KMTC/QP-07/TIS

KENYA MEDICAL TRAINING COLLEGE – NYAMIRA

END OF YEAR 1 SEMESTER 2 EXAMINATION
MARCH 2013 KRCHN CLASS (PRE-SERVICE)
FAMILY PLANNING

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.

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SECTION I: MCQ QUESTIONS

1. The following are warning signs of IUCD which needs aclient to return to the clinic
except.

a. Infection

b. Lower abdnorminal pains

c. Not feeling well

d. Chest pains.

2. The following apply to women who should delay use of family planning method.

a. Chronic conditions raising body temperature

b. Abdominal vaginal discharge

c. Irregular vaginal bleeding

d. Habit of taking mood alleviating drugs.

3. The following best describes fecundely.

a. Likelihood of conception per month of exposure.

b. Probability of achieving a life birth in one menstrual cycle.

c. Probability of conception per month of exposure.

d. Achieving a pregnancy deliberately.

4. For this question write TRUE or FALSE

a. Consumption record:- records information about movement of stock from one

storage to another.

b. Transaction record:- records each quantity of item dispensed to customers.

5. Concerning vasectomy.

a. Its effectiveness is comparable to tubal ligation and implant.

b. Failure rate is less than 0.2%

c. Formation of antis perm antibodies is not one of the side effects

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d. It is not possible for the man to make his wife pregnant after 20 ejaculations.

SHORT ANSWER QUESTIONS: 20 MARKS

1. State Five (5) benefits of family planning. 5 Marks

2. State Three (3) contradictions of female condoms. 3 Marks

3. Highlights the Six (6) Instructions given to a client after vasectomy. 6 Marks

4. State Three (3) reasons why spermicides fail as a family planning method. 3 Marks

5. Explain mechanism of action of combined oral contraceptives. 3 Marks

SECTION III: LONG ANSWER QUESTIONS.

1. Mrs. Komu come to family planning clinic with IUCD in site for check up.

a. State Five (5) contradictions of IUCD. 5 Marks

b. Explain briefly Five (5) side effects of IUCD using the following headlines.

i. Possible causes

ii. Management. 20 Marks

2. Explain how you would do speculum examination on a mother. 2 Marks