COMMUNICABLE DISEASES |CMT LEVEL FIVE SEMESTER ONE |CAT 1 POSSIBLE QUESTIONS |READ FOR FREE

1.In preventive and control measures of trypanosomiasis we are focuses on 5 steps, mention them  (5 marks)

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2.    Mention 3 phases which are ddistinguished in the lymph vessels due to foreign body reaction  (3 marks)

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3.    Enumerate 5 Differential Diagnosis of YELLOW FEVER  (5 mark)

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4.    Mention 5 main signs and symptoms in sub-acute phase of bancroftian filariasis (5 marks)

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5.    List 5 complication of poliomyelitis    (5 marks)

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6.    The three clinical presentation of human plague are: (3 marks)

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7.    Mention only two types of wound(s) which favour the growth of dostridium tetani: (2 marks)

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8.    List out the actions to be taken in cases of animal bites:   (4 marks)

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9.    Jarisch – Hevx heimer reaction when occurs in patient commonly will present with three characters which are  (3 marks)

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10.    Explain briefly how will you prevent Jarisch Hevix heimer reaction (4 marks)

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11.    Briefly discuss what is the relationship of PULEX IRRITANS (FLEAS) as related to plague  (4 marks)

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  ESSAY QUESTIONS    (30 MARKS)

1.    In your working area (TARAFA) you suspect there is epidemic plague, what will you do to arrest the situation (Answer by enumerations only) (8 marks)

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2.    You as health worker how will you control Anthrax in humans, list out the measures   (7 marks)

3.    Describe briefly SCHISTOSOMIASIS under the following heading:

    a.    Definition            2 marks

    b.    Causative organisms for schistosomiasis    3 marks

    c.    Clinical features for schistosomiasis        5 marks

    d.    Infective form of schistosoma spp to snail and human     2 marks

    e.    How can schistosomiasis be prevented and controlled    5 marks

1. Mention five (5) bacteria causing food poisoning                                               5 amrks

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2. .Mention the first five steps to be followed during post exposure prophylaxis 

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1. What is trachoma                                                                                                1 mark

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2. Mention four stages that trachoma can be manifested                                  4 marks

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1. Mention two (2) Differential Diagnosis of Amoebiasis.                                2 marks

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2. What are the three Principles of Communicable Diseases Prevention  and control                                                                                                               3 marks

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5. Jackie is 17 years female from Igandugandu village come to your health center with the complaining of lower abdominal pain, fever, increased frequency of urination and urgency. On examination temperature is 38.2, and suprapubic tenderness on palpation. Laboratory results shows 32pcs She also reported that three days past she had sexual intercourse with her ex-boyfriend but she denied history of  per vaginal discharge.

1. What is your diagnosis                                                                              1 mark

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2. Mention the main causative organism                                                     1 mark

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3. Mention three medication that you can prescribe                                 3 marks

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6. You attend a 12 years girl with the complain of abdominal pain associated with passing watery diarrhea with mucoid but no blood, and on examination you find that temperature is 36.9c  and she was dehydrated.

1. What is the diagnosis                                                                                    1 mark

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2. Mention two  management options                                                              1 mark

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3. Mention two prevention methods                                                               2 marks

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7. What are the five (5)differential diagnosis of Rubella                                     5 marks

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8. Mention five (5)common upper respiratory tract infection                               5 marks

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GUIDED ESSAY QUESTIONS                                                         30 MARKS

Instructions:

• This section consists of Two (2) questions which are supposed to be answered in a narrative way

• Bulleting and numbering is NOT ALLOWED

• Write your answers on the blank pages of this question paper. 

• Each question should start on a new page.

9. A 17 years boy come to your health centre with a complain of difficulty in breathing, Impaired consciousness, Vomiting everything and you decide to do examination then you find that the  patient is jaundiced and have severe palmar and conjunctiva pallor and have splenomegaly. On investigation MRDT was positive. What is the diagnosis, deferential diagnosis, investigation, treatment and complication and prevention.           15 marks

10. Desire is 24 years old from Kibakwe  come to your dispensary complaining of a burning sensation when passing urine accompanied with yellowish purulent discharge with terminal haematuria and has increased frequency of urination on examination the temperature is 38c. Discuss how will you manage your patient basing on           15 marks

• Diagnosis,

• Differential diagnosis

• Investigation 

• Treatment

• Complication and prevention.