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    Nur 109

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    pioneergloria51
    The document is a medical physiology exam from the Catholic University of Eastern Africa containing multiple choice and short answer questions testing knowledge of topics like digestion, cardiac function, kidney function, and respiratory physiology. It provides instructions for a 3 hour exam consisting of two sections - multiple choice questions and short answer/matching questions.

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    Nur 109

    Uploaded by

    pioneergloria51
    5 views6 pages
    The document is a medical physiology exam from the Catholic University of Eastern Africa containing multiple choice and short answer questions testing knowledge of topics like digestion, cardiac function, kidney function, and respiratory physiology. It provides instructions for a 3 hour exam consisting of two sections - multiple choice questions and short answer/matching questions.

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    NUR 109 (3)

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    The document is a medical physiology exam from the Catholic University of Eastern Africa containing multiple choice and short answer questions testing knowledge of topics like digestion, cardiac function, kidney function, and respiratory physiology. It provides instructions for a 3 hour exam consisting of two sections - multiple choice questions and short answer/matching questions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views6 pages

    Nur 109

    Uploaded by

    pioneergloria51
    The document is a medical physiology exam from the Catholic University of Eastern Africa containing multiple choice and short answer questions testing knowledge of topics like digestion, cardiac function, kidney function, and respiratory physiology. It provides instructions for a 3 hour exam consisting of two sections - multiple choice questions and short answer/matching questions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 6

    THE CATHOLIC UNIVERSITY OF EASTERN AFRICA

    A. M. E. C. E. A P.O. Box 62157

    00200 Nairobi - KENYA


    REGINA PACIS INSTITUTE OF HEALTH SCIENCES Telephone: 891601-6
    MAIN EXAMINATION Fax: 254-20-891084

    SEPTEMBER – DECEMBER 2019 TRIMESTER

    FACULTY OF SCIENCES
    DEPARTMENT OF NURSING
    REGULAR PROGRAMME
    NUR 109: MEDICAL PHYSIOLOGY II

    Date: DECEMBER 2019 Duration: 3 Hours


    INSTRUCTIONS: Answer ALL Questions

    SECTION A: MULTIPLE CHOICE QUESTIONS (20 marks)


    ANSWER ALL THE QUESTIONS IN THIS SECTION

    Q1. Saliva is necessary for the following:


    A. Normal speech.
    B. Tooth decay
    C. Digestion of starch
    D. Digestion of protein

    Q2. Severe diarrhea causes a decrease in the following:


    A. Body potassium( K )
    B. Bloody sodium( Na )
    C. Blood HB
    D. Total peripheral resistance

    Q3. Aldosterone secretion tends to raise the volume of one of the following:
    A. Plasma
    B. Intracellular fluid
    C. Urine
    D. Cerebrospinal fluid

    Cuea/ACD/EXM/DECEMBER 2019/NURSING Page 1

    ISO 9001:2015 Certified by the Kenya Bureau of Standards


    Q4. Which of the following is true regarding the collecting ducts in the kidney?
    A. Can actively transport water molecules in the urine
    B. Are the site of most of renal water re-absorption
    C. Are rendered impermeable to water by antidiuretic hormone(ADH)
    D. Determine to a large extent the final osmolality of urine

    Q5. Which of the following organs has the greatest blood flow per 100g tissue?
    A. Brain
    B. Heart muscle
    C. Liver
    D. Kidneys

    Q6. The main resistance vessels in blood circulation are:


    A. Arteries
    B. Arterioles
    C. Veins
    D. Venules

    Q7. The natural pacemaker in the heart refers to:


    A. Atrioventricular node (AVN)
    B. Sinoatrial node (SAN)
    C. Purkinje system
    D. Bundle of HIS

    Q8. Which of the following is increased during exercise?


    A. Fluid volume
    B. Stroke volume
    C. Blood plasma
    D. Total peripheral resistance

    Q9. Which of the following is a major function of the skin?


    A.Thermoregulation
    B. Epinephrine
    C. Blood storage
    D. Substance p

    Q10. Which of the following statements is true regarding lymph flow from the foot?
    A. Increases when an individual rises from the supine to the standing
    position
    B. Increases by massaging the foot
    C. Increases when capillary permeability is decreased
    D. Decreases when the valves of the leg veins are incompeten

    Cuea/ACD/EXM/DECEMBER 2019/NURSING Page 2

    ISO 9001:2015 Certified by the Kenya Bureau of Standards


    Q11. Which of the following is an excretory organ
    A. Ear
    B. Skin
    C. Liver
    D. Thorax

    Q12. What is the volume of dead space in an adult man weighing 150lbs?
    A. 100 mls
    B. 250 mls
    C. 300 mls
    D. 150 mls

    Q13. Actual gas exchange in the respiratory system occurs in one of the following
    regions:
    A. Bronchus
    B. Terminal bronchioles
    C. Alveoli
    D. Trachea

    Q14. Which of the following is true regarding the mammary glands?


    A. Milk formation is stimulated by oxytocin and progesterone
    B. Maintenance of lactation depends on suckling
    C. Lactation ceases if the posterior pituitary gland is destroyed
    D. Milk ejection ceases if the anterior pituitary gland is destroyed

    Q15. State True(T) or False(F) in the following statements:


    Destruction of the anterior pituitary (Simmonds disease) causes:
    A. Amenorrhoea_ _ _ _ _ _
    B. Diabetes insipidus_ _ _ _ _ _

    Q16. Short stature is seen in adults who in childhood suffered the following effects :
    A. Castration
    B. Chronic malnutrition
    C. Premature baby
    D. vitamin k deficiency

    Q17. The kidney uses one of the following mechanisms to produce hypertonic or
    hypotonic urine:
    A. Tubular reabsorption
    B. Counter current mechanism
    C. Positive feedback mechanism
    D. Negative feedback mechanism

    Cuea/ACD/EXM/DECEMBER 2019/NURSING Page 3

    ISO 9001:2015 Certified by the Kenya Bureau of Standards


    Q18. Which of the following statements are true regarding secretion of androgens in
    the adult female?
    A. Is normal
    B. Does affect the voice
    C. May result in amenorrhoea
    D. In large amounts it can cause enlargement of the clitoris

    Q19. Which of the following is a plasma protein


    A. Fibrinogen
    B. Glycogen
    C. Hemoglobin
    D. Myosin

    Q20. Which of the following is true regarding lymphocytes?


    A. All originate from the bone marrow
    B. Are unaffected by hormones
    C. Convert to monocytes in response to antigens
    D. Interact with eosinophils to produce platelets
    E. Are part of the body's defence against cancer

    SECTION B: SHORT ANSWER QUESTIONS (40 MARKS)

    (40 marks)
    Q1. a) Define Gastric motility?
    (1 mark)
    b) State three factors that influence gastric motility
    (3 marks)

    Q2. Describe a complete cardiac cycle


    (4 marks)

    Q3. i) State three factors that affect glomerular filtration rate (GFR)
    (3 marks)
    ii) Name two hormones produced by the kidney
    (1 mark)

    Q4. i) List down the components of the conducting zone in the respiratory
    system (3
    marks)

    Cuea/ACD/EXM/DECEMBER 2019/NURSING Page 4

    ISO 9001:2015 Certified by the Kenya Bureau of Standards


    Q5. a) Define the following terms:
    i) Anatomic dead space
    ii) Glycosuria
    iii) Polyuria
    iv) Polyphagia
    (4 marks)
    Q6. i) State three effects of estrogen in the human body
    (3 marks)
    ii) Name two nitrogenous end products of kidney excretion
    (2 marks)
    Q7. a) Name one disorder associated with each of the following:
    i) Hypersecretion of growth hormone (GH)
    ii) Inadequate secretion of insulin
    iii) Hyposecretion of thyroid hormones
    (3 marks)
    Q8. b) State three forms in which CO2 is transported from the tissues to the
    lungs (3
    marks)

    Q9. Match the following items in column A with the most appropriate item in column B
    (5 marks)
    A B
    a. Insulin (i) Prevention of dieresis
    b. Vitamin B12 (ii) Promotion of sodium and water reabsorption
    c. Renin (iii) Regulation of blood glucose
    d. Oxytocin (iv) Milk expression
    e. Prolactin (v) Milk synthesis
    f. Aldosterone (vi) Pernicious anaemia
    g. Vasopressin (vii) Alpha receptors(α)
    h. Epinephrine (viii) Juxtaglomerular apparatus
    i. Intrinsic factor (ix) Beta receptors(β)
    j. Lutenizing hormone (x) Stomach
    (xi) Ovarian follicle
    Q10. State the cellular components of blood and the function of each component: .
    (5
    marks)

    SECTION C: LONG ANSWER QUESTION (40 marks)

    Q1. a) Outline the digestive events that occur in the mouth, stomach and
    intestines after a meal of maize and beans (include all the enzymes
    involved and end products) (20
    marks)

    Cuea/ACD/EXM/DECEMBER 2019/NURSING Page 5

    ISO 9001:2015 Certified by the Kenya Bureau of Standards


    Q2. a) Discuss with the aid of a diagram the origin of heartbeat and the cardiac
    conducting system
    (10 marks)

    b) Use a labeled diagram to show the components of an Electrocardiogram


    (ECG) and discuss what each component represents.
    (10 marks)

    *END*

    Cuea/ACD/EXM/DECEMBER 2019/NURSING Page 6

    ISO 9001:2015 Certified by the Kenya Bureau of Standards

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