EXAM NO_ SIGNATURE……………

MARACHA SCHOOL OF NURSING AND MIDWIFERY

YEAR 3 SEMESTER 1 MID-SEMESTER EXAMS 2022

CERTIFICATE IN NURSING

SURGERY III AND TROPICAL MEDICINE

PAPER CODE CN 311

14TH / NOVEMBER /2022

3 HOURS

IMPORTANT

1. Write your examination number on the question paper and answer sheets.

2. Read the questions carefully and answer only what has been asked.

3. Answer all the questions.

4. The paper has three sections.

For Examiner’s use only

SECTIONS QN. RESULT INITIALS

A MCQS
SECTION A: objective questions FILL IN

B 31
SECTION B: short essay questions 32

C 33

34
SECTION C: long essay questions
TOTAL

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 SECTION A

MULTIPLE CHOICE QUESTIONS (20MRKS)

1. The disease which is always present in the community at about the same time is
described as
a) Pandemic
b) Epidemic
c) Sporadic
d) Endemic
2. The commonest cause of hypopyon corneal ulcer is
a) Gonococcus
b) Pneumococcus
c) Staphylococcus
d) None of the above
3. The following is not a clinical feature of amoebic dysentery
a) Persistent mucoid bloody diarrhea
b) Abdominal pain
c) Muscular abdominal cramps
d) Rice water diarrhea
4. Irrespective of the etiology of corneal ulcer, the drug of choice is
a) Corticosteroids
b) Atropine
c) Antibiotics
d) Antifungal
5. Which one of the following is not a symptom of complicated malaria
a) Fever
b) Lethargy
c) Muscle aches
d) Night sweats
6. Aqueous humour is formed by;
a) Epithelium of cilliary body
b) Posterior surface of iris
c) Lens
d) Pars plazma
7. A condition where there is worldwide distribution of a disease is called
a) Pandemic
b) Endemic
c) Sporadic
d) Epidemic
8. Epistaxis is defined as;

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 a) Nose bleed
b) Inflammation of the nose
c) Infections of the nose
d) None of the above
9. Hook worm infection comes as a result of walking
a) Bare foot on clay soil
b) Bare foot on dump infected soil
c) Bare foot on running water
d) Bare foot on swampy area
10. A patient is being evaluated for cataracts. The doctor uses a slit lamp to assess the patient
eye. As the nurse you know that this device will;
a) Help test patients visual acuity
b) Test the strength of cilliary muscle
c) Enlarge the fr4ont area of the eye
d) Help for visualization of the eye
11. Which of the following is not a parasitic infection
a) Malaria
b) Enteric fever
c) Trichuriasis
d) Schistosomiasis
12. If a patient has bilateral cataract and needs surgery, both eyes can be surgically treated at
the same time.
a) True
b) False
c) Both
d) None of the above
13. Hydrophobia is a cardinal sign of
a) Meningitis
b) Tetanus
c) Rabies
d) Measles
14. What is the most common cause of cataracts?
a) Congenital
b) Aging
c) Trauma
d) Uncontrolled blood glucose level
15. Chicken pox is caused by a virus called
a) Varicella zoster
b) Herpes Simplex
c) Herpes zoster
d) Varicella simplex

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16. What are the likely complications of tumours of the ear?
a) Hearing loss
b) Hyperactivity
c) Constipation
d) None of the above
17. Which of the following stages of Amoeba is responsible for causing amoebic Dysentery?
a) Cyst
b) Larvae
c) Adult
d) Cyclop
18. The lens of the eye is responsible for;
a) Forcing light onto the retina
b) 3enlarge the front area of the eye
c) Covers the membrane surface of the inner eye lid
d) Protects eye ball
19. The salivary gland commonly affected by Mumps is
a) Parotid
b) Submandibular
c) Sublingual
d) Submaxillary
20. Black dot in the middle of the eye is termed as;
a) Cornea
b) Retina
c) Lens
d) Pupil
FILLING IN THE BLANK SPACES

21. The virus that cause mumps is called………………………………………………………………………………

22. ………………………………………………………………………………………………….helps to protect the ball.

23. The route through which Amoebic dysentery is transmitted is………………………………………..

24. The protective outer layer of the eye ball is……………………………………………………………………..

25. The Drugs of choice in the treatment of Trypanosomiasis is …..………………………………………

26. Eye tissue that senses light is known as…………………………………………………………………………..

27. Coplik spots is a cardinal feature of…………………………………………………………………………………

28. ……................................................covers the white part of the eye and the membranous
surface of the inner eye lid.

29. The microorganism that causes cholera is known as………………………………………………………..

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30. The layer of the eye that helps to focus your vision is ……………………………………………………..

SECTION B-SHORT ESSAY (20)

31. a) Define conjunctivitis. (2 marks)

b) List signs and symptoms of conjunctivitis. (8 marks)
32. a) State the causative organism for chicken pox. (1 mark)
b) Outline three (3) modes of spread of chicken pox. (6 marks)
c) List three (3) complications of chicken pox. (3 marks)

SECTION C-LONG ESSAY (50MRKS)

33. a) List five (5) investigations that can be carried out for a patient with tour of the ear. (5
marks)
b) Outline five (5) key treatments for cancer of the ear. (5 marks)
c) Give five (5) managements of a patient with acute conjunctivitis. (10 marks)
d) List the preventive measures for conjunctivitis. (5 marks)

34. a) List five (5) signs and symptoms of taeniasis. (5 marks)

b) With the help of a diagram describe the life cycle of taenia saginata. (16 marks)
c) Outline four (4) preventive and control measures against taeniasis. (4 marks)

SUCCESS