NATIONAL OPEN UNIVERSITY OF NIGERIA
COURSE CODE: CHS324
COURSE TITLE: INTRODUCTION TO STANDING ORDER
INSTRUCTIONS: ANSWER QUESTION 1 AND ANY OTHER TWO QUESTIONS
TIME ALLOWED: 1HOUR 30 MINUTES COURSE UNITS: 2
1. Explain all the steps in the use of Standing Orders (25 marks)
2. The following symptoms were found in a child of one month of age. Referral was impossible.
FINDINGS ACTION
Severe cough with difficulty in breathing
High fever with stiff neck
Sepsis
a. Write out the actions you will take? (7 marks)
b. What are the likely causative organisms? (2 marks)
c. What are the 2 likely diagnoses? (2 marks)
d. State 4 preventive measures you will take (4 marks)
3. A long distance truck driver presented with the following symptoms
i. Progressive unexplained weight loss >10% of total body weight
ii. Oral thrush > 1/12
iii. Persistent diarrhea > 1/12
iv. Persistent fever >1/12
a. What will be your likely diagnosis or suspicion? (1 mark)
b. State 4 risk factors that support your suspicion in a. above (4 marks)
c. State 5 actions you will take. (5 marks)
d. List 5 other symptoms/signs you will expect to see in this patient. (5 marks)
4. a. Write a short note on normal labour and delivery (10 marks)
b. Write a short note on Intrauterine Contraceptive Device (IUCD) (5 marks)
You can get the exam summary answers for this course from 08039407882
Check the sample below
