: END OF SEMESTER FOUR (2ND YEAR)
CLASS: SEPTEMBER 2015
PAPER: SURGERY
DATE: 21ST JUNE 2017
TIME: 08.30 – 10.30 HOURS
DAY: WEDNESDAY
SECTION A: 20 MARKS
SECTION B: 40 MARKS
TOTAL MARKS: 60 MARKS
TOTAL NO. OF PAGES: 8
INSTRUCTIONS
1. USE REGISTRATION NUMBERS AND NOT NAMES IN THIS EXAMINATION.
2. ANSWER BOTH SECTIONS IN THE ANSWER SHEET PROVIDED FOR
MCQ AND TRUE-FALSE QUESTIONS BY MARKING WITH AN “X” AS
APPLICABLE
3. MOBILE PHONES, TEXT BOOKS OR ANY LITERATURE ARE FORBIDDEN IN
THE EXAMINATION ROOM
MR. OKOTH Page 1
, SURGERY SEM 4
SECTION A: MULTIPLE CHOICE QUESTIONS [20 marks]
Choose the best answer and mark with an X in the slot next to the correct alternative in the
answer sheet.
1. Death 3 days after pelvic fracture is most likely to be due to:
a) Haemorrhage
b) Nerve damage
c) Fat embolism
d) Infection
2. Internal fixation of fracture is contraindicated in which situation:
a) Active infection
b) When bone gap is present
c) In compound fracture
d) In pathological fracturе.
3. What is the commonest complication of fracture of mid shaft of humerus:
a) Malunion
b) Non union
c) Radial nerve paralysis
d) Brachial artery injury
4. Most commonly fractured Carpal bone is:
a) Hamate
b) Lunate
c) Capitate
d) Scaphoid
5. What is the commonest complication of supracondylar fracture of humerus:
a) Malunion
b) Myositis ossificans
c) Stiffness of elbow
d) Volkmann's contracture
6. Which of the following is true about Monteggia fracture:
a) It is usually associated with posterior interosseous nerve paralysis
b) It is a combination of fractures of proximal ulna with dislocation of radial head
c) It can be usually treated conservatively in adults
d) It is a combination of fracture of radius with distal radio-ulnar joint dislocation
MR. OKOTH Page 2
KMTC/QP-08/TIS
KENYA MEDICAL TRAINING COLLEGE
PORT REITZ
DEPARTMENT OF CLINICAL MEDICINE
EXAM: END OF SEMESTER FOUR (2ND YEAR)
CLASS: SEPTEMBER 2015
PAPER: SURGERY
DATE: 21ST JUNE 2017
TIME: 08.30 – 10.30 HOURS
DAY: WEDNESDAY
SECTION A: 20 MARKS
SECTION B: 40 MARKS
TOTAL MARKS: 60 MARKS
TOTAL NO. OF PAGES: 8
INSTRUCTIONS
1. USE REGISTRATION NUMBERS AND NOT NAMES IN THIS EXAMINATION.
2. ANSWER BOTH SECTIONS IN THE ANSWER SHEET PROVIDED FOR
MCQ AND TRUE-FALSE QUESTIONS BY MARKING WITH AN “X” AS
APPLICABLE
3. MOBILE PHONES, TEXT BOOKS OR ANY LITERATURE ARE FORBIDDEN IN
THE EXAMINATION ROOM
MR. OKOTH Page 1
, SURGERY SEM 4
SECTION A: MULTIPLE CHOICE QUESTIONS [20 marks]
Choose the best answer and mark with an X in the slot next to the correct alternative in the
answer sheet.
1. Death 3 days after pelvic fracture is most likely to be due to:
a) Haemorrhage
b) Nerve damage
c) Fat embolism
d) Infection
2. Internal fixation of fracture is contraindicated in which situation:
a) Active infection
b) When bone gap is present
c) In compound fracture
d) In pathological fracturе.
3. What is the commonest complication of fracture of mid shaft of humerus:
a) Malunion
b) Non union
c) Radial nerve paralysis
d) Brachial artery injury
4. Most commonly fractured Carpal bone is:
a) Hamate
b) Lunate
c) Capitate
d) Scaphoid
5. What is the commonest complication of supracondylar fracture of humerus:
a) Malunion
b) Myositis ossificans
c) Stiffness of elbow
d) Volkmann's contracture
6. Which of the following is true about Monteggia fracture:
a) It is usually associated with posterior interosseous nerve paralysis
b) It is a combination of fractures of proximal ulna with dislocation of radial head
c) It can be usually treated conservatively in adults
d) It is a combination of fracture of radius with distal radio-ulnar joint dislocation
MR. OKOTH Page 2