1. State six clinical features of liver cirrhosis.(6 mks)
2.(a) Define Hernia.(1 mk)
(b) State three posible outcomes of hernia.(3 mks)
3. Explain the pre-deposing factors to the spread of hepatitis A infection(5 mks)
4. Explain the pathophysiology of accute viral hepatitis.

ESSAY QUESTION
1.Mr yusuf is admitted in a male surgical ward with diagnosis of accute appendicitis.
(a) Define appendicitis.(1 MK)
(b) List eight signs and symptoms af accute appendicitis.(4 mks)
(c) Describe the management of Mr yusuf until discharge.(12 mks)

 

 

 

 

 

 

 

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Each of you has two children, a boy and a girl, about to enter adolescence. At the present time, you are a long distance from your children and tomorrow you will be leaving on a long long journey that will prevent you from having contact with either child for the next 10 years. This is your last opportunity to inform your children of the changes that they will experience during puberty and tell them what to expect as they enter adulthood. So you want to use this chance to tell your children what you consider important to help them better deal with these changes. The only form of communication available to you is the mail. Each of you is to write ONE letter EITHER write a letter to your daughter OR a letter to your son. You must decide what to put in your letter to help your child as they deal with the changes that are coming. The choice is yours except that in the letter to your daughter you must discuss menarche, and in the letter to your son, you must discuss nocturnal emissions and spontaneous erections. You should also talk about body changes they will experience during puberty, relationships with peers, and sex. Tell them about moral development, changes in thinking, and romantic relationships. Tell them what you want them to know about sex, drinking, drug use, driving, and career exploration. You are to write your letter using vocabulary that will be understood by your children who are about 8-10 years old. Please give them a positive attitude toward the changes they will experience. You want them to have positive feelings about entering adulthood. Also, give them some good advice.

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