EXAM NO_ SIGNATURE……………

MARACHA SCHOOL OF NURSING AND MIDWIFERY

YEAR 3 SEMESTER 1 MID-SEMESTER EXAMS 2023

CERTIFICATE IN NURSING

SURGERY III AND TROPICAL MEDICINE

PAPER CODE CN 311

NOVEMBER /2023

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 MCOS
SECTION A: objective questions FILL IN

B 31
SECTION B: short essay questions 32

C 33

34
SECTION C: long essay question
TOTAL
SECTION A

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MULTIPLE CHOICE QUESTIONS (20MRKS)
1. The commonest cause of hypopyon corneal ulcer is
a) Gonococcus
b) Pneumococcus
c) Staphylococcus
d) None of the above
2. Irrespective of the etiology of corneal ulcer, the drug of choice for management is
a) Corticosteroids
b) Atropine
c) Antibiotics
d) Antifungal
3. Aqueous humour is formed by;
a) Epithelium of cilliary body
b) Posterior surface of iris
c) Lens
d) Pars plazma
4. Epistaxis is defined as;
a) Nose bleed
b) Inflammation of the nose
c) Infections of the nose
d) None of the above
5. 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 patient’s visual acuity
b) Test the strength of cilliary muscle
c) Enlarge the fr4ont area of the eye
d) Help for visualization of the eye
6. 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
7. What is the most common cause of cataracts?
a) Congenital
b) Aging
c) Trauma
d) Uncontrolled blood glucose level
8. What are the likely complications of tumours of the ear?
a) Hearing loss
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 b) Hyperactivity
c) Constipation
d) None of the above
9. 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
10. Black dot in the middle of the eye is termed as;
a) Cornea
b) Retina
c) Lens
11. Mosquitos are the vectors in the following disease
a. Onchocerciasis
b. African Trypanosomiasis
c. Bancroftian Filariasis
d. Myiasis
12. Subcutaneious nodules are a typical finding in:
a. Neurofibromatosis
b. Cysticercosis
c. Onchocreciasis
d. Trichinosis
13. koplik spots are found in the prodromal stage of
a. Scarlet fever
b. Rubella
c. Measles
d. All the above
14. The following are contagious diseases except
a. Vertigo
b. Cholera
c. Ebola
15. Chicken pox In which organ do schistomes mature from within the human body?
a. The stomach
b. The liver
c. Large intestine
d. Urinary bladder

16. The salivary glands commonly affected by mumps is

a. Parotid
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 b. Submandibular
c. Sublingual
d. Sub maxillary
17. Rectal prolapse is a complication of
a. Bacillary dysentery
b. Cholera
c. Typhoid fever
d. Brucellosis
18. Which of the tape worm is acquired when one ingests contaminated beef?
a. Taenia capitis
b. Taenia solium
c. Taenia saginata
d. Taenia Diphyllobothrium
19. Which of the following stages of amoeba is responsible for causing amoebic dysentery?
a. Cysts
b. Larvae
c. Adult
d. Cyclop
20. Which of the following is a water borne disease?
a. Trachoma
b. Scabies
c. Malaria
e. Typhoid

FILLING IN THE BLANK SPACES s(20)

21. ………………………………………………………………………………………….….………. helps to protect the ball.

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

23. ……………………………………………………………………………….is used to measure visual acuity of an

individual.

24. ……..................................................................................covers the white part of the eye and the

membranous surface of the inner eye lid

25. The disease that is constantly present in a population is called……………………………………………………

26. Black water fever is a special manifestation caused by plasmodium……………………………….…………..

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

28. A communicable disease that affects the parotid gland is known as…………………………………………..
29. The organism that causes African Trypanosomiasis is called………………………………………………………..

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 30. The most leading cause of viral gastroenteritis in the elderly patients is………………………………….....

SECTION B-SHORT ESSAY (20)

31. Outline the five stages of trachoma infection (10 marks)

32. a) list five (5) signs of chicken pox. (5 marks)
b) Outline 5 complications of Chicken pox. (5 marks)

SECTION C-LONG ESSAY (50)

33. a. What is foreign body in the throat? (2 marks)

b. State the syndrome of foreign body in the throat (8 marks)

c. Describe the first stage management of a patient with foreign body in the throat. (15 Marks) )
34. Outline eight (8) the nursing management of a 10-year boy- admitted in pediatric ward with
complicated malaria. (08 marks)
b) Outline six (6) roles of a nurse in management of a patient with Dracunculiasis. (12 Marks)
c) List five (5) complications of Dracunculiasis. (05marks)

SUCCESS