PAPER ONE
PART I: MULTIPLE CHOICE QUESTIONS:
Q:1. Ranitidine used in management of peptic ulcers acts by;
a. Blocking histamine 2 receptors
b. Blocking the proton pump
c. Coating the abdominal mucosa
d. Neutralizing the acid.
Q:2. A sinus tachycardia is :-
a) An abnormal heart rhythm.
b) Associated with a pulse rate above150 beats/min.
c) Common among the elderly.
d) Common in hyperthyroidism.
Q:3. In neurogenic (spinal) shock:-
a) The heart rate is higher than normal.
b) The skin is dry and normal.
c) There is a wide pulse pressure.
d) There is a narrow pulse pressure.
Q:4. Early manifestations of shock in the respiratory system include:-
a) Hyperventilation, reduced carbon dioxide and oxygen partial pressures.
b) Hyperventilation, reduced carbon dioxide partial pressure, normal
oxygen partial pressure.
c) Hyperventilation, increased carbon dioxide and oxygen
partial pressures.
d) Hyperventilation, normal carbon dioxide and oxygen partial pressures.
Q:5. Measures that may be taken to reduce gastro-oesophageal acid reflux include:-
a) Taking antacids one hour after meals, avoiding alcohol.
b) Taking coffee immediately after meals, avoiding alcohol.
c) Taking antacids one hour before meals, avoiding alcohol.
d) Taking antacids one hour after meals, taking coffee immediately after meals.
Q: 6.Obesity:-
a) Is a result of imbalance between fats and carbohydrates intake.
b) Represents excess of body carbohydrate reserve.
c) Is associated with a BMI of greater than 40.
d) Is associated with a BMI of 30 to 40
Q: 7.Leiomyomas:-
a. Mostly regress with menopause
b. May become malignant if not removed early
c. Are best managed through Total abdominal hysterectomy
d. Respond better to hormonal therapy compared to uterine artery embolization.
, Q: 8.Curling’s ulcers are:-
a) Common in patients with head injury.
b) Observed in about 72 hrs following extensive burns.
c) Mainly caused by Helicobacter pylori.
d) Usually linked to excessive ingestion of steroids.
Q: 9. A patient suffering from sinusitis affecting the ethmoid bone will feel pain:-
a) Between and behind the eyes.
b) Over the forehead, back of head.
c) Over cheeks, below the eyes.
d) In front and back of the head.
Q:10. Following cataract extraction, the patient should wear glasses to:-
a) Improve vision.
b) Enhance healing.
c) Protect the eye.
d) Prevent infections.
Q:11. The following is true about carcinoma of the colon:-
a) Radiotherapy with adjuvant chemotherapy is the treatment of choice.
b) Is associated with increased motions when it affects the left colon.
c) Is associated with constipation when the right colon is affected.
d) Colon resection with bowel anastomosis is the treatment of choice.
Q: 12. The health messages that should be shared with a patient who has suffered
from Myocardial infarction include:-
a) Identification and modification of all risk factors.
b) Reporting to health care providers if extremely fatigued.
c) Eating low salt but fluid-free diet.
d) Reporting insomnia whenever it occurs.
Q: 13. A central venous pressure (CVP) line is:-
a) Only meant for hyperalimentation.
b) Used to measure the amount of circulatory volume deficit.
c) Helpful in assessing functioning of the left side of the heart.
d) Helpful in assessing functioning of the right side of the heart.
Q: 14. The Somogyi effect:-
a) Presents with elevated blood sugars after a carbohydrate meal.
b) Is prevented by decreasing pre-dinner dose of intermediate insulin.
c) Is usually avoided by decreasing the amount of bedtime snack.
d) Presents with hyperglycaemic levels at around 3 after midnight (am).
Q: 15. While caring for a patient with urine incontinence, the nurse should:-
a) Avoid exposing the patient to timed voiding patterns.
b) Carry out “bladder drills”with the patient.
c) Instruct the family members how to perform Kegel exercises.
PART I: MULTIPLE CHOICE QUESTIONS:
Q:1. Ranitidine used in management of peptic ulcers acts by;
a. Blocking histamine 2 receptors
b. Blocking the proton pump
c. Coating the abdominal mucosa
d. Neutralizing the acid.
Q:2. A sinus tachycardia is :-
a) An abnormal heart rhythm.
b) Associated with a pulse rate above150 beats/min.
c) Common among the elderly.
d) Common in hyperthyroidism.
Q:3. In neurogenic (spinal) shock:-
a) The heart rate is higher than normal.
b) The skin is dry and normal.
c) There is a wide pulse pressure.
d) There is a narrow pulse pressure.
Q:4. Early manifestations of shock in the respiratory system include:-
a) Hyperventilation, reduced carbon dioxide and oxygen partial pressures.
b) Hyperventilation, reduced carbon dioxide partial pressure, normal
oxygen partial pressure.
c) Hyperventilation, increased carbon dioxide and oxygen
partial pressures.
d) Hyperventilation, normal carbon dioxide and oxygen partial pressures.
Q:5. Measures that may be taken to reduce gastro-oesophageal acid reflux include:-
a) Taking antacids one hour after meals, avoiding alcohol.
b) Taking coffee immediately after meals, avoiding alcohol.
c) Taking antacids one hour before meals, avoiding alcohol.
d) Taking antacids one hour after meals, taking coffee immediately after meals.
Q: 6.Obesity:-
a) Is a result of imbalance between fats and carbohydrates intake.
b) Represents excess of body carbohydrate reserve.
c) Is associated with a BMI of greater than 40.
d) Is associated with a BMI of 30 to 40
Q: 7.Leiomyomas:-
a. Mostly regress with menopause
b. May become malignant if not removed early
c. Are best managed through Total abdominal hysterectomy
d. Respond better to hormonal therapy compared to uterine artery embolization.
, Q: 8.Curling’s ulcers are:-
a) Common in patients with head injury.
b) Observed in about 72 hrs following extensive burns.
c) Mainly caused by Helicobacter pylori.
d) Usually linked to excessive ingestion of steroids.
Q: 9. A patient suffering from sinusitis affecting the ethmoid bone will feel pain:-
a) Between and behind the eyes.
b) Over the forehead, back of head.
c) Over cheeks, below the eyes.
d) In front and back of the head.
Q:10. Following cataract extraction, the patient should wear glasses to:-
a) Improve vision.
b) Enhance healing.
c) Protect the eye.
d) Prevent infections.
Q:11. The following is true about carcinoma of the colon:-
a) Radiotherapy with adjuvant chemotherapy is the treatment of choice.
b) Is associated with increased motions when it affects the left colon.
c) Is associated with constipation when the right colon is affected.
d) Colon resection with bowel anastomosis is the treatment of choice.
Q: 12. The health messages that should be shared with a patient who has suffered
from Myocardial infarction include:-
a) Identification and modification of all risk factors.
b) Reporting to health care providers if extremely fatigued.
c) Eating low salt but fluid-free diet.
d) Reporting insomnia whenever it occurs.
Q: 13. A central venous pressure (CVP) line is:-
a) Only meant for hyperalimentation.
b) Used to measure the amount of circulatory volume deficit.
c) Helpful in assessing functioning of the left side of the heart.
d) Helpful in assessing functioning of the right side of the heart.
Q: 14. The Somogyi effect:-
a) Presents with elevated blood sugars after a carbohydrate meal.
b) Is prevented by decreasing pre-dinner dose of intermediate insulin.
c) Is usually avoided by decreasing the amount of bedtime snack.
d) Presents with hyperglycaemic levels at around 3 after midnight (am).
Q: 15. While caring for a patient with urine incontinence, the nurse should:-
a) Avoid exposing the patient to timed voiding patterns.
b) Carry out “bladder drills”with the patient.
c) Instruct the family members how to perform Kegel exercises.
