Health Maintenance and Management A Examination Questions

2004 Examination

Question 1

A medical student goes to a blood bank and donates 600mL of blood.

Part A
Discuss how this event would affect the student’s heart and circulation, including activation of sensory receptors.

Part B
How does the student’s body replace this lost blood volume?

Question 2

Part A
Describe suitable primary, secondary and tertiary preventative measures for smoking in an urban and rural setting? Are these the same? If not, why is a different approach required?

Part B
Using one of the views on the ethics wheel, discuss:
  • Is smoking always wrong?
  • Is there any way that smoking can be justified?
Question 3

A patient with a fractured leg has a blockage in one of the arteries distal to the inguinal ligament. Draw a diagram of the major arteries of the lower limb and list where the best sites are to palpate the pulses of the arteries to determine the level of blockage.

Question 4

A 33-year-old Sydney man sees his local medical practitioner concerned about the results of a cholesterol test he had in Britain during a recent business trip. The test was done using a finger-prick blood-testing machine at a pharmacy. The printout he received stated “Your cholesterol level is 5.7 mmol/L, which is high: the normal fasting range is 3.5 - 5.6”. The man is very anxious about developing heart disease and wants to know if there are drugs available to treat his problem.

Part A
Outline the possible sources of error in the result.

Part B
What is the meaning of the term “normal range” and what is the significance of results that lie outside that range?

Part C
In terms of cardiovascular disease risk, list five important features that the local medical practitioner should elicit during the history and examination.

Question 5

A man had a car accident and fractured the neck of the femur. Emergency surgery required installing a metal pin to stabilise the joint. Patient required a 5 day post-op rest period, during which he was immobilised.
On the fifth day the patient’s wound was noticed to be infected, and swab culture lab results showed MRSA (methicillin resistant staphylococcus aureus) infection.

Part A
What are the possible sources of the micro-organism?

Part B
What steps can be taken to prevent such nosocomial infections?

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