KMTC/QP-07/TIS

KENYA MEDICAL TRAINING COLLEGE – NYAMIRA

END OF YEAR 1 SEMESTER 2 EXAMINATION
MARCH 2013 KRCHN CLASS (PRE-SERVICE)
BLOOD DISORDER EXAM

DATE: TIME: ..................

INSTRUCTIONS

1. Enter your examination number and question number on each page

used.

2. ALL questions are compulsory.

3. For part 1 (MCQs), write the answer in the spaces provided on the
answer booklet.

4. For Part 2 (SHORT ANSWER QUESTIONS), answer to each question

MUST be done on a separate sheet of paper.

5. For Part 3 (LONG ANSWER QUESTIONS), answer to each question

MUST be done on a separate sheet of paper.

6. Omission of and or wrong numbering of a question or part of the

question will result in 10% deduction of the marks scored from the
relevant part.

7. Do NOT use a pencil.

8. Mobile phones are NOT allowed in the examination hall.

 KMTC/QP-07/TIS

SECTION I: MCQ

1. A blood disorder characterized by bleeding into joints and fatty tissues is most likely to
be:-
A. Leukemia
B. Leukopenia
C. Haemophilia
D. Sickle cell disease
2. Iron deficiency anemia could possibly be due to the following factors EXCEPT.
A. Insufficient iron in the diet
B. Prevention of iron absorption due to disease
C. Inadequate intake of vitamin C
D. Loss of blood from circulation
3. Which of the following are leukocytes
A. Lymphocytes, eosinophilis, basophilis
B. Thrombocytes, lymphocytes, eosinophils
C. Platelates, basophilis, thrombocytes
D. Basophilis, platelate, lymphocytes
4. Which of the following cells develop from myloid stem cells.
A. Erythrocytes, plasma cells, T-lymphocytes
B. Granulocytes, erythrocytes, plasma cells.
C. T lymphocytes, granulocytes, B- lymphocytes
D. Erythrocytes, platelates, granulocytes
5. Lifespan of a red blood cell is:-
A. 4 weeks
B. 8 weeks
C. 70 – 90 days
D. 100 – 120 days
 KMTC/QP-07/TIS

6. For this question write True Or False

(i) haemophilia is more common in female than male
(ii) the malignant cells in Hodgkin’s disease is the reed – Sternberg cells.
7. Thrombocythemia is:-
A. Increase is platelate production
B. Decrease in platelate production
C. Increased volume of RBC, in circulation
D. Decreased volume if RBC, in circulation
8. Which of the following is a hemorrhagic disorder.
A. Leukemia
B. Thrombocytopenia
C. A granulocytosis
D. Sickle-cell disease
9. Which of the following contain blood cells
A. Plasma, read – Sternberg cells, leukocytes
B. Erythrocytes, leukocytes, read-sternberg cells
C. Thrombocytes, erythrocytes, leukocytes
D. Reed –sternberg cells, plasma, erythrocytes
10. Monocytes out of circulation in tissues in reffered to as:-
A. Plasma cells
B. Macrophages
C. Platelates
D. Neutrophils
 KMTC/QP-07/TIS

SECTION II: SHORT ANSWER QUESTIONS

1. Outline Four (4) types of leukemia. 4 Marks
2. State the clinical manifestation of polycythemia. 4 Marks
3. Outline the Nursing care of a patient during sickle-cell crisis. 6 Marks
4. State Three (3) causes of thrombocytopenia. 3 Marks
5. Differentiate between Hodgikin’s diseases and non-hodgikin’s lymphoma. 3 Marks

SECTION III: LONG ANSWER QUESTION

1. Mrs. Kate is admitted into I.C.U with a diagnosis of disseminated intravascular

coagulation.(DC).
a. Define disseminated intravascular coagulation. 1 Mark
b. State Three (3) clinical features of a patient with Dic 3 Marks
c. Describe pathophysiology of Dic. 6 Marks
d. Discuss the management of Mrs. Kate in the first 24 hours of admission.