Q.P. CODE: 4115
DR NTR UNIVERSITY OF HEALTH
SCIENCES :: AP :: VIJAYAWADA
B.Sc(Nursing) DEGREE EXAMINATIONS ?
OCTOBER, 2019

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FIRST YEAR EXAMINATION ? 4 YDC
MEDICAL SURGICAL NURSING - I
(NEW SCHEME)
Time: 3 Hours
Max. Marks: 75

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ANSWER THE FOLLOWING QUESTIONS
ESSAY QUESTIONS ? 30 MARKS
Write an essay on any TWO of the following:
1) Mr. Sandeep has been admitted to the CCU with
complaints of chest pain which radiates to left shoulder

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and upper arm. He is diagnosed with Angina Pectoris.
Answer the following: 2x15=30
a) Define Angina Pectoris
b) Enlist causes and risk factors of angina pectoris
c) Discuss the types and clinical manifestations of

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angina Pectoris
d) Write down medical and nursing management of
angina pectoris
2) a) Define chronic renal failure
b) Explain the pathophysiology of chronic renal failure.

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c) Enlist the causes and clinical manifestations of chronic
renal failure.
d) Enumerate the management of CRF and prepare 24
hour nursing care plan of patient with CRF. 2+3+4+6=15
3) Mr. Esher aged 57 years admitted in medical ward

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with diagnosis of Diabetes Mellitus.
a) Define Diabetes mellitus
b) Discuss types of diabetes mellitus
c) Explain the clinical manifestations and complications of
diabetes mellitus

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d) Write down the medical and dietary management of
Diabetes Mellitus in detail. 2+4+4+5=15
SHORT NOTES ? 25 MARKS
Write short notes on any FIVE of the following:
4) Pathophysiology and types of CCF 5X5=25

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5) Emphysema
6) Peptic Ulcer
7) Osteoporosis
8) Explain the Hypovolemic Shock
9) Cardio Pulmonary Resuscitation

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10) Renal Calculi
BRIEF ANSWERS ? 20 MARKS
Write brief answers on of the following:
11) Enlist the types of Amputation 10x2=20
12) Define Thoracentesis

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13) Enlist any four clinical features of Cretinism
14) Define Herpes Zoster?
15) Enumerate the types of Hemorrhoids
16) Classify Anaesthesia
17) Enumerate the Drugs used in Benign Prostatic

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Hyperplasia
18) List Four Clinical Manifestations of Addison's
Disease
19) Enumerate the role of Circulatory Nurse
20) Define Hyperkalemia

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