FINAL EXAMINATION
AUGUST 2014 SEMESTER
COURSE
COURSE CODE
DURATION
FACULTY
PROGRAMME
LECTURERS
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:
:
:
:
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WOMEN HEALTH PHYSIOTHERAPY
MFD 3122
2 HOURS 30 MINUTES
BIOMEDICAL AND HEALTH SCIENCES
DIPLOMA IN PHYSIOTHERAPY
PUAN RUZITA RAZLAN
INSTRUCTION TO CANDIDATES
This paper consists of three (3) sections:
Section A – 30 questions (objective questions)
Section B – 6 questions (short answer questions)
Section C – 3 questions (modified essay questions)
Answer all questions in Section A and B and only two questions in Section C.
All answers of:
Section A must be written in OMR objective paper provided.
Section B and Section C must be written in answer booklet provided.
The answer for each question must start on a new page.
Candidates are NOT ALLOWED to bring any unauthorized items into the exam hall
except with the permission of your invigilator.
Do Not Open the Question Paper Until Instructed
This Question Paper Consists of Ten (10) Printed Pages
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SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
CHOOSE ONE BEST STATEMENT TO ANSWER THE QUESTIONS
1.
What is the term to refer to study of the reproductive process within the female
body, including fertilization, pregnancy and childbirth?
(A)
(B)
(C)
(D)
2.
Which of the following structure allow the passageway of sperms, menstruation
and labour?
(A)
(B)
(C)
(D)
3.
Uterus
Vagina
Ovaries
Fallopian tube
What is the phase to describe the rupture of the vesicular ovarian (Graafian)
follicle with release of the secondary oocyte into the pelvic cavity, usually
occurring on day 14 in a 28-day of menstrual cycle.
(A)
(B)
(C)
(D)
4.
Obstetrics
Andrology
Gerontology
Gynaecology
Ovulation
Menstruation
Pre-ovulatory
Post-ovulatory
When is gestation period?
(A)
(B)
(C)
(D)
First 42 days after birth
From 9 weeks until birth
From fertilization to birth
First 2 months after fertilization
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5.
A pregnant woman is having a healthy 2 years old child and was a history of
miscarriage during the first pregnancy.
What is the correct abbreviation to describe her?
(A)
(B)
(C)
(D)
6.
Last Menstrual Period (LMP) of a pregnant woman was on 15 August 2014.
Calculate her age of her pregnancy on 28 November 2014?
(A)
(B)
(C)
(D)
7.
Increase storage of fat
Increase water retention
Increase growth of uterus
Increase vaginal collagen
A syndrome in which characterized by raised and raising blood pressure, oedema
and proteinuria during pregnancy is terms
(A)
(B)
(C)
(D)
9.
14 weeks and 5 days
14 weeks and 6 days
15 weeks
15 weeks and 1 day
Which of the following is the effect of progesterone during pregnancy?
(A)
(B)
(C)
(D)
8.
G2P2
G3P2
G2P1+1
G3P1+1
Pre-eclampsia
Placenta previa
Ectopic pregnancy
Ante partum haemorrhage
Which of the following is a good advice to prevent varicose vein during
pregnancy?
(A)
(B)
(C)
(D)
Postural awareness
Circulatory exercise
Stretching calf muscles
Strengthening lower limb
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10.
Stretching, support stocking and take calcium are good advices for pregnant lady
which suffer of
(A)
(B)
(C)
(D)
11.
Nausea during pregnancy happens due to increase concentration of the certain
hormones. What are the hormones?
I.
II.
III.
IV.
(A)
(B)
(C)
(D)
12.
Estrogen
Progesterone
Luteinizing hormone (LH)
Follicle Stimulating hormone (FSH)
I & II
III &IV
I & IV
II & III
Which of the following procedure can be done assist delivery in second stage of
labour?
(A)
(B)
(C)
(D)
13.
ankle odema.
varicose vein.
calf muscle cramp.
carpal tunnel syndrome.
Oxytocin
Episiotomy
Amniotomy
Prostaglandin
Which of the following conditions are suitable for elective lower segmental
caeserian section (LSCS)?
I.
II.
III.
IV.
Placenta previa
Mal-presentation
Contracted pelvis
Ante-partum haemorrhage
(A)
(B)
(C)
(D)
I and III
III and IV
I, II and III
II , III and IV
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14.
What hormone responsible for contraction of uterus and further propels the milk
during puerperium?
(A)
(B)
(C)
(D)
15.
Upper chest breathing is practiced during
(A)
(B)
(C)
(D)
16.
Prolactin
Oxytocin
Oestrogen
Progesterone
fully dilation of the cervix.
urge to push before cervix dilated fully.
contraction of latent phase of first stage of labour.
height of contraction of active phase of first stage of labour.
What is the effect of reduced placental blood flow due to prolong pushing during
labour?
(A)
(B)
(C)
(D)
Valsalva manoeuvre
Rise in blood pressure
Fetal heart deceleration
Reduce blood flow back to the heart
17. What are the main problems of post-menopausal women?
I.
II.
III.
Osteoporosis
Lungs disease
Arterial disease
(A)
(B)
(C)
(D)
I & II
I & III
II & III
I, II & III
18. What is the possible risk of administration of hormone replacement therapy
(HRT)?
(A)
(B)
(C)
(D)
Osteoporosis
Endometriosis
Ovarian cancer
Uterine prolapse
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19. What is the main hormone that cause irritable physical and pychological symptoms
during post- menapausal period?
(A)
(B)
(C)
(D)
LH
FSH
Estrogen
Progesterone
20. Which of the following sentences best describes epimenorrhoea?
(A)
(B)
(C)
(D)
Onset of menstruation
Absence of menstruation
Pain associated with menstruation
Additional bleeding between menstruations
21. Which of the following treatment is NOT suitable for women which suffering of
uterine prolapse?
(A)
(B)
(C)
(D)
22.
Which of the following is NOT the effect of climacteric?
(A)
(B)
(C)
(D)
23.
Hysterectomy
Weight reduction
Circulatory exercise
Pelvic floor exercise
Thinning of the endometrium
Revolution of the breast structure
Reduction of the cervical secretion
Reduce elasticity of the vaginal wall
What is salphingectomy?
(A)
(B)
(C)
(D)
Surgical repair of the ovary
Surgical removal of the ovary
Surgical repair of the Fallopian tube
Surgical removal of the Fallopian tube
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24. What is the suitable treatment for ‘wind pain’ during post-gynecological surgery?
(A)
(B)
(C)
(D)
Ambulation
Circulatory exercise
Pelvic floor exercise
Abdominal strengthening
25. Which of the following are the possible complications following gynaecological
surgery of 30 years old?
I.
II.
III.
IV.
Dyspareunia
Incontinence
Joint stiffness
Chest infection
(A)
(B)
(C)
(D)
I, II & III
I, II & IV
I, III, & IV
II, III & IV
26. What activity can be done after three weeks post operation of uncomplicated major
gynaecological surgery?
(A)
(B)
(C)
(D)
Driving
Swimming
Short walks
Lifting 1kg weight
27. Neurological control of continence occur at the following level EXCEPT :
(A)
(B)
(C)
(D)
Spinal
Pontine
Cerebral
Peripheral
28. What term is best to describe strong desire to void, accompanied by fear of leakage
or fear of pain?
(A)
(B)
(C)
(D)
Urgency
Frequency
Residual urine
Urinary incontinence
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29. On standing up, the patient feels there is still urine in the bladder at the completion
of micturation and that she may pass more if she sits down again. What is the
possible cause for the above problem?
(A)
(B)
(C)
(D)
Fibroid
Infection
Cystocele
Inflammation
30. Which of the following sentences is the best to describe enuresis?
(A)
(B)
(C)
(D)
A pain on passing urine
An involuntary loss of urine
A person empties the bladder frequently
A strong desire to void, accompanied by fear of leak
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SECTION B : SHORT ANSWER QUESTIONS (40 MARKS)
ANSWER ALL QUESTIONS
1. State SIX (6) changes occur at respiratory system during pregnancy.
(6 Marks)
2. List EIGHT (8) possible problems and discomforts during pregnancy which will
cause back and pelvic girdle pain.
(4 Marks)
3. List TEN (10) complications that may occur during labour.
(5 Marks)
4. List TEN (10) risk factors of osteoporosis for post-menopausal women.
(5 Marks)
5. Describe THREE (3) different degree of uterine prolapse.
(5 Marks)
6. State FIVE (5) factors contribute for urinary continence.
(5 Marks)
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SECTION C : MODIFIED ESSAY QUESTIONS (40 MARKS)
ANSWER TWO (2) QUESTIONS ONLY
Question 1
The process of labour and birth is unique and therefore will vary for each individual and
even differ between pregnancies.
a. Discuss on the labour pain.
(6 Marks)
b. Explain the effects of maternal hyperventilation during labour.
(6 Marks)
c. Describe types of breathing techniques used during labour.
(8 Marks)
Question 2
Continence is a term to describe the normal ability of a person to temporarily store urine
and faeces with conscious control over the time and place of voiding and defaecation.
a.
Discuss on the voiding of urine.
(6 Marks)
b.
Describe factors contribute for storage of urine.
(6 Marks)
c.
Explain possible physiotherapy treatment of urinary incontinence.
(8 Marks)
Question 3
45 years old women will undergo total abdominal hysterectomy with bilateral
salphingoophrectomy (TAHBSO) to remove her large uterine fibroid.
a.
Describe how you want to instruct and prepare her before the surgery so that she will
appreciate the relevance of physiotherapy.
(8 Marks)
b.
Discuss on post-operative physiotherapy for her.
c.
Explain essential advice for her following the surgery (post –operatively). (6 Marks)
(6 Marks)
END OF QUESTION PAPER
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