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Surgery paper

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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

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