1. OCHIENG
SUPPLIES
Define the following terms as used in supplies
· Supplies
· Inventory
· Procurement
· Inventory management
· Supplies Management
State at least five roles nursing in commodities and supplies during procurement process? [5 marks]
State and explain steps involved in procurement process [14 marks]
State and explain at least three factors that influence supply [6 marks]
PUBLIC FINANCE
 State sources of financing Healthcare services [5 marks]
 State challenges met during financing of the healthcare services? [5 marks]
 State Roles f parliament in public finance [3 marks]
 State the roles of auditor general and controller of budget in public finance [7 marks]
Health Information System ( HIS)
 Define Health Information System [2 marks]
 Give at least five differences between monitoring and evaluation? [5 marks]
 State and explain at least four types of Health Information System? [8 marks]
ENTREPRENEURSHIP
 As an entrepreneur what are the main function of an entrepreneur as vital factor of production [7
marks]
 State the most theories of entrepreneurship/ [3 marks]
 Discuss any two theories of entrepreneurship in details [10 marks]
 State and explain at least five characteristics of an entrepreneur? [10 marks]

3. KENYA MEDICAL TRAINING COLLEGE
DEPARTMENT OF NURSING SCIENCES
MARCH 2014 CLASS
EXAMINATION END OF YEAR I SEMESTER COMMUNITY HEALTH
…………………………………JULY 2014
Instructions
 Write only your examination number at the right hand corner of the answer sheets
 Read and understand questions clearly before answering
 Be clear, specific and orderly in your answers
 ANSWER ALL questions
 Time allowed 3hours
 Each answer should be numbered according to the question
 Mobile phones are NOT allowed in the examination room
1. The overall professional incharge of health services in Kenya is
a) Minister for health services
b) Cabinet secretary for health
c) Director of medical services
d) Permanent secretary
2. One of the following statements is not true of community health services
a) It emphasizes curative services and expanding of health facilities
b) It emphasizes on considering patients as members of family and community
c) It encourage community members to make efforts to prevent diseases and promote health
d) It emphasizes on curative services prevention of diseases, promotion of health and
rehabilitation
3. One of the following health personnel is incharge of a health centre
a) A clinical officer
b) A medical Doctor
c) An enrolled Nurse
d) An assistant Chief
4. One of the following organizations does not offer curative, preventive services and promotion of
health services
a) Non, Governmental Organization e.g AMREF
b) Kenya Red Cross
c) Private Institutions e.g Agha Khan Foundation
d) Kenya Government through Ministry of health
5. A dispensary offers mostly the following type of health services
a) Promotive services
b) Curative services
c) Rehabilitation services
d) Social services
6. The first step of community diagnosis is:-
a) Data collection
b) Data Analysis
c) Survey/Exploration

4. d) None of the above
SHORT ANSWER QUESTIONS
1. State the world Health Organizations Definition of health [2 marks]
2. State any six core members of a district health management team (DHMT) [3 marks]
3. State two kinds of patients who need home based care [2 marks]
4. Describe any three aspects of school health services [6 marks]
5. Define a community health services [2 marks]
6. State two kinds of clients who need home-visiting [2 marks
7. State any four elements of primary health care [2 marks]

5. KENYA MEDICAL TRAINING COLLEGE
DEPARTMENT OF NURSING SCIENCES
MARCH 2014 CLASS
EXAMINATION END OF YEAR I SEMESTER MICROBIOLOGY
30TH JULY 2014
Instructions
 Write only your examination number at the right hand corner of the answer sheets
 Read and understand questions clearly before answering
 Be clear, specific and orderly in your answers
 ANSWER ALL questions
 Time allowed 3hours
 Each answer should be numbered according to the question
 Mobile phones are NOT allowed in the examination room
1. one of the following groups of micro-organisms are the most numerous and the oldest to
be Discovered.
a) Viruses
b) Cocci
c) Bacteria
d) Protozoa
2. One of the following group of micro-organisms are the largest in size and are single celled
a) Protozoa
b) Archaea
c) Bacteria
d) Viruses
3. One of the following mircro-oranism change into spores while in adverse conditions
a) Rickettsiae
b) Bacteria
c) Nerserias
d) Fungi
4. One of the following sub-classification of bacteria appears as rods under micro-scope
a) Spiroxhaetes
b) Bacilli
c) Cocci
d) Viruses
5.Which of the following diseases is not caused by a virus
a) Measles
b) Tuberculosis
c) Acquired Immune deficiency syndrome
d) Common cold
6. Which of the following bacteria forms normal flora on our skins
a) Escherichia coli
b) Coli form bacillus
c) Staphylococcus aureas
7. One of the following types of immunity occurs due o exposure to certain micro-organisms or
infection
a) Natural Passive acq Immunity

6. b) Artificial passive acq immunity
c) Natural active acq immunity
d) Innate immunity
8. If a pregnant mother is immunized with tetanus toxoid the baby acquires the following types of
immunity
a) Artificial active acq immunity
b) Complement Immunity
c) Natural Passive acq Immunity
d) Hesd immunity
9. One of the following group of diseases can be transmitted from mother to the baby in utero
a) Syphilis, HIV/AIDS, Gonorrhoea
b) Tuberculosis. Urinary tract infections, HIV/AIDS
c) Hepatitis b, measles and gonorrhea
d) All of the above
10. Which one of the following is not an intestinal parasite
a) Hookworm
b) Ringworm
c) Roundworm
d) Threadworms
11. One of the following group of internal parasites is not a helminth
a) Trematodes
b) Flagellates
c) Cestodes
d) Nematodes
12. Which one of the following diseases is not due to auto-immunity
a) Osteo-arthritis
b) Rheumatoid arthritis
c) Hashimotos disease
d) Juvenille and diabetes
SHORT ANSWER QUESTION
1. Define the following terms
i. Micro-biology
ii. Infection
iii. Inflammation
iv. Commensals
v. Parasites
vi. Endoparasites [ 5 marks]
vii. Immunisation
viii. Antigen
ix. Hypersensitivity
x. Antibodies
2. Explain how a person acquires each of the following types of the following types of immunity
i. Artificial active acquires immunity [2 marks]
ii. Innate immunity
3. State the two major categories of internal parasites [3 marks]
4. State four ways through which diseases are transmitted from one person to another [4 marks]

7. 5. State any three examples of entero-bacteria [3 marks]
TOTAL SCORE 30 MARKS
KINYERU
1. State six (6) objectives of Rural Health Unit Training ---- [6 marks]
2.Define School Health Services – [2 marks]
3. State three (3)specified duties of the community health nurse in the rural set up.
4. List Ten (10) MCH/FP s services that are offered in the rural health unit [5 marks]
5. List eight (8) impotance of record keeping generally ……[4 marks]

8. KENYA MEDICAL TRAINING COLLEGE
DEPARTMENT OF NURSING SCIENCES
MARCH 2013 CLASS END OF MODULE EXAMINATION
EXAM COMMUNICABLE DISEASES, SPECIAL HEALTH ISSUES AND HBC
25.07.2014 8AM – 11AM
Instructions
 Write only your examination number at the right hand corner of the answer sheets
 Read and understand questions clearly before answering
 Be clear, specific and orderly in your answers
 ANSWER ALL questions
 Time allowed 3hours
 Each answer should be numbered according to the question
 Mobile phones are NOT allowed in the examination room
SECTION - A – COMMUNICABLE DISEASES

9. 1. Briefly explain the following methods of communicable disease control
a) Attacking the source [10 marks]
b) Interrupting transmission [10 marks]
c) Protecting the host [
2. Describe the prevention and control of schistosomictis [10 marks]
3. Write short notes on poliomyelitis under the following headings:-
a) Clinical Picture – [4 Marks]
b) Prevention and control [5 marks]
SECTION - B - SPECIAL HEALTH ISSUES
1. State five ways of preventing visual impairnele [5marks]
2. Outline five ways of primary prevention of chronic illness
3. Describe how you can prepare a community for disaster management [10 marks]
4. State four activities that are undertaken in school health program [4 marks]
5. Explain three occupational the nurse is likely to face [6 marks]
6. You are posted to a new county that has displaced persons following insecurity. Describe how you
well mange displaced persons [10 marks]
SECTION- C - HBC
1. Define ?(HBC)Home Based Care [1mark]
2. State 5 reasons for home based care [5marks]
3. State 6 principles of Home Based Care [6marks]
4. Explain how the four resources enhance home based care [8 marks]
5. List 3 conditions which need Home Based Care [3marks]

10. MARCH 2013 DL CLASSMENTAL HEALTH
22/7/2014
ASSIGNMENT
1. Explain the aetiological factor for mental illness
2. Giving example describe the forms of treatment that
are applied in management of psychiatric Patients.
MARCH 2013 DL CLASSMENTAL HEALTH
22/7/2014
ASSIGNMENT
1. Explain the aetiological factor for mental illness
2. Giving example describe the forms of treatment that
are applied in management of psychiatric Patients.
MARCH 2013 DL CLASSMENTAL HEALTH
22/7/2014
ASSIGNMENT
1. Explain the aetiological factor for mental illness
2. Giving example describe the forms of treatment that
are applied in management of psychiatric Patients.

11. +
KENYA MEDICAL TRAINING COLLEGE
DEPARTMENT OF NURSING
SEPTEMBER 2013 CLASS
Instructions
 Write only your examination number at the right hand corner of the answer sheets
 Read and understand questions clearly before answering
 Be clear, specific and orderly in your answers
 ANSWER ALL questions
 Time allowed 3hours
 Each answer should be numbered according to the question
 Mobile phones are NOT allowed in the examination room
1. One of the following statements is not true about KEPI
a) It is a Kenyan branch of EPI
b) It was launched in June 1980
c) Its purpose was to initiate immunization activities in Kenya
d) It was charged with expanding immunizations and proper care of vaccines
2. Which two of the following EPI/KEPI target diseases have persisted in Kenya despite
efforts to
eradicate them?
a) Diphtheria and tuberculosis
b) Measles and Acute flaccid paralysis

12. c) Tetanus and smallpox
d) None of the above
3. Which of the following statement is not true of the pre-KEPI days?
a) Immunizations and other MCH/FP services were not integrated
b) Staff who were carrying out immunization activities had not been trained on cold chain
c) Children 0-5 years used to suffer from diseases which they were supposed to have been
immunized against
d) All districts in Kenya recorded the same very low coverage
4. Which of the following group of vaccines are all live attenuated
a) BCG, Pentavalent and Tetanus toxoid
b) Pentavalent measles and BCG
c) BCG, Measles and oral Polio vaccine
d) Pneumococcal, measles and Tetanus
5. One of the following group of vaccines will all be destroyed if frozen?
a) BCG, Measles and OPV
b) Pentavalent, Pneumococcal and Tetanus
c) Measles, pneumococcal and Tetanus
d) None of the above
6. Which of the following vaccines must be discarded after six hours or at the end of the day?
a) Pentavalent and oral polio vaccines
b) Tetanus toxoid and pneumococcal
c) BCG and Measles
d) All of the above
7. Which of the following vaccines are contra-indicated to immune compromised children?
a) BCG and Yellow fever
b) BCG and Measles
c) Pentavalent and pneumococcal
d) All of the above
8. If a baby is seen in the clinic for the first time at 5 weeks he/she should receive the
following vaccines
a) Birth Polio and BCG
b) BCG Only
c) BCG Birth Polio and Pentavalent
d) Pneumococcal 1 and BCG
9. Two of the following vaccines may cause serious adverse effects hours after immunizations
a) Pentavalent and pneumococcal
b) Measles and BCG
c) Tetanus toxoid and plaque
d) All of the above
10. The most effective but expensive method of immunization waste disposal is
a) Incineration at a temperature of more than 800oc
b) Burying in a pit
c) Burning in a pit or drum

13. d) None of the above
11. In central vaccine stores dead bacteria and toxoid vaccines should be stored in the
following temperature
a) -15 oc to - 25 oc
b) 0 oc to 8oc
c) +2 oc to + 8 oc
d) None of the above
12. In one facility (Clinic) both live and dead vaccines should be stored in the following
temperature Range
a) +2 oc to + 8 oc
b) 0 oc to + 8 oc
c) -15 oc to - 25 oc
d) +4 oc to + 8 oc
SHORT ANSWER QUESTIONS
1. State all the vaccines a child should have received by age 2 years [10 marks]
2. Explain how both live and dead vaccines should be arranged in the RCW 50 E.G type of
Refrigerator. [6 marks]
3. State four vaccines which can continue being used after withdrawal of some doses for up to 4
weeks [2 marks]
Total score 30 marks
KENYA MEDICAL TRAINING COLLEGE MURANG’A
DEPUTY PRINCIPAL FINANCE AND
ADMINISTRATION OFFICE
EQUIPMENT - IN THE OFFICE
S/NO. ITEM NO
1. Tables - 2
2. Chairs Executive -
Office Chairs -
1
3

14. Arm Chairs - 1
3. Cabinet - 1
4. Trays (In And Out) - 2
5. Water Dispenser - 1
6. Shelf - 1
KENYA MEDICAL TRAINING COLLEGE MURANG’A
SECRETARY ACADEMICS
EQUIPMENT IN THE OFFICE
S/NO. ITEM - NO
1. Table - 1
2. Chair Executive -
Chair -
1
2
3. Cabinet - 1
4. Trays (In And Out) - 2
5. Computer –
CPU
Back ups
printer
1
1
1
1
6 Photocopy machine 1
7. Small Shelf 1

15. KENYA MEDICAL TRAINING COLLEGE MURANG’A
SECRETARY ACADEMICS OFFICE
EQUIPMENT IN THE OFFICE
S/NO. ITEM - NO
1. Tables - 1
2. Chairs Executive -
Chairs -
1
2
3. Cabinet - 1
4. Water Dispenser - 1
5. Shelf - 1
6 Laptop - 1

16. KENYA MEDICAL TRAINING COLLEGE MURANG’A
STAFF/STUDENTS CLINIC
EQUIPMENT IN THE CLINIC
S/NO. ITEM - NO
1. Tables - 2
2. Arm Chair –
Chair
1
1
3. Cabinet - 2
4. Examination couch 1
5. Small Shelf 2
6 Screen 1