RUGARAMA SCHOOL OF NURSING AND MIDWIFERY

QUESTONS FOR DISCUSSION ON 28/09/2017

MEDICINE

1. a. List 10 risk factors to developing cardiac diseases.

b. Describe the management of a patient with severe congestive
cardiac failure for the first 48hours.
2. a. Define iron deficiency anemia?

b. State four causes of iron deficiency anemia.

c. Give clinical findings on examination and lab findings of iron

deficiency anemia.

3. a. Define congestive cardiac failure

b. List 8 signs and symptoms of congestive cardiac failure

c. Describe the management of a 34year old patient with congestive cardiac

failure.

4. a. Define liver cirrhosis.

b. List causes and management of liver cirrhosis?

SURGERY

5. a. Define closed head injury.

b. Write the signs and symptoms of head injury.

c. Give the nursing and medical management of a patient of head injury

from time of admission until discharge.

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 FOUNDATIONS OF NURSING

6. a. Define the following terms

i. Antiseptic
ii. Disinfectant

b. State any four examples of commonly used disinfectants in the hospital.

c. Outline the four characteristics of a good disinfectant

PHARMACOLOGY

7. Write short notes about the following drugs.

a) Mabendazole
b) Albendazole
c) metronidazole

Dosage forms, pharmacological classification, mode of action, indications, side

effects and contra-indications.

REPRODUCTIVE HEALTH

8. a. What are combined oral contraceptives?

b. Give any four common brands of combined oral contraceptives available

in Uganda.

c. Outline the mechanism of action of COCs

d. List any five common side effects associated with the use of combined
oral contraceptives.

e. Explain how the above side effects can be managed.

9. a. Define safe motherhood.

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 b. What are the pillars of safe motherhood outline on safe motherhood.
10.a. What are the factors that may hinder implementation of reproductive
health services in Uganda?
b. What preventive measures of maternal mortality and morbidity?

MIDWIFERY

11.Define the 1ststage of labour.

b. What physiological changes do take place in this stage?

c. List 4 common complications that can occur during this stage.

12.2ND STAGE, question as above

13.3RD STAGE, question as above
14.a. Define pregnancy.
b. List five characteristics of normal pregnancy
c. Mention the positive signs of pregnancy.
15.How would you handle a prime gravida who comes to attend ANC for the
first time at 38 weeks?
16.a. Define moulding.

b. Give the difference between cephalo hematoma and caput

succedaneum.

c. State the dangers of abnormal moulding in a newborn.

d. List 3 examples of congenital abnormalities in babies.

TROPICAL MEDICINE

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 17.a. Define pulmonary TB.

b. State any four risk factors that promote the spread of TB in the
community.

c. Mention any four drugs used as first line in the treatment of TB.

d. Give two common side effects of each of the above mentioned drugs.

e. Explain how the above side effects can be minimized.

COMMUNITY HEALTH/PHC

18.a. Explain the relationship between PHC and CBHC.

b. Outline 8 principles of PHC.

c. Explain the role of a community nurse or midwife in the

implementation and achievement of any four of the above principles.

COUNSELLING AND GUIDANCE

19.a. what is counselling?

b. What are the common types of counselling?

GYNAECOLOGY

20.a. Define the term septic abortion.

b. Outline the signs and symptoms of septic abortion.
c. Describe the management of a woman with septic abortion both in
maternity center and in the hospital.

OCCUPATIONAL HEALTH AND SAFETY

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 21.a. What do you understand by the term occupational health?
b. In order to promote safety in a work place, certain safety and
health practices must be adhered to. Explain any ten (10) of these safety
and health practices.
c. Outline any 5 measures through which occupational health hazard
that are experienced by health workers can be prevented or controlled.

END

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