CONFIDENTIAL PDNHS 1114

PUSRAWI INTERNATIONAL COLLEGE OF MEDICAL SCIENCES (PICOMS)

FINAL EXAMINATION

Semester 1, Year 1

PROGRAM : DIPLOMA IN NURSING

 INTAKE : JULY 2013 (A)
COURSE : ANATOMY AND PHYSIOLOGY 1
COURSE CODE : PDNHS 1114
DATE :
TIME : 2 ½ Hours (9.00-11.30AM)

INSTRUCTIONS TO CANDIDATES

1. This question paper consists of two (2) parts:

PART A
PART B
2.
I) Answer ALL the Questions in PART A in the OBJECTIVE ANSWER
SHEET.
II) Answer PART B in the Answer Booklet Provided to you.

3. Please use both side of the ANSWER SHEET given.

4. Do not bring any material into the examination Hall unless permitted by the
invigilator.
5. Return the question paper along with the answer booklet to the invigilator at the
end of your examination.

DO NOT TURN THIS PAGE UNTIL YOU ARE TOLD TO DO SO

This examination paper consists of 17 printed pages including this page.

PART A - MULTIPLE CHOICE QUESTIONS ( 1 X 50 = 50 marks )

Note:- Answer ALL the questions; each question carries 1 (ONE) mark.

Soalan 1-3 berkaitan dengan sistem organisasi tubuh

1. Pada kuadran manakah terletaknya organ apendiks?

In which quadrant appendix is located?
a) Kiri dan bawah
Left and lower
b) Kiri dan atas
Left and upper
c) Kanan dan bawah
Right and lower
d) Kanan dan atas

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 Right upper

2. Manakah organ yang berada di bahagian epigastrik ?

Which of the organ located in the epigastrium?
a) Ilium
Ilium
b) Gaster
Gaster
c) Kolon menaik
Ascending colon
d) Kolon menurun
Descending colon

3. Manakah lokasi kaviti hepar?

Which cavity liver is located?
a) Pelvik
Pelvic
b) Toraks
Thorax
c) Abdomen
Abdomen
d) Kranium
Cranium

Soalan 4-6 berkaitan dengan sel manusia

4. Apakah struktur utama terdapat dalam membran plasma?

What is the main structure of plasma membrane?
a) Protin
Protein
b) Kolestrol
Cholesterol
c) Glykoprotin
Glycoprotein
d) Fosfolipid
Phospholipids

5. Apakah fungsi membran serosa?

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 What is the function of serous membrane?
a) Menyimpan haba
Conserve heat
b) Penyerapan nutrisi
Nutritional absorption
c) Melancarkan pengaliran darah
Fasten the blood circulation
d) Mengelakkan geseran antara organ
Prevent friction between the organs

6. Manakah lokasi lapisan sel squamous transitional didapati?

Where does squamous transitional cell found?
a) Otak
Brain
b) Kulit kepala
Scalp
c) Pundi kencing
Urinary bladder
d) Alveolus paru-paru
Pulmonary alveolus

Soalan 7-16 berkaitan dengan muskuloskeletal

7. Manakah sendi yang mengawal pergerakan pelbagai arah?

Which joint permits multi direction movements?
a) Pangsi
Pivot
b) Engsel
Hinge
c) Kondil
Condyle
d) Bola dan soket
Ball and socket

8. Apakah nama otot yang terdapat di bahagian dada?

What is the name of the muscle in the chest?
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 a) Teres major
b) Triceps brachii
c) Latissimus dorsi
d) Pectoralis major

9. Apakah nama otot di lengan yang di gunakan semasa pemberian suntikan

intramuscular?
a) Deltoid
b) Triceps
c) Abdominal
d) Gluteal muscle

10. Apakah nama bagi pembentukan tulang ?

What is the name of bone formation?
a) Osteoblast
b) Ossification
c) Osteoporosis
d) Osteoarthritis

11. Di manakah transverse foramina didapati?

Where does transverse foramina found?
a) Coccyx
b) Sacrum
c) Lumbar vertebrae
d) Cervical vertebrae

12. Tailbone juga dikenali sebagai

Tailbone also known as
a) pubis
b) patella
c) coccyx
d) sacrum

13. Manakah susunan tulang sternum yang betul?

Which of the following is the correct arrangement of the sternum?
a) Pubis, ischium dan ilium
b) Ischium , xipoid dan pubis
c) Pubis , manubrium , ilium
d) Manubrium, body dan xipoid

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 14. Manakah pernyataan yang betul berkaitan dengan susunan rusuk daripada
superior ke inferior?
Which of the following statements is correct regarding the ribs cage arrangement
from superior to inferior?
a) Floating ribs, true ribs, false ribs
b) Floating ribs, false ribs, true ribs
c) True ribs, false ribs, floating ribs
d) True ribs, floating ribs, false ribs

15. Dimanakah letaknya greater trochanter?

Where is the location of the greater trochanter?
a) Tibia
b) Femur
c) Fibula
d) Humerus

16. Manakah berikut merupakan tulang flat?

Which of the following is a flat bone?
a) Ribs
b) Hyoid
c) Patella
d) Metacarpal

Soalan 17-26 berkaitan dengan sistem kardiovaskular

17. Apakah kadar pH darah yang normal ?

What is the normal range blood Ph?
a) 7.25 - 7.35
b) 7.35 – 7.45
c) 7.45 – 7.55
d) 7.55 – 7.65

18. Manakah kumpulan darah yang dikenali sebagai penderma universal?

Which blood group is known as a universal donor?
a) A
b) B
c) O
d) AB

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19. Apakah fungsi trombosit ?
What is the function of thrombocyte?
a) Imuniti
Immunity
b) Fagositosis
Phagocytosis
c) Pembekuan darah
Blood clothing
d) Penyerapan oksigen
Oksigen absoption

20. Apakah nama lapisan tisu salur darah yang paling luar?
What is the name of the outer layer of the blood vessel?
a) Media
b) Intima
c) Adventitia
d) Endothelium

21. Berikut adalah vena yang membawa darah kurang oksigen kecuali,
Below are the vein carry deoxygenated blood except,
a) aorta
b) jugular
c) vena cava
d) pulmonary

22. Manakah kenyataan berkaitan arteri?

Which of the statement about arteries?
a) Tiada injap
No valves
b) Lumen lebih besar
The lumen is bigger
c) Membawa darah kaya oksigen
Carry oxygenated blood
d) Dinding yang nipis
Thinner linning

23. Apakah fungsi utama lapisan miokardium?

What is the main function of myocardium layer?
a) Bantu dalam pembekuan darah
Help in blood clothing

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 b) Aliran impuls ke bahagian jantung
Distribute impulses to the heart
c) Mengepam darah ke seluruh badan
Pumps blood to the entire body
d) Menyerap oksigen untuk kegunaan jantung
Diffuse oxygen for the heart

24. Namakan injap di bahagian atrium kiri,

Named the valve in left atrium,
a) Aortic
b) Mitral
c) Tricuspid
d) Pulmonic valve

25. Apakah nama salur darah yang keluar dari ventrikel kiri?
What is the name of blood vessel came out from the left ventricle?
a) Aorta
b) Vena cava
c) Pulmonary Artery
d) Pulmonary Vein

26. Apakah nodus yang mencetuskan impuls kontraksi kardiak?

What are the nodes that initial the cardiac contraction?
a) Purkinje fiber
b) Bundle of His
c) Sinoatrial nodes
d) Atrioventricular nodes
Soalan 27-37 berkaitan sistem gastrointestinal

27. Manakah sel gaster yang menghasilkan asid hidroklorik?

Which of the gastric cell produce the hydrochloric acid?
a) Chief
b) Lacteal
c) Mucosa
d) Parietal

28. Manakah aktiviti yang menyebabkan epiglotis menutup larinks?

Which of the activity caused epiglottis closed the larynx?
a) Batuk
Cough
b) Menelan
Swallowing
c) Bercakap
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 Speaking
d) Menyanyi
Singing

29. Antara berikut adalah organ sistem penghadaman kecuali

The following are the organ in digestive system except
a) mulut
mouth
b) laring
larynx
c) gaster
gaster
d) usus kecil
small Intestine

30. Apakah nama struktur dalam gambar diatas?

What is the structure name in above picture?
a) Ilium
b) Ischium
c) Jejunum
d) Duodenum

31. Apakah nama sphincter diantara gaster dan duodenum?

Which sphincter is located in between gaster and duodenum?
a) Esofageal
Esophageal
b) Pilorus
Pylorus
c) Kardiak
Cardiac
d) Duodenum
Duodenum

32. Manakah enzim yang terlibat dalam pencernaan protein?

Which of the enzyme involves in digestion of protein?
a) Pepsin
b) Lipase
c) Maltose

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 d) Amylase

33. Di manakah pencernaan mekanikal makanan utama berlaku?

Where is the main food mechanical digestion happen?
a) Mulut
Mouth
b) Gigi
Tooth
c) Gaster
Gaster
d) Jejunum
Jejunum

34. Manakah bahagian gigi yang mengandungi salur darah, saraf dan tisu konkektif?
Which part of the tooth contain of blood vessels, nerve and connective tissue?
a) Pulpa
b) Dentin
c) Enamel
d) Cementum

35. Berapakah bilangan gigi sementara bagi seorang kanak-kanak?

How many deciduous teeth does a child have?
a) 24
b) 32
c) 20
d) 10

36. Apakah organ yang menghasilkan cecair hempedu?

Which of the organ produce bile?
a) Hepar
Liver
b) Limpa
Spleen
c) Pancreas
Pancreas
d) Pundi hempedu
Gall bladder

37. Di manakah lokasi Islet of Langerhans?

Where is the location of the islet of Langerhans?
a) Usus
Intestine
b) Hepar

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 Liver
c) Limpa
Spleen
d) Pankreas
Pancreas

Soalan 38-45 berkaitan dengan sistem pernafasan

38. Manakah struktur berikut betul dalam aliran proses penafasan?

Which of the following describes a correct order of structure in respiratory
pathway?
a) Faring , Trakea, Laring, Bronki, Bronkiol
Pharynx, trachea, larynx, bronchi, bronchioles
b) Laring , Faring, Trakea, Bronkiol, Bronki
Larynx, pharynx, trachea, bronchioles, bronchi
c) Trakea , Faring, Laring, Bronki, Bronkiol
Trachea, pharynx, larynx, bronchi, bronchioles
d) Faring, Laring, Trakea, Bronkus, Bronkiol
Faring, Larynx, The trachea, bronchi, bronchioles

39. Manakah lokasi pertukaran gas?

Where is the location of gases exchange?
a) Alveoli
b) Trachea
c) Bronchus
d) Bronchioles

40. Apakah proses pergerakan udara keluar dari paru paru?

What is the movement of air out of the lungs?
a) Expiration
b) Inspiration
c) Larynx ventilation
d) Pulmonary ventilation

41. Apakah faktor yang mempengaruhi peratusan oksigen dalam pertukaran gas?
What factors influence the oxygen percentage in gas exchange?
a) pH tinggi
High pH
b) Suhu tinggi
High temperature
c) Tahap oksigen rendah
Low oxygen level
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 d) Pengeluaran haba rendah
Production of low thermal

42. Apakah ciri permukaan alveolus?

What alveolar surface features?
a) Tebal
Thickness
b) Kering
Dry
c) Kecil
Small
d) Besar
Large

43. Apakah yang berlaku kepada diafragma semasa pernafasan?

What happened to diaphragm during breathing?
a) Konstrik
Constriction
b) Mengembang
Expand
c) Mendata
Flat
d) Melengkung
Curve

44. Berapakah bilangan lobus yang terdapat pada paru paru kiri?
How many lobes make up in the left lung?
a) 1
b) 2
c) 3
d) 4

45. Apakah nama bahagian yang di label diatas?

What is the name of the label diagram?
a) Trakea
12 DN- PDNHS 1114 ANATOMY AND PHYSIOLOGY (1)
 Trachea
b) Bronki
Bronchus
c) Bronkioulus
Bronchoules
d) Farink
Pharynx

46. Apakah fungsi cecair surfactant di dalam alveoli?

What is the function of surfactant in alveoli?
a) Membantu pertukaran gas
Help in gas exchange
b) Menghasilkan cecair paru-paru
Produce pulmonary fluids
c) Membantu dalam penyerapan gas
Helps in gas diffusion
d) Menggekalkan pengembangan alveoli
Maintain alveoli expansion

Soalan 47-50 berkaitan sistem integumentary

47. Manakah lapisan kulit yang mengandungi tisu lemak ?

Which of the skin layer contains of adipose tissue?
a) Dermis
b) Corneum
c) Epidermis
d) Subcutaneous

48. Apakah lapisan yang kelihatan sekiranya lapisan dermis terkoyak?

What layer can be seen when dermis torn?
a) Basal
b) Sponisum
c) Epidermis
d) Subcutaneous

49. Apakah yang mempengaruhi warna kulit seseorang individu?

What influences the skin color of an individual?
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 a) Tinggi Keratin
High keratin
b) Jumlah Melanin
Amount of melanin
c) Pengambilan vitamin
Intake of vitamin
d) Pendedahan kepada cahaya matahari
Expose to sun light

50. Manakah Lapisan epidermis yang menghasilkan sel yang baru?

Which of the below epidermis layer produce new cell?
a) Stratum Basale
b) Stratum Lucidum
c) Stratum Corneum
d) Stratum Spinosum

Please turn over for PART B

PART B-ESSAY QUESTIONS (5 x 10 = 50 marks )

Note: - Answer ALL the questions.

SOALAN 1 (10 MARKAH)

a. Berikan perbezaan di antara compact bone dan spongy bone. (4 markah)

b. Labelkan nama otot-otot di bawah. ( 6 markah)

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SOALAN 2 ( 10 MARKAH)

a. Labelkan rajah di bawah mengikut susunan nombor (7 markah)

vii
i

vi

ii

iii

v
iv

b. Nyatakan Tiga (3) aktiviti pemprosesan nutrien dalam sistem

pencernaan. (3 markah)

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SOALAN 3 (10 markah))

a. Labelkan struktur sistem respiratori di bawah. (6 markah)

12

b.Terangkan mekanisma pernafasan semasa inspirasi dan expirasi. (4 markah)

SOALAN 4 (10 MARKAH)

a. Senaraikan empat ( 4) tisu epithelial yang terdapat di dalam tubuh manusia serta
lokasi. ( 4 markah)

b. Berikan empat (4) fungsi kulit. ( 4 markah)

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 c. Senaraikan dua (2) jenis kelenjar yang terdapat pada kulit. ( 2 markah)

SOALAN 5 (10 MARKAH)

a) Senaraikan tiga (3) fungsi darah. ( 3 markah)

b) Padankan struktur di bahagian A dengan fungsi di bahagian B. ( 8 markah )

BAHAGIAN A BAHAGIAN B

i.Erythrocytes a.Pertahanan badan

ii.Thrombocytes b.Berbentuk disk

iii.Leukocytes c. Bantudalam pertukaran

darah

iv.Kapilari d.Aliran darah beroksigen

v.Sirkulasi Sistemik e.Kawal perdarahan

vi.Monocytes f. Aliran darah kurang

oksigen

vii.Sirkulasi pulmonary g. Imuniti badan

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 END OF QUESTIONS

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