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B MULTIPLE TRUE/FALSE 10
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
Instructions:
This section consists of Ten (10) items.
One (1) mark will be awarded for each correct answer.
Responses with SMALL letter will NOT be awarded any mark.
1. Answer item one (i) to ten (x) by choosing the letter of the most correct answer and write it in
the box provided using CAPITAL letter
i. Which of the following need to be avoided by the health care provider when interacting with
a client?
A. Empathy
B. Sympathy
C. Eye contact
D. Opening posture
E. Non verbal
ii. One of the following should be done when initiating a good rapport in order to attend a sick
female child who is one month old:
A. Greeting the child
B. Providing toys to the child
C. Shaking hands with a child
D. Self introduction to the informant
E. Involving the child into conversation
iii. Which of the following is specific component of obstetric history?
A. Painful coitus
B. Contraceptive use
C. Date of first menses
D. Regularity of menses
E. Date of booking at antenatal clinic
iv. Regarding “Empathy” as the characteristic of therapeutic relationship:
A. The clinician need to ask the patient to talk openly
B. The clinician need to be able to enter into the client private world
C. The client need to ask for help from the clinician and give appreciation
D. The clinician need to feel what the client is feeling and show emotional reaction
E. The clinician needs to make decisions on behalf of the patient during the whole process
of history taking
v. One of the following techniques is used when taking history to a patient with multiple
symptoms:
A. Assessment of the mental status
B. Spend much time for a detailed history
C. Interview the patient and the informant
D. Listen closely to the whole conversation
E. Validating the symptoms without agreeing to their reasons
vi. Informed consent basically follows which of the following principle?
A. Non discrimination
B. Beneficence
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C. Maleficence
D. Autonomy
E. Fidelity
vii. Which of the following best describes dehydration status in pediatric?
A. Sunken fontanels
B. Dry skin
C. Cyanosis
D. Hematuria
E. Paleness
viii. During pediatric history taking, asking about when the child started speaking, holding
a cup of milk and sitting, belong to which part of history?
A. Social
B. Natal
C. Dietary
D. Post natal history
E. Development milestone
ix. Regarding taking past medical history to a 15 year old male patient:
A. childhood illness are not asked
B. Immunizations history is not part of it
C. History of blood transfusion and surgery is asked
D. Normally we ask the history of chronic illness in the family
E. It gives the detailed information of what the patient is suffering
x. When reviewing other systems during history taking:
A. The affected system is reviewed first
B. Review all systems including the affected system
C. Ask questions in series starting from the affected system
D. System mentioned in the main complaint is reviewed first
E. Review systems which are not included in history of the presenting illness
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Instructions:
This section consists of Four (4) questions with five (5) options each
Write the word “TRUE’’ for a correct statement and the word “FALSE’’ for incorrect
statement in the space provided after each option.
All responses should be in CAPITAL letters.
Half (½) a mark will be awarded for each correct response.
Responses with letters ‘T’ and ‘F’ will not be awarded any mark.
There will be a penalty of half (½) of allocated marks for responses with small letters.
4. Important practices to observe when recording the main complaints of the patient includes:
5. The following techniques are used when obtaining a history to patient with impaired hearing:
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6. (A) Match the terminology in history taking from column A with their appropriate descriptions
in Column B.
COLUMN A (Terms) COLUMN B (descriptions)
i. Parity A. Number of weeks from last normal menstruation
ii. Gravidity B. Five or more deliveries
iii. Gestational age C. Last day of the last normal menstruation
iv. Grand multiparity D. Number of deliveries regardless of the gestational age
v. Last normal menstrual period E. Number of live births or stillbirths after 28 weeks
F. Number of pregnancy regardless of outcome
G. Number of weeks from conception
H. First day of the last normal menstruation
COLUMN B E F A B H
6. (B) Match the skills used to handle patient from column B with their corresponding type of
patient in Column A.
COLUMN A (type of COLUMN B (skills to handle patient)
patient)
i. Patient becoming silent A. Use a loud voice
ii. Confusing patient B. Have a translator
iii. Talkative patient C. Appear attentive and give brief encouragement
iv. Crying patient D. Assessment of mental status
v. Patient with altered capacity E. Validate their feelings without agreeing their reason
F. Make supportive remarks like “I am glad you were able
to express your feelings
G. Give the patient free reign for the first five to ten
minutes and listen closely to the conversation
H. Consider two interviews one with patient and other with
the patient and relative.
COLUMN B C D G F H
SECTION D: SHORT ANSWER QUESTIONS 40 MARKS
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Examination number………………………………….......... NACTE Registration number………………………
Instructions:
This section consists of Eight (8) questions.
Write your answers in the space provided on each question.
Write a readable handwrite: DIRTY WORK IS NOT ALLOWED.
7. Outline six (6) situations that man appear challenging or even troublesome to the clinician during
history taking. (6 Marks)
Patient becoming silent
Confusing patient
Talkative patient
Patient with altered capacity
Crying patient
Angry or disruptive patient
Interview across language barrier
Patient with low literacy
Patient with impaired hearing
Patient with impaired vision
Patient with limited intelligence
Patient with personal problems
8. A 34 year old patient presents at the hospital with complaints of pain. Mention five (5) important
attributes when amplifying the complaints of this patient. (5 Marks)
i. Duration
ii. Mode of onset
iii. Site
iv. Character
v. Site
vi. Severity
vii. Associating factors
viii. Radiation
ix. Aggravating/exarbating factors
x. Relieving/alleviating/remitting factors
9. Mention five (5) components of patient’s history. (5 Marks)
i. Demographic data/Identification of the patient
ii. Chief Complaint
iii. History of presenting illness Amplification
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Answer
Definition
Therapeutic relation or making alliance refers to the relationship between a health pretension
and a patient. (1 Mark)
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16. Explain seven (7) situations that may appear challenging or even troublesome to the clinician
during history taking. (15 Marks)
Answers
Definition
Is the art/systematic process of obtaining patient’s information for medical use. (1 mark)
Challenging situations @ 2 marks (14 marks)
Patient becoming silent
Confusing patient
Talkative patient
Patient with altered capacity
Crying patient
Angry or disruptive patient
Interview across language barrier
Patient with low literacy
Patient with impaired hearing
Patient with impaired vision
Patient with limited intelligence
Patient with personal problems
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Question SECTION E Do not write
to this
number margin
Do not write
Question SECTION E to this
number margin
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Examination number………………………………….......... NACTE Registration number………………………
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