MAHARASHTRA NURSING COUNCIL, MUMBAI Examination in REVISE! ERAL NURSING AND MIDWIFERY - SECOND YEAR (NEW COURSE) Paper - 1 MEDICAL SURGICAL NURSING -I (Including Pharmacology) Monday, 15th June 2009) (Time : 9.00 a.m to 12.00 noon ‘Total Marks : 75 1. The Candidate must write her / his Seat Number in ENGLISH. 2, Please note that the question paper set in ENGLISH version is final for any doubt in MARATHI paper. 2 Q.1_ (A) Select the most appropriate answer from the following: (05) 1) The most common complication of external cardiac massage is — a) Chest palpitation b) Fracture of ribs c) Hepatic Haematoma d) All the above 2) Which of the following best describe hydronephrosis ? a) Degeneration of glomeruli b) Dilatation of the renal pelvis c) Adenocarcinoma of the kidney +d) Allergic reaction 3) Normal value of total bilirubin in blood is__ mg/100ml. a) 0.1- 1.0 mg. b) 50-250 mg. ©) 0.4-6mg @) 2-5 mg. 4) The process by which glycogen is converted in to glucose in liver is ~ a) glycogen synthesis b) glycogenolysis c) Krebs cycle d) combustion 5) is one of the treatments for myasthinia gravis. a) plasma pheresis b) Proteolytic enzyme ©) plasmin d) paracentesis (B) Match the following * (05) “wy 3 1) Crohns' disease a) Disorder of purine metabolism 2) Haemothorax b) Blood in pleural space 3) Acute pancreatitis c) Kernig's sign 4) Gout d) Inflammatory bowel 5) Meningitis c) Increased serum amylase (C) State TRUE or FALSE. (05) 1) Rabipur is used for prophylaxis of dog bite 2) To diagnosed pancreatic diseases, barium meal is advised. 3) Allergy is an important factor, causing bronchial asthama 4) X ray K. U. B. is done to diagnose bowel problems. 5) Cough is a common symptom of left ventricular heart failure. Turn wer“2. Differentiate (ANY TWO). ) 2) 3) 4) Diabetes mellitus and diabetes insipidis Hydronephrosis and pyonephrosis Cholelithiasis and Cholecystitis Tension headache and Migraine headache Q.3. Write short notes (ANY FOUR) -)) gop eh Diet in peptic ulcer Under water seal drainage Role of nurse in operation theatre. Fiimigation Digitalis Mr. John 60 yrs old man is admitted in Intensive Care Unit (ICU) with complaints of Rt sided paralysis unconsciousness and diagnosed as Cerebrovascular Accident (CVA) Answer the following questions. What are the causes of CVA. List the clinical features of CVA. List the investigations which are carried out in Mr. John. Write in brief a' Glasgow Coma Scale ' Write in detail medical and nursing management of Mr. John. oR (10). (20) (02) (03) (02) (03) (05) Smt. Nanda 63 years old female patient is diagnosed as a case of Bronchial Asthama and is admitted in medical ward. Answer the following. 1) 2) 3) 4) 5) i) 2) 3) 4) 5) 6) Write the etiopathology of Bronchial Asthma. List the signs and symptoms of Bronchial Asthama Write the investigations and management of status asthmaticus. Write the nursing care of Smt. Nanda. What health education you will give to Smt. Nanda ? Shri Rajesh 45 year's old vegetable vendor is suffering from chronic pain in right lumber region. . Doctor has advised nephrectomy operation for him. Answer the following question. What are the indications for Nephrectomy ? What investigations are necessary before Nephrectomy? Write in brief pre operative nursing management of Shri Rajesh. Write post operative nursing management of Shri Rajesh. 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