END OF TERM EXAMS YEAR 1 TERM 1 – CLINICAL SCIENCES - MCS 100/Clinical science exam answer key

END OF TERM EXAMS YEAR 1 TERM 1 – CLINICAL SCIENCES - MCS 100/Clinical science exam answer key 1. What does the French expression “raison d’ ^etre” mean? What is the “raison d’ ^etre” of the medical profession? .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 2. Write your answers in column A. Which of the following statements [in column B] is true or false. Patients have a right to:- Column A [ your answer T/F] Column B [Statement] F 1. Read through their hospital records T 2. Dignified treatment T 3. Privacy T 4. Have their medical information held in confidence T 5. Only give informed consent to procedures whose risks and benefits have been explained T 6. Have a chaperone when they are being examined T 7. Refuse medical treatment T 8. Request for a second opinion F 9. Refuse medical treatment for their children under the age of consent [<18 years old] T 10. Free emergency medical care 3. Write your answers in column A. Which of the following statements [in column B] is true or false. For what parts of the physical examination do you need a chaperone for:- Column A [ your answer T/F] Column B [Statement] T 1. Rectal examination T 2. Pelvic or vaginal examination T 3. Examination of female patient T 4. Breast examination of a female patient F 5. Neurological examination 4. Write your answers in column A. Which of the following statements [in column B] is true or false. The Hippocratic oath includes:- Column A [ your answer T/F] Column B [Statement] T 1. Respect for one’s teachers of the profession T 2. Obligation to pass on medical knowledge T 3. Never to do harm T 4. Never to use one’s skills and knowledge to kill T 5. Obligation to consult and leave operations to specialists T 6. Guard against the dangers of alcohol, women/men and wealth or money T 7. Obligation to keep secrets of patients and never reveal F 8. Obligation to demand payment for services rendered T 9. Treat patients with dignity irrespective of their station in life T 10. De-registeration or being struck off the medical register is the penalty for violating the oath 5. Write your answers in column A. Which of the following statements [in column B] is true or false. Clinical thinking is:- Column A [ your answer T/F] Column B [Statement] F 1. Precise thinking F 2. Thinking like a clinician [doctor] F 3. Thinking that takes place in a clinic T 4. A systematic process which uses history, physical examination and investigations to arrive at a diagnosis of a clinical problem 6. Write your answers in column A. Which of the following statements [in column B] is true or false. Before you take a history and examine a patient:- Column A [ your answer T/F] Column B [Statement] T 1. Dress well with a clearly displayed indentification card [ID] T 2. Get the permission of the doctors taking care of the patient T 3. Get the permission of the sister-in-charge of the ward or clinic T 4. Prepare your questions in advance T 5. Review the patient’s medical records T 6. Introduce yourself to the patient and get their permission to take a history and do a physical examination T 7. Get a chaperone if you intend to examine the breasts and genitalia T 8. Get a good interpreter if you do not share the same language with the patient T 9. Be prepared to listen well, speak well and write well 7. Write your answers in column A. Which of the following statements [in column B] is true or false. General examination should include:- Column A [ your answer T/F] Column B [Statement] T 1. Inspection, palpation, percussion and auscultation T 2. Weight, blood pressure, heart rate, respiratory rate, temperature, dip stick urinalysis F 3. Fundoscopy, protoscopy and direct laryngoscopy T 4. Observation of the patient’s gait, dress, nutritional status, facial expression and mood F 5. Lumbar puncture 8. Write your answers in column A. Which of the following statements [in column B] is true or false. During physical examination gloves should be worn:- Column A [ your answer T/F] Column B [Statement] F 1. When shaking hands with the patient T 2. When examining ulcers or skin eruptions T 3. When doing internal examinations like rectal and vaginal examinations T 4. When examining the teeth and oral cavity T 5. Whenever you may come into contact with body fluids 9. Write your answers in [column A]. Match the following cardiovascular-respiratory symptoms [column B] with their definitions [column C]. Column A [Answers] Column B [Symptoms] Column C [Definitions] I 1. Oedema a. Musical respiratory sounds J 2. Palpitation b. Chest pain due insufficient blood supply to the heart muscle D 3. Dyspnoea c. Blue discolouration of the tongue F 4. Orthopnoea d. Shortness of breath H 5. Paroxysmal nocturnal dyspnoea e. Leg pain that comes on after walking a distance and goes away on resting A 6. Wheezing f. Shortness of breath that occurs when the patient lies down and improves upon sitting up B 7. Angina pectoris g. Coughing up blood G 8. Haemoptysis h. Shortness of breath that occurs shortly after going to bed that forces the patient to sit up or stand or go to the window for fresh air E 9. Intermittent claudication i. Accumulation of excess fluid C 10. Central cyanosis j. unpleasant awareness of one’s heartbeat, racing, skipping, fluttering, pounding or stopping. 10. Write your answers in [column A]. Match the following gastrointestinal symptoms [column B] with their definitions in [column C]. Column A [Answers] Column B [Symptoms] Column C [Definitions] E 1. Anorexia a. Yellow discolouration of the skin and eyes by bilirubin F 2. Heamatemesis b. Burning or warm sensation radiating from the epigastrium J 3. Dysphagia c. Involuntary loss of stool D 4. Odynophagia d. Sharp burning pain on swallowing H 5. obstipation e. loss of appetite A 6. Jaundice f. Vomiting blood B 7. Dyspepsia [heartburn] g. Passage of gas per rectum C 8. Fecal incontinence h. Inability to pass stool and gas G 9. Flatus i. Raising of oesophageal or gastric contents in the absence of nausea or retching I 10. Regurgitation j. Difficult in swallowing