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.
3 2019VETHEALTHEXAM
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