Bsc Nursing 3rd Sem 652309 Adult Health Nursing I May 2024 Previous Question Paper

MEDICAL

MAY 2024

(APRIL 2024 EXAM SESSION)

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B.Sc. (Nursing) DEGREE EXAMINATION

THIRD SEMESTER

PAPER VII – ADULT HEALTH NURSING - I

WITH INTEGRATED PATHOPHYSIOLOGY INCLUDING BCLS MODULE

Q.P. Code: 652309

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Time: Three Hours

Answer all the Questions

Maximum: 75 Marks

I. Multiple Choice Questions: (12 x 1 = 12)

Choose one correct answer in the Answer Script. No overwriting should be done. Choice should be given in Capital Letters.

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1. Which of the following surgical procedure meant for cosmetic purpose
   1. Appendectomy
   2. Tracheostomy
   3. Mammoplasty
   4. Biopsy

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2. Which of the following is the priority nursing action for a patient with hypernatremia?
   1. Motivate for dialysis
   2. Restrict sodium intake
   3. Restrict fluid intake
   4. Administer laxatives

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3. The Mantoux test is used to screen patient for .........,
   1. Tuberculosis
   2. Covid 19
   3. Malaria
   4. Diabetes Mellitus

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4. Which of the following condition in which intermittent arteriolar vasoconstriction that results in coldness, pain and pallor of the fingertips or toe?
   1. Raynaud phenomenon
   2. Arterial embolism
   3. Aneurysm
   4. Arteriosclerosis

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5. Which of the following is an example for beta blockers?
   1. Methyldopa
   2. Propranolol
   3. Enalapril
   4. Amlodipine

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6. Filariasis is caused by.............?
   1. Wuchereriabancrofti
   2. Plasmodium
   3. Yersinia pestis
   4. Salmonella typhi

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7. Central obesity with fatty “buffalo hump” is a classical sign of .......
   1. Addison disease
   2. Grave's disease
   3. Cushing syndrome
   4. Hyperthyroidism

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8. Cullen's sign is associated with which of the following condition?
   1. Cholecystitis
   2. Appendicitis
   3. Peritonitis
   4. Hemorrhagic pancreatitis

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9. Hyper secretion of growth hormone causes?
   1. Goitre
   2. Acromegaly
   3. Dwarfism
   4. Osteoporsis

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10. Presence of BenceJones protein in urine is considered to be a major criterion in the diagnosis of....,
    1. Leukemia
    2. Multiple Myeloma
    3. Lymphoma
    4. Anemia

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11. Which one of the following condition is induced by ingestion of protein gluten content food?
    1. Irritable bowel syndrome
    2. Constipation
    3. Celiac disease
    4. Thalassemia

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12. Which of the following diagnostic test helps to evaluate the airflow obstruction?
    1. Nebulizer
    2. Spirometry
    3. X-Ray chest
    4. Complete haemogram

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II. Essay: (2 x 15 = 30)

1. Mr.Y, 49 years old male is admitted in cardiac ICU with diagnosis of Acute coronary syndrome.
   1. Define the term Myocardial Infarction and its risk factors.
   2. Explain about pathophysiology of myocardial infarction and its diagnostic measures.
   3. Discuss about the management of patient with Myocardial infarction including nursing care using nursing process.
   4. List out the complications of myocardial infarction.

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2. Mrs. X, 28 years old female, who is sustained injury in her leg, admitted in ortho ward with diagnosis of fracture femur.
   1. Define the term fracture and its types.
   2. List out clinical features of fractures and investigation methods
   3. Explain the management of patient with fractures including nursing care.
   4. Write the complications of fractures

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III. Short notes: (5 x 5 = 25)

1. Management of patient with hypovolemic shock.
2. Pleural effusion.
3. Inguinal Hernia.

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4. Pheochromocytoma.
5. Psoriasis.

IV. Very short answers: (4 x 2 = 8)

1. Write the four stages of General anesthesia.
2. List the four types of pain.

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3. Mention four types of insulin.
4. List four classifications of Anemia.

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