VCE VET HEALTHWritten examination

Thursday 15 November 2018 Reading time: 9.00 am to 9.15 am (15 minutes) Writing time: 9.15 am to 10.45 am (1 hour 30 minutes)

QUESTION AND ANSWER BOOK

Structure of bookSection Number of

questionsNumber of questions

to be answeredNumber of

marks

A 20 20 20B 11 11 50C 8 8 30

Total 100

• Studentsarepermittedtobringintotheexaminationroom:pens,pencils,highlighters,erasers,sharpenersandrulers.

• StudentsareNOTpermittedtobringintotheexaminationroom:blanksheetsofpaperand/orcorrectionfluid/tape.

Materials supplied• Questionandanswerbookof17pages• Answersheetformultiple-choicequestions

Instructions• Writeyourstudent numberinthespaceprovidedaboveonthispage.• Checkthatyourname andstudent numberasprintedonyouranswersheetformultiple-choice

questionsarecorrect,and signyournameinthespaceprovidedtoverifythis.• Unlessotherwiseindicated,thediagramsinthisbookarenotdrawntoscale.• AllwrittenresponsesmustbeinEnglish.

At the end of the examination• Placetheanswersheetformultiple-choicequestionsinsidethefrontcoverofthisbook.

Students are NOT permitted to bring mobile phones and/or any other unauthorised electronic devices into the examination room.

©VICTORIANCURRICULUMANDASSESSMENTAUTHORITY2018

SUPERVISOR TO ATTACH PROCESSING LABEL HEREVictorian Certificate of Education 2018

STUDENT NUMBER

Letter

2018VETHEALTHEXAM 2

SECTION A – continued

Question 1Whichoneofthefollowingisconsideredthe‘controlcentre’ofacell?A. nucleusB. centrioleC. ribosomeD. mitochondrion

Question 2Whichsubstanceisstoredandconcentratedbythegallbladderforlateruse?A. bileB. pepsinC. glycogenD. hydrochloricacid

Question 3Whichoneofthefollowingtermsdescribesthelocationofthekidneys?A. adrenalB. suprarenalC. intraperitonealD. retroperitoneal

Question 4Whichoneofthefollowingstatementsaboutwaterandelectrolyteregulationiscorrect?A. Saltactivelyfollowswater.B. Saltpassivelyfollowswater.C. Wateractivelyfollowssalt.D. Waterpassivelyfollowssalt.

Question 5Whichoneofthefollowingstructuresislocatedexternaltothescleraoftheeye?A. lensB. retinaC. choroidD. conjunctiva

SECTION A – Multiple-choice questions

Instructions for Section AAnswerallquestionsinpencilontheanswersheetprovidedformultiple-choicequestions.Choosetheresponsethatiscorrectorthatbest answersthequestion.Acorrectanswerscores1;anincorrectanswerscores0.Markswill notbedeductedforincorrectanswers.Nomarkswillbegivenifmorethanoneansweriscompletedforanyquestion.Unlessotherwiseindicated,thediagramsinthisbookarenotdrawntoscale.

3 2018VETHEALTHEXAM

SECTION A – continuedTURN OVER

Question 6Whichoneofthefollowingtermsreferstoenlargementoftheliver?A. hepatomalaciaB. hepatomegalyC. hepatomaD. hepatitis

Question 7ThemovementofairintoandoutofthelungsiscalledA. exhalation.B. inspiration.C. respiration.D. ventilation.

Question 8ThevesselsthatcarryoxygentothemyocardiumarecalledA. coronaryveins.B. pulmonaryveins.C. coronaryarteries.D. pulmonaryarteries.

Question 9Whichofthefollowingspecialisedcellsengulfandingestforeignparticles?A. BcellsB. antigensC. phagocytesD. memoryTcells

Question 10Theperipheralnervoussystemcanbebrokendownintowhichofthefollowingsubdivisions?A. autonomicandsomaticnervoussystemsB. autonomicandsympatheticnervoussystemsC. parasympatheticandsomaticnervoussystemsD. sympatheticandparasympatheticnervoussystems

Question 11Whatdoesthesuffix-sclerosisreferto?A. tobreakdownB. reconstructionC. conditionofsofteningD. conditionofhardening

2018 VET HEALTH EXAM 4

SECTION A – continued

Question 12Which medical term refers to the condition of being without menstrual flow (menstruation)?A. amenorrhoeaB. dysmenorrhoeaC. oligomenorrhoeaD. hypomenorrhoea

Question 13In the word ‘polycythaemia’, ‘cy’ is theA. prefix.B. suffix.C. root word.D. combining vowel.

Question 14Which gland regulates metabolism and energy use?A. pinealB. thyroidC. adrenalD. parathyroid

Question 15An incision into a bone is called anA. osteotome.B. osteotomy.C. ostectomy.D. osteoblast.

Question 16Which one of the following terms refers to ‘pertaining to the head’?A. cardiacB. cephalicC. cerebralD. encephalic

Question 17The shoulder is an example of a A. fibrous joint.B. hyaline joint.C. synovial joint.D. cartilaginous joint.

5 2018VETHEALTHEXAM

END OF SECTION ATURN OVER

Question 18Thepancreasplaysanactiveroleinwhichtwobodysystems?A. endocrineandnervoussystemsB. digestiveandendocrinesystemsC. lymphaticandmuscularsystemsD. cardiovascularanddigestivesystems

Question 19Whichcombiningformmeans‘testicle’?A. orchid/oB. perine/oC. spermat/oD. epididym/o

Question 20RingingintheeariscalledA. otalgia.B. vertigo.C. tinnitus.D. otorrhoea.

2018VETHEALTHEXAM 6

SECTION B – continued

Question 1 (3marks)Thediagrambelowshowsthehumanbrain.

Ineachboxprovided,statethenameofthepartindicated.

spinal cord

Source:Alexander_P/Shutterstock.com

Question 2 (2marks)Describeoneprocessthataidstheflowoflymphinthelymphaticvessels.

SECTION B

Instructions for Section BAnswerallquestionsinthespacesprovided.Unlessotherwiseindicated,thediagramsinthisbookarenot drawntoscale.

7 2018 VET HEALTH EXAM

SECTION B – continuedTURN OVER

Question 3 (3 marks)Describe the relationship between the cerebellum and the muscular system.

Question 4 (4 marks)Complete the table below by identifying the word parts and providing the definition of each medical term listed.

Word part

Medical term Prefix Root Combining vowel

Suffix Definition of medical term

dermatology

sigmoidoscopy

pericarditis

polyuria

2018VETHEALTHEXAM 8

SECTION B – continued

Question 5 (6marks)Describethethreemajorprocessesbelowthatareinvolvedinurineformation.

Filtration

Reabsorption

Secretion

Question 6 (6marks)Outlinetwofunctionsofbloodandexplaintherelationshipofeachfunctiontoothersystemsofthebody.

Function Relationship

9 2018VETHEALTHEXAM

SECTION B – continuedTURN OVER

Question 7 (6marks)Sarah,a19-year-oldnetballplayer,toretheanteriorcruciateligamentinherrightkneeduringagameandrequiresareconstruction.Unfortunately,thesurgeonisunavailabletooperatefortwomonths.

a. Selectoneofthefollowingbodysystems:• muscular• respiratory• cardiovascular

Bodysystem

Explaintheeffectofimmobilityonthebodysystemselected. 3marks

b. Describethestructuralandfunctionaldifferencesbetweenligamentsandtendons. 3marks

2018VETHEALTHEXAM 10

SECTION B – continued

Question 8 (7marks)Readthefollowingmedicalreport.

MrBaldacci,a68-year-oldmale,presentedtotheEDwithsevereabdominalpainandvomiting. Hehasnotopenedhisbowelsfor5/7.HehasaPMHxofbowelcancerthatwassurgicallyremoved,prostatectomy,hypothyroidismanddermatitis.HisTPRis37.8°C,80bpm,25pmand BP–150/90mmHg.TheDrorderedhimtobeadmittedtohospitalforacolonoscopy,whichshowedasmallbowelobstruction.Hehasbeeninhospitalfor5daysundergoingRxandisscheduledforD/Ctomorrow.HehasanOPDappointmentfor6/52.

Completethetablebelowbyprovidingthedefinitionof,orthefullmedicaltermfor,eachword/abbreviationlisted.

Word/Abbreviation Definition/Full medical term

ED

5/7

PMHx

prostatectomy

hypothyroidism

dermatitis

TPR

BP

Dr

colonoscopy

Rx

D/C

OPD

6/52

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END OF SECTION BTURN OVER

Question 9 (5marks)Providethesingularorpluralformofeachmedicaltermlistedinthetablebelow.

Medical term Singular form Plural form

bacterium

ova

sinus

vertebrae

bronchi

Question 10 (2marks)Inthetablebelow,listthestructuresthatmakeuptheupperandlowerrespiratorytracts.

Upper respiratory tract Lower respiratory tract

•

•

•

•

•

•

•

•

•

Question 11 (6marks)Usethefollowinglisttocompletethetablebelowwiththecorrectmedicaltermforeachexplanationgiven:

• peristalsis • hypernatraemia • anaemia • oliguria• epigastric • posterior • hyperkalaemia • distal• enuresis • polycythaemia • thoracic • segmentation

Explanation Medical term

excessiveconcentrationofpotassiumintheblood

thecavitythatcontainstheheartandthelungs

theconditionthatresultsfromlackofironinerythrocytes

therhythmiccontractionandrelaxationofthesmoothmusclethatlinesthewallsofthedigestiveorgans

lowproductionofurine

howtheheartispositionedinrelationtothesternum

2018 VET HEALTH EXAM 12

SECTION C – continued

Use the following information to answer Questions 1–4.

Case study 1Mark Stevens, a 53-year-old executive director at a large financial institution, was discharged home following a 2/12 stay in hospital and inpatient rehabilitation post L) CVA. Mark has residual hemiplegia on the contralateral side and dysphasia from the CVA.Mark has a PMHx of HT. He smokes 25 cigarettes a day and is overweight. Leading up to the stroke, Mark was under enormous stress at work, negotiating a large corporate contract. Due to his long working hours he did not eat regular healthy meals, resorted to fast foods and had no time for exercise.Mark’s wife has returned to work to sustain the family income and this leaves Mark at home during the day. He has become socially isolated, withdrawing from all his social networks.Mark attends community rehabilitation one day per week and has been given an exercise program to implement at home BD, but he is non-compliant and would rather just sit and watch television.

Question 1 (4 marks)The abbreviations listed in the table below can be found in Case study 1.

Provide the full medical term for each abbreviation.

Abbreviation Full medical term

2/12

L) CVA

HT

BD

SECTION C – Case study

Instructions for Section CAnswer all questions in the spaces provided.Unless otherwise indicated, the diagrams in this book are not drawn to scale.

13 2018 VET HEALTH EXAM

SECTION C – continuedTURN OVER

Question 2 (3 marks)Break down each medical term listed in the table below into its basic word parts and provide the definition of each term.

Word part

Medical term Prefix Root Suffix Definition of medical term

hemiplegia

contralateral

dysphasia

Question 3 (6 marks)Explain how an exercise program could support the healthy functioning of Mark’s cardiovascular, muscular and integumentary systems.

2018VETHEALTHEXAM 14

SECTION C – continued

Question 4 (6marks)Foreachlifestylefactorlistedinthetablebelow,suggestoneinterventiontomaintainMark’sbloodpressureatahealthyrangeandoneresourcehecouldusetosupporthimself.

Lifestyle factor Intervention Resource

smoking

overweight

stress

15 2018VETHEALTHEXAM

SECTION C – continuedTURN OVER

Use the following information to answer Questions 5–8.

Case study 2NasiraAbboud,a42-year-oldfemaleaccountant,hasbeenexperiencingasorethroat,runnynose,headaches,nauseaandcoughforthepastthreedays.Shecontinuestogotoworkasitistheendofthefinancialyear,whichisaverybusytimeattheaccountingfirm.Sheisinanopen-planofficewithfiveotherpeople.

Question 5 (3marks)Outlinethebody’sthreelinesofdefenceinminimisingtheriskofinfection.

Question 6 (3marks)Describehowtheotherfivepeopleintheopen-planofficecouldreducetheirriskofexposuretoNasira’ssymptoms.

2018 VET HEALTH EXAM 16

SECTION C – continued

Question 7 (1 mark)Nasira presents to her local general practitioner (GP), who tells her that she is experiencing the symptoms of the common cold and an inner ear infection that is causing the dizziness and disequilibrium problems. The GP prescribes an antibiotic, and tells Nasira to rest, stay hydrated and take two days off work.

temporal bone

tympanic membrane

auricle

external auditorymeatus

temporal bone

malleussemicircular

canals

cochleafacial nerve

vestibular nerve

cochlear nervevestibule

auditory tube(Eustachian tube)

Source: Alejo Miranda/Shutterstock.com

Referring to the diagram of the ear above, identify and list the three structures that are related to equilibrium and balance.

1.

2.

3.

17 2018VETHEALTHEXAM

Question 8 (4marks)NasirapresentstoherlocalGPtwoweekslaterstatingthatthedizzinessandbalanceproblemshavegone,butshehasapersistentcough.TheGPordersachestX-ray,whichshowsasmalllesioninthelowerlobeofherrightlung.TheGPordersabronchoscopy.Today,NasirareturnstoseetheGPforherbronchoscopyresults.Theresultshavenotarrived.Astaffmemberringsthedayprocedurecentre,getstheresultsoverthephoneandwritesthefollowingreport.

Ms Abboud has a lesion on the right posterior lower lobe of the lung that measures approximately 1.5 cm in diameter and has the characteristics of carsenoma. The patient has no history or physical findings of systemic spread. A brush byopsee was conducted. Visual inspection of the pharinks, larynx, truckia and bronchi were clear.

Providethecorrectspellingforeachincorrectlyspeltmedicalwordinthetablebelow.

Incorrectly spelt medical word Correctly spelt medical word

carsenoma

byopsee

pharinks

truckia

END OF QUESTION AND ANSWER BOOK