VCE VET HEALTHWritten examination

Monday 18 November 2019 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 14 14 50C 10 10 30

Total 100

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

• StudentsareNOTpermittedtobringintotheexaminationroom:blanksheetsofpaperand/orcorrectionfluid/tape.

Materials supplied• Questionandanswerbookof20pages• 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.

©VICTORIANCURRICULUMANDASSESSMENTAUTHORITY2019

SUPERVISOR TO ATTACH PROCESSING LABEL HEREVictorian Certificate of Education 2019

STUDENT NUMBER

Letter

2019VETHEALTHEXAM 2

SECTION A – continued

Question 1ApatientisbeingtransferredtotheCCU.TheunitthepatientisbeingtransferredtoistheA. ChestCareUnit.B. CancerCareUnit.C. CardiacCareUnit.D. CoronaryCareUnit.

Question 2Whichtypeoftissuecoverstheinternalandexternalsurfacesofthebody?A. adiposeB. epithelialC. cytoplasmD. connective

Question 3Whereisthehumeruslocatedinrelationtotheelbow?A. distalB. lateralC. medialD. proximal

Question 4Whichmedicaltermreferstotheabnormalnarrowingofanarteryorarteries?A. atherostenosisB. arteriostenosisC. atherosclerosisD. arteriosclerosis

Question 5Whatisthenameoftheshaftofalongbone?A. diaphysisB. epiphysisC. endosteumD. metaphysis

SECTION A – Multiple-choice questions

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

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SECTION A – continuedTURN OVER

Question 6MusclesundervoluntarycontrolareknownasA. cardiac.B. skeletal.C. visceral.D. nonstriated.

Question 7LeukocytesareA. haemoglobincarriers.B. destroyedinthespleen.C. importantclottingfactors.D. importantinfightingdiseaseinthebody.

Question 8Whatisthemedicalabbreviationfor‘threetimesaday’?A. DB. BDC. q3hD. TDS

Question 9Whichareaofthebodyiscoveredbytheparietalpleura?A. insidethelungsB. outerlayersofthelungsC. insidethethoraciccavityD. outsidethethoraciccavity

Question 10Whichcombiningformmeans‘liver’?A. hydr/oB. histol/oC. hepat/oD. haemat/o

Question 11Whichsalivaryglandsarelocatedinfrontofandslightlylowerthaneachear?A. parotidB. maxillaryC. sublingualD. submandibular

2019VETHEALTHEXAM 4

SECTION A – continued

Question 12Whichrootwordmeans‘tongue’?A. rhin/B. palat/C. gloss/D. odont/

Question 13Wherearetheaxillarylymphnodesfound?A. neckB. groinC. armpitD. mediastinum

Question 14Theterm‘olfactory’referstothesenseofA. taste.B. sight.C. smell.D. touch.

Question 15ThepartoftheeyethatcontrolstheamountoflightthatenterstheeyeiscalledtheA. iris.B. lens.C. sclera.D. cornea.

Question 16WhichoneofthefollowingisthemostpotentofallmechanismsandsubstancesthatthebodyusestoregulatebloodpH?A. thekidneysB. thehormonesC. thebuffersystemD. therespiratorysystemcontrols

Question 17ThebladderisabletoexpandasurineaccumulateswithinitduetothepresenceofA. orifices.B. sphincters.C. segmentation.D. transitionalepithelium.

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END OF SECTION ATURN OVER

Question 18Whichoneofthefollowingmeans‘locatedbetweentheribs’?A. intercostalB. intracostalC. mediastinalD. costochondral

Question 19ThefunctionoftheepididymisistoA. thickensemen.B. storeandmaturesperm.C. producethefluidforsemen.D. carryspermtotheejaculatoryduct.

Question 20Whichoneofthefollowingprefixesmeans‘around’?A. epi-B. peri-C. hypo-D. hyper-

2019VETHEALTHEXAM 6

SECTION B – continued

Question 1 (3marks)Thediagrambelowshowsthehumanheart.

Ineachboxprovided,statethenameofthepartindicated.

Source:okili77/Shutterstock.com

Question 2 (2marks)Outlinethetwomaindivisionsofthenervoussystemandthestructuresthatmakeupeachdivision.

SECTION B

Instructions for Section BAnswerallquestionsinthespacesprovided.Unlessotherwiseindicated,thediagramsinthisbookarenot drawntoscale.

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SECTION B – continuedTURN OVER

Question 3 (4marks)Providethesingularorpluralformofeachmedicaltermlistedinthetablebelow.

Medical term Singular form Plural form

thorax

diagnosis

phalanges

thrombi

Question 4 (6marks)Usethefollowinglisttocompletethetablebelowwiththecorrectmedicaltermforeachexplanationgiven:

• pneumothorax • enteritis • pulmonaryembolism • gastritis

• hysterectomy • retinopathy • sarcoma • oophorectomy

• glioma • thrombosis • adenopathy • aneurysm

Explanation Medical term

inflammationofthesmallintestine

abnormalswellinginthewallofabloodvessel

collectionofairinthepleuralcavity

diseaseoftheretina

canceroftheconnectivetissue

surgicalremovalofanovary

2019VETHEALTHEXAM 8

SECTION B – continued

Question 5 (6marks)Inthetablebelow,outlinethestructureandonefunctionofarteries,veinsandcapillaries.

Arteries Veins Capillaries

Structure

Function

Question 6 (3marks)Michaelisa60-year-oldmalewhohasafamilyhistoryofheartdisease.Michaelisaheavysmokerand,althoughhetriestomaintainahealthydiet,hedoesnotexercise.OnMichael’slastvisittothedoctor,hewastoldhehadhypertension.Hewasprescribedmedicationandtoldtomakesomelifestylechanges.

a. Definebloodpressure. 1mark

b. Explainhowthecardiovascularandurinarysystemsworktogethertomaintainbloodpressureinthecaseofhypertension. 2marks

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SECTION B – continuedTURN OVER

Question 7 (3marks)Identifythreesystemsinvolvedintheeliminationofwastefromthebodyandstatethewasteproduct(s)eachsystemeliminates.

System Waste product(s)

1.

2.

3.

Question 8 (6marks)Readthefollowingmedicalreport.

Fatimaisa43-year-oldfemalewhohasbeenonadietfor3½monthsforweightreduction.Shehasbeenfeelingtiredandweakforthepast4weeks.Shehasshortnessofbreathwithlightactivityandwastreatedforpnumonea8monthsago.Sheispalebutdoesnothaveanysignsofbleeding,rashesorjorndis.Herdoctororderedagastroscopee,bloodtests,urinetestandfekaloccultbloodtest.Fatimawasdiagnosedwithanaemia.Herbloodtestshowedlowironlevelsandalowredbloodcellcount.Herdoctororderedironinjections,vitaminandmineralsupplements,andafollow-upinoneweek.

a. Providethecorrectspellingforeachincorrectlyspeltmedicalterminthetablebelow. 4marks

Incorrectly spelt medical term Correctly spelt medical term

pnumonea

jorndis

gastroscopee

fekal

b. Explainthefunctionofhaemoglobin. 2marks

2019VETHEALTHEXAM 10

SECTION B – continued

Question 9 (4marks)

pituitary

thyroid

adrenals

prostate/testes

parathyroid

pancreas

ovaries/uterus

Source:WellofLifeCenterforNaturalHealth,<https://welloflifecenter.com/>

Selecttwoglandsfromthelabelleddiagramoftheendocrinesystemabove(excludingtheovaries/uterusandprostate/testes).Foreachgland,identifyonehormonethatissecretedandthefunctionofthehormone.

Gland Hormone Function of hormone

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SECTION B–continuedTURN OVER

Question 10 (3marks)Readthefollowingscenario.

O/A,Edithpresentedwithflankpainandaburningsensationwhenvoiding.Hervitalsignswere T–38.5°C,P–84,Resp–18,BP–120/80mmHg.Shehadaurinalysisandbloodtests,andwasdiagnosedwithaUTI.Theptwasprescribedantibiotics500mg,O,QIDfor7/7,paracetamol1gm,O,PRNandplacedonanFBCand4/24observations.

Completethetablebelowbyprovidingthefullmedicaltermforeachabbreviationlisted.

Abbreviation Full medical term

O/A

UTI

pt

mg

O

QID

gm

PRN

FBC

Question 11 (3marks)Comparethreedifferencesbetweenthefemaleandmalesecondarysexualcharacteristics.

2019VETHEALTHEXAM 12

SECTION B – continued

Question 12 (2marks)Namethethreestructuresthatmakeuptheossiclesofthemiddleearandstatetheiroverallfunction.

Structures

1.

2.

3.

Function

Question 13 (4marks)Completethetablebelowbyidentifyingthewordpartsandprovidingthedefinitionofeachmedicaltermlisted.

Word part

Medical term Prefix Root word

Combining vowel

Suffix Definition of medical term

hypoglycaemia

polyneuropathy

nephritis

craniotomy

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END OF SECTION BTURN OVER

Question 14 (1mark)Explainwhatismeantbyhomeostasis.

2019VETHEALTHEXAM 14

SECTION C – continued

Use the following information to answer Questions 1–6.

Case study 1Samir,a59-year-oldconcreterwholiveswithhiswifeandteenageson,hasaPMHxofR)kneepainandbackpain.Samirwasreferredtoanorthopaedicsurgeonc/opainandstiffnessinhisR)kneewithmovement,especiallyafterrestingandwhenitiscold.SamirhadanMRIthatindicatedosteoarthritis.ThisresultedinSamirhavinganarthroscopyonhisR)knee.Hehasbeenreferredbytheorthopaedicsurgeonforphysiotherapy.Kylieisanalliedhealthassistantwhoworksinoutpatientrehabilitationatalocalhospital.ThephysiotherapisthasaskedKylietotakeSamirthroughhisphysiotherapysession.Priortothephysiotherapysession,SamirtellsKyliehispainis8/10withmovementandhehasstiffnessinhisR)knee,especiallyinthemorningandwhensittingforlongperiodsoftime.

Kylie’s observations of Samir during physiotherapy session

• walkingwithalimp,favouringleftside• walksunaided• R)kneeflexion110degrees• R)kneeextension5degrees• R)kneestrength3/5• moderateoedemaR)knee• decreasedbalancewithR)singlelegstance

Home exercise program for Samir

• fivekneeextensionswithtowelstretch,holdingeachfor30seconds• 10squats• 10hamstringcurls

Instructions for Samir

• Completethehomeexerciseprogramdailyfor6/52.• Attendphysiotherapysession2/7for6/52.• Attendhydrotherapy1/7for6/52.• Haveareviewwithorthopaedicsurgeonin3/12.

SECTION C – Case study

Instructions for Section CAnswerallquestionsinthespacesprovided.Unlessotherwiseindicated,thediagramsinthisbookarenot drawntoscale.

15 2019VETHEALTHEXAM

SECTION C – continuedTURN OVER

Question 1 (2marks)Fromthecasestudy,identifyoneactiveexerciseandonepassiveexercisethatispartofSamir’shomeexerciseprogram.

Activeexercise

Passiveexercise

Question 2 (2marks)Providethefullmedicaltermandabbreviationfortwoligamentsinthekneethatconnectthefemurtothetibia.

Full medical term Abbreviation

Ligament 1

Ligament 2

Question 3 (2marks)Explaintherelationshipbetweenthemuscularandskeletalsystemsofthehumanbody.

2019VETHEALTHEXAM 16

SECTION C – continued

Question 4 (3marks)Asanalliedhealthassistant,Kyliehasanumberofworktasksthatneedtobecompletedbefore,duringandafterthephysiotherapysession.BelowisachecklistofworktasksthatKylieneedstocomplete.

Useatick()toshowifKylieshouldcompletethetaskbeforethesession,duringthesessionorafterthesession.Note:Eachworktaskcanbecompletedonlyonce.

Work task Before the session During the session After the session

Cleanequipment.

Gatherequipment.

Readpatientfile.

Documentsessioninpatientfile.

Storeequipment.

Giveinstructions.

Demonstrateexercise.

Prepareenvironment.

Monitorpatientprogress.

Question 5 (4marks)ExplaintwowaysinwhichKyliecanadheretoprivacyandconfidentialitypolicieswhenhandlingSamir’smedicalrecord.

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SECTION C – continuedTURN OVER

Question 6 (2marks)KyliecannotunderstandthemedicaltermsandabbreviationswritteninSamir’smedicalrecord.

ProvidetwowaysinwhichKyliecanfindoutwhattheymean.

1.

2.

2019VETHEALTHEXAM 18

SECTION C – Question 7–continued

Use the following information to answer Questions 7–10.

Case study 2Sarahisan18-year-oldfemalewhohasjustgraduatedfromYear12.SarahiscurrentlyinnorthernNSWhavingawell-deservedholidaywithherfriends.Today,itis38°CandSarahandherfriendsheadtothebeach.Theyallapplysunscreenwhentheyarriveandthensettledownforadayofsunbakingandswimming.Throughouttheday,Sarahandherfriendsdrinkpre-mixedalcoholicdrinksandsnackonpotatochips.Sarah,unlikeherfriends,doesnothaveanywater;shehasleftherwaterbottleattheirholidayrental.Sarahhasbeenatthebeachfor5/24andisc/oathrobbingheadache,dizzinessandnausea.TwoofherfriendstakeherbacktotheirholidayrentalandSarahgoestobed.Sarahwakesuptwohourslaterwithnauseaandstartsvomiting.Sheisinpainandexperiencingmusclecramps.Herfriendsnoticethatsheisbadlysunburntandisstaggering.Herfriendsareconcernedandtakehertotheemergencydepartmentofthelocalhospital.O/E,thedoctornotesthefollowing.

Vital signs Sarah’s signs Sarah’s symptoms

• T–39.2°C• BP–90/46mmHg• HR–112bpm• RR–24withshallow

breathing

• skinisred,hotanddry• anumberofsmallfluid-filled

blistersonhershoulders• disoriented• nourineoutputsince

morning

• painfultotouch• throbbingheadache• nausea• musclecramps• dizziness• drymouth• extremethirst

TheDxissecond-degreesunburn,dehydrationandheatstroke.

Question 7 (6marks)a. DescribetheroleofthecardiovascularandintegumentarysystemsintheregulationofSarah’s

highbodytemperature. 4marks

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SECTION C – continuedTURN OVER

b. Otherthantemperatureregulationandwasteelimination,identifytwofunctionsoftheintegumentarysystem. 2marks

Question 8 (3marks)Sarahisdehydrated.

Explainhowwaterbalanceisregulatedinthebodytoincreaseherbloodvolume.

Question 9 (2marks)Completethetablebelowbyprovidingthefullmedicaltermforeachabbreviationlisted.

Abbreviation Full medical term

5/24

c/o

O/E

Dx

2019VETHEALTHEXAM 20

Question 10 (4marks)OutlinetwointerventionsforeachbodysystemlistedbelowthatwouldhelpSarahmaintainhealthyfunctioningofherbodytopreventarecurrence.

Integumentary

1.

2.

Cardiovascular

1.

2.

END OF QUESTION AND ANSWER BOOK