HORN AFRICA INTERNATIONAL COLLEGE

DEPARTMENT OF NURSING

MEDICAL SURGICAL NURSING FINAL EXAM FOR NURSING STUDENTS.

Time Allowed 1 hour and 40 minutes.

Exam weight- 60%

NAME: ---------------------------------------------------------------------------ID NO-------

Instruction:

Switch of your cell phone before starting exam.

Any types of cheating will result in total disqualification of your result

Read instructions and attempt to give correct answers for all question

The exam contain: 15 T/F, and 45 MCQ

March, 2022

Good luck!

1
I: True or False

1. Negative feedback is the mechanism for regulating hormone concentration

in the bloodstream
2. The pituitary itself is controlled by the hypothalamus.
3. Swelling of the thyroid glands due to a lack of iodine is referred to as
"goiter."
4. The parathyroid hormone acts in a manner that is antagonistic to the activity
of "calcitonin."
5. Both thyroxin and triiodothyronine increase the rate of "metabolism" in the
body.
6. Endocrine glands secrete hormones into the blood
7. The pituitary gland is the master endocrine gland
8. Contractions of the uterus may be stimulated by the hormone "vasopressin."
9. The hormone ACTH is produced by the "adrenal gland," and it regulates the
activity of the adrenal cortex.
10.The digestive system breaks down food and liquids into nutrients our body
can use for energy.
11.Food travels in the digestive tract in the following order: mouth, esophagus,
small intestine, stomach & large intestine.
12.Both chemical and mechanical digestion start in the mouth and continue in
the stomach
13.Food comes to the large intestine after small intestine.
14.Bacteria and germs found in food are killed by digestive juice.
15.The digestive system breaks down food particles into simpler substances.

2
Part II: Choose the best answers from the given alternatives (GIT)
1. The extent of damage to the teeth depends on the following
A. The presence of dental plaque that adheres to the teeth
B. The strength of the acids,
C. The ability of the saliva to neutralize them,
D. The length of time the acids are in contact with the teeth and,
E. All
2. Treatment for dental caries includes:
A. Fillings, C. Dental implants, and
B. Extraction, D. All
3. Preventive Measures of dental caries
A. Practicing effective mouth care
B. Reducing the intake of starches and Sugars
C. Applying fluoride to the teeth or drinking fluoridated water,
D. Refraining from smoking E. All
4. --------is absent or ineffective peristalsis of the distal esophagus,
accompanied by failure of the esophageal sphincter to relax in response to
swallowing.
A. Achalasia C. Pyrosis
B. Dysphagia D. Odynophagia
5. ------------is an out pouching of mucosa and sub mucosa that protrudes
through a weak portion of the musculature
A. Achalasia C. Diverticulum
B. Dysphagia D. Odynophagia
 3

6. The major causes of peptic ulcer disease are

A. NSAIDs; C. Chronic H pylori infection
B. Zollinger-Ellison syndrome D. All
7. During physical examination of patients suspected of appendicitis, Pain may
be elicited by palpating the LLQ; this causes pain to be felt in the RLQ
A. Rovsing’s sign C. Psoas sign
B. Obturator sign D. Dunphy's sign
8. Peritonitis can be resulted from the following:
A. bacterial infection C. Abdominal surgical
procedures
B. External sources (Injury or trauma) D. All
9. Dilated portions of veins in the anal canal are
A. Hernia C. Hemorrhoids
B. Varicose veins D. All
10.An extremely rare abdominal hernia happens mostly in women protrudes
from the pelvic cavity through an opening in the pelvic bone (Obturator
foramen is
A. Obturator hernia C. Epigastric hernia
B. Incisional hernia D. Inguinal hernia