3. QUESTIONS
1. Name all the devices shown above-
• Mercury Sphygmomanometer
• Aneroid sphygmomanometer
• Ambulatory BP device
• 2. Which device is being phased out?
• Mercury sphygmomanometer.
• 3. Why is this device being phased out?
• Due to environmental concerns. (
mercury is a health hazard)
4. EXHBIT 2
• EXHIBIT 1 shows a devices
used in KK and hospital for
measurement of a vital sign
5. QUESTIONS
• 1. Name the device (2marks)
• Electronic Blood pressure monitor
• 2. List FOUR uses of this device (2marks)
• bp monitoring
• Heart rhythm
• heart rate
• irregular heart beat detection
• can be used by people for home monitoring of BP.
• 3. List 4 questions patients will be asked before using this device? (2 marks)
1. Last meal (Must be 30 min prior)
2. Refraining from smoking, coffee.
3. To be seated in a quiet room for at least 1 min with back and arm support
4. To be seated with legs uncrossed, not talking and relaxed.
5. Empty bladder before measuring BP.
• 4. List 2 reasons for inaccurate results , the reasons must be linked to the device. (2 marks)
1. Cuff size
2. having the patient’s arm lower than heart level can lead to an error of 4 mm Hg up to 23 mm Hg
3. Incorrect calibration of the device.
• 5. In the elderly and patients with long standing DM, how will the readings be taken? (2marks)
• Ambulatory BP device - the machine will measure the BP and give average for day time, night time, full-day.
• must take BP measurements while standing to check for postural hypotension as well.
8. Suzy a 21years old student nurse presents to KK Medan with high fever , body aches and severe
abdominal pain of 3 days duration. You suspect an arthropod borne infection which is endemic
in KL. You performed 2 blood test, which are shown below
TEST B
Exhibit 3 shows TWO common investigations done in KK
9. Questions
• 1. Name and Interpret test A. (2marks)
Full Blood Count
Decreased Total White Blood Cell Count and Platelet Count
• 2. Name test B and interpret test B (3marks)
Rapid Combo Test: Antigen detection (NS1), dengue antibody detection tests including
IgM and IgG ELISA
• Positive for NS1 antigen and IgG.
• 3. Which parameter correlates with the severity of this infection? (2marks)
• Low platelet count - as it indicates the viral attack of the bone marrow.
Having Dengue twice and being infected with a different serotype
• 4. What is your diagnosis based on the tests above? (1mark)
Dengue
• 5. Can Suzy continue management at KK Medan? Justify your answer. (2marks)
No. She has severe abdominal pain and decreased platelet count which are warning signs of shock
11. Exhibit 4 shows 2 pictures A- which is a storage box and B-glass
bottles
12. Questions
• Q1. Name Picture A and Picture B in exhibit 7. (2marks)
• Q2. What is the ideal temperature for storage of the bottles? (2marks)
• Q3. What should not be broken in the event of transport and
manufacturing of the bottles? (2marks)
• Q4. If there is a power failure, what would you do next? (4marks)
MODIFIED QUESTION
15. QUESTION
S
EXHIBIT 4
1. Name the instrument displayed in
Exhibit 4
2. List ONE indication in KK to use this
instrument?
3. If the patient fails the test, name the
condition
4. What foot care advice will you give the
patient if the fails the test?
5. How is this instrument used?
19. EXHIBIT 6 shows TWO mosquitoes which are currently causing an
endemic of an arthropod borne infection in Malaysia
20. Questions
• 1. Name the infection that is commonly spread by this vector. List the THREE
clinical phases that is seen in this infection
• 2. List ONE screening test and ONE diagnostic test for this infection in Klinik
Kesihatan
• 3. Which parameter in the screening test correlates with the disease severity?
Justify your answer
• 4. List FOUR indications for referral to hospital in this infection
• 5. Briefly explain the pathophysiology for this infection ( 2marks)
23. EXHIBIT 7
• The exhibit shows a vaccine
which is routinely given to all
infants at Klinik Kesihatan,
which is part of the National
Immunization Program
24. Questions
• Q1. Name the vaccine and list the infections that it prevents. (2 marks)
• Q2. List the timing of this (Primary immunization) vaccine in West Malaysia during infancy. (2
marks)
• Q3. Can this vaccine be given to a pregnant woman? Give reasons. (2 marks)
• Q4. Is there a link between autism and this vaccine. Give reasons. (2 marks)
• Q5. List TWO absolute contraindications to this vaccine. (2 marks)
29. EXHIBIT 8
• EXHIBIT 1 (watch the video- click on the link)
• https://youtu.be/S3oZrMGDMMw
• https://www.youtube.com/watch?v=S3oZrMGDMMw
30. EXHIBIT 8
• A 6month old infant girl is brought for
cough of one week duration with
running nose and low-grade fever. Her
mother has been coughing for a few
weeks before that.
• She did not complete her immunization.
31. QUESTIONS
• Q1. Name the infection and causative organism
• Q2. What feature provides the diagnosis in this infant?
• Q3. is there a role for antibiotics in this infant , give your
reasons?
• Q4.What is the treatment for the Carer?
• Q5. If this child is older, when would it be safe to return to
school?
• Q6. Which vaccine was not given to her? How many doses
are given?
34. EXHIBIT 3 The exhibit shows a photograph of a health promotion pamphlet
commonly seen at the Klinik Kesihatan. The pamphlet depicts the
Malaysian healthy plate configuration
35. QUESTIONS
• List FOUR examples of food that
should be in the portion A
• 2. List TWO examples of food that
should be in the portion B
• 3. List ONE important disease can be
prevented by the above dietary
advise
• 4. State the type of health
prevention strategy used in this
promotion in a HEALTHY ADULT
