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MEDICALAND SURGICAL NURSING- II

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This documents is only written keeping in mind the need and importance of nursing student.This document consists of atleast 21 previous years solved question papers which serves as an invaluable resource for the nursing students at the time of their exam . This document can reduce their exam anxie...

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  • May 6, 2024
  • 206
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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1




Q. NO. 1 A)Select the most appropriate answer from the following..
1) There are approximately ------------------------ type of cancers cell found in human being.

a) 100 b) 190 c) 150 d) 500

2) --------------------- is an abnormally uncomfortable awareness of breathing.

a) Dyspnoea b) Bradycardia

c) Tachycardia d) Nausea

3) ---------------is causative organism of whooping cough.

a) Corynebacterium diphtheria b) Streptococci

c) Bordetella pertussis d) Pneumococci

4) Fracture fragments are pushed into each other is called ------------- fracture.

a) Compound b) Comminuted

c) Impacted d) Pathological

5) Inflammation or infection of the testicle is known as --------------

a) Urethritis b) Epididymis

c) Prostatis d) Orchitis

ANSWERS:_

1. There are approximately ------------------------ type of cancers cell found in human being.
Answer: d) 500
2. --------------------- is an abnormally uncomfortable awareness of breathing. Answer: a)
Dyspnoea
3. ---------------is causative organism of whooping cough. Answer: c) Bordetella pertussis
4. Fracture fragments are pushed into each other is called ------------- fracture. Answer: c)
Impacted
5. Inflammation or infection of the testicle is known as -------------- Answer: d) Orchitis




A. 1.Plague a) Hormonal imbalance

2. Gynaecomastia b) Intra ocular pressure

, 2



3. Hypertension c) Treponema palladium

4. Syphilis d) Sodium

5. Tonometry e) Pste urella pestis

ANSWERS

A.

1–e 2–a 3–d 4–c 5-b

C) STATE TRUE OR FALSE

1)Gonorrhoea is non- communicable diseases

2) Circumcision is done in case of hypospadiasis

3) Mammography is done in carcinoma of breast

4) Candidiasis is caused by candida albicans

5) Pupil larger than normal is known as mydriasis

ANSWER

1. Gonorrhoea is non-communicable diseases - False
Gonorrhoea is a sexually transmitted disease (STD) caused by the
bacterium Neisseria gonorrhoeae, making it a communicable disease.
2. Circumcision is done in case of hypospadias - False
Circumcision might be part of the surgical treatment for hypospadias but it
is not solely performed for hypospadias. Hypospadias repair itself involves
correction of the urethral opening and may involve foreskin reconstruction
or removal, depending on the case.
3. Mammography is done in carcinoma of breast - True
Mammography is a diagnostic tool used to screen and help diagnose
breast conditions, including carcinoma of the breast. It can detect tumors
and other abnormalities in breast tissue.
4. Candidiasis is caused by Candida albicans - True
Candidiasis is indeed caused by the fungus Candida albicans, which can
affect various parts of the body including the mouth, throat, skin, and
genitals.
5. Pupil larger than normal is known as mydriasis - True
Mydriasis refers to the dilation of the pupils, which can be caused by
various factors including low light conditions, certain drugs, or
neurological issues.
__________________________________________________________________________
Q. NO. 2 WRITE DIFFERENCE BETWEEN any two of the following :- ( 10m)
1) Sprain and Strain

,3



2) Angina pectoris and myocardial infarction
3) Arterial blood and venous blood
4) Gastric lavage and gastric gavage


ANSWERS:-
1)SPRAIN VS STRAIN
Category Sprain Strain
An injury to a ligament caused by An injury to a muscle or a tendon caused by
Definition stretching or tearing. overstretching or overexertion.
Ligaments (connects bones to other Muscles or tendons (tendons connect muscles to
Affected Tissue bones). bones).
Common
Locations Ankles, knees, wrists. Lower back, hamstring, calf.
Pain, swelling, bruising, limited movement
Symptoms in the affected joint. Pain, muscle weakness, swelling, muscle spasms.
Rest, ice, compression, elevation (RICE); Rest, ice, compression, elevation (RICE); physical
Treatment possibly immobilization. therapy may be needed.
Category Angina Pectoris Myocardial Infarction (Heart Attack)
A condition marked by severe pain in the chest,
often also spreading to the shoulders, arms, and The death of heart muscle due to the loss of
neck, caused by an inadequate blood supply to the blood supply, typically from a complete
Definition heart. blockage of a coronary artery.
Temporary decrease in blood flow to the heart Permanent damage due to prolonged lack
Cause muscle. of adequate blood supply.
Intense and prolonged chest pain, nausea,
Chest pain, discomfort, shortness of breath; usually sweating, shortness of breath; symptoms
Symptoms temporary and relieved by rest or medication. may not be relieved by rest or medication.
Emergency medical treatment, medication,
Rest, medication (nitroglycerin), lifestyle changes, surgery (like angioplasty), lifestyle changes
Treatment medical procedures if necessary. post-recovery.
Category Arterial Blood Venous Blood
Blood that is oxygen-rich and circulated Blood that carries less oxygen and more carbon
Definition from the heart to the rest of the body. dioxide back to the heart.
Color Bright red due to high oxygen levels. Dark red due to lower oxygen levels.
High pressure as it is pumped directly
Pressure from the heart. Lower pressure compared to arterial blood.
CO2 and O2 Lower in carbon dioxide and higher in
Content oxygen. Higher in carbon dioxide and lower in oxygen.
Delivers oxygen and nutrients to tissues Carries metabolic waste products to the lungs,
Functions and organs. kidneys, and liver for detoxification and elimination.

, 4



Category Gastric Lavage Gastric Gavage
A medical procedure to clear the stomach A medical procedure to feed a patient who
of ingested substances (often used in cases cannot eat by mouth, involving the introduction
Definition of overdose or poisoning). of a nutritive liquid directly into the stomach.
To remove substances from the stomach to To provide nutrition directly to the stomach when
Purpose prevent absorption into the bloodstream. oral intake is not possible.
Inserting a tube through the nose or mouth
down into the stomach and then flushing Inserting a tube through the nose or mouth into
Method with water or saline solution. the stomach and delivering food directly.
Usage Often used for patients in hospitals or in long-
Context Typically an emergency procedure. term care who have chronic eating difficulties.
Aspiration, mechanical injury, nasal discomfort,
Aspiration pneumonia, mechanical injury to possible nutritional imbalances if not managed
Complications the esophagus or stomach. properly.


Q.NO. 3Write short notes on ( ANY FOUR) (20M)
1) Cardiac catheterization
2) Meneier’s diseases
3) Nursing management of patient with tracheostomy
4) Blood transfusion
5) Nurses role in disaster management
6) Digoxin
ANSWERS:-
1)Cardiac Catheterization

Cardiac catheterization is a diagnostic and therapeutic medical procedure that is
pivotal in the evaluation and treatment of heart disorders. This procedure involves
the insertion of a long, thin, flexible tube called a catheter into a blood vessel, usually
in the groin or arm, which is then guided to the heart. Here are some key points
about cardiac catheterization:

1. Purpose and Diagnostic Use:
Cardiac catheterization is primarily used to diagnose and evaluate heart
conditions including coronary artery disease, heart valve disease, and congenital
heart anomalies. It helps in assessing heart muscle function and measuring the
pressure and oxygen levels in different parts of the heart.
2. Procedure:
During the procedure, the patient is usually awake but sedated. After a local
anesthetic is applied, the catheter is inserted through the blood vessel and
carefully maneuvered to the heart under the guidance of X-ray imaging. Contrast
dye is often injected through the catheter to make the heart and blood vessels
visible on X-ray images, which helps in pinpointing blockages or abnormalities.

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