CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

Exam
Admission Sticker

FACULTY OF HEALTH SCIENCES

HDP 171
INTERPERSONAL COMMUNICATION

MIDTERM EXAMINATION
JANUARY 2015
1. Please read these instructions carefully before answering the questions. You are not allowed to open the
question paper until you are informed to.
2. Candidates are not allowed to bring into the Examination Hall/Room any reference books, dictionaries of any
kind, diagrams or pieces of paper or any written materials.

1. Sila baca arahan dengan teliti sebelum menjawab soalan. Pelajar tidak dibenarkan membuka kertas soalan sehingga
diberitahu.
2. Para pelajar tidak dibenarkan membawa masuk sebarang bentuk buku rujukan, kamus, diagram atau helaian kertas atau
bahan bertulis ke dalam Dewan/Bilik Peperiksaan.

1. This paper contains of TWO(2) sections A, B and C.

Kertas soalan ini mengandungi DUA(2) bahagian A ,B dan C.

2. Write your I/C NO. / PASSPORT NO, STUDENT ID, CLASS CODE and LECTURERS NAME in the section
provided.
Tulis NO. K/P atau NO. PASSPORT, ID PELAJAR, KOD KELAS dan NAMA PENSYARAH di dalam bahagian yang
disediakan.

3. Write the answer on the provided answering sheet. Use new page for the new question or new section.
Jawab di dalam kertas jawapan yang disediakan. Sila mulakan di muka surat baru bagi soalan atau bahagian yang berlainan.

4. Use only BLACK or BLUE PEN.

Gunakan PEN BIRU atau HITAM sahaja.

5. Attach this FRONT COVER to your answer sheet.

Kepilkan bahagian MUKA SURAT HADAPAN ini beserta dengan jawapan anda.

I/C No / PASSPORT No CLASS CODE

STUDENT ID LECTURER

-------------------------------------------------------------------- To Be Filled By the Examiner Only ------------------------------------------------------------

MARKS REMARKS EXAMINER 1 EXAMINER 2

SECTION A 10 TOTAL (100 m)
SECTION B 20
SECTION C 20
NAME TOTAL (10%)
BRANCH
 CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

KUALA LUMPUR METROPOLITAN UNIVERSITY COLLEGE

COSMOPOINT INTERNATIONAL COLLEGE OF TECHNOLOGY
HDP 171- INTERPERSONAL COMMUNICATION
MID TERM EXAMINATION: JANUARY 2015

SECTION - A

Answer all the multiple choice questions given below: 10 x 1mark = 10 marks
Shade your answer in the shading sheet provided

1. What is importance of interpersonal communication?

a To create doubts
b To clarify situation
c To discover disadvantageous
d To create suspicion or fear

2. Decoding is....

a the pathway to convey the message

b Interpreting the message
c The response to the sender's message
d Translating thoughts, feeling and ideals into symbols(Words and Nonverbal
Cues)

3. The process of active listening involve

a Hearing, understanding and judging the speaker
b Hearing, evaluating and giving feedback to the speaker
c Interpreting, paraphrasing and being agree with the speaker
d None of the above

4 What writing technique is used to change the reader point of view on

particular subject?
a Narration technique
b Description technique
c Persuasion technique
d Exposition technique

5 Following are the standard elements used for writing business letter
except
a Letter head
b Address notation
c Message
d Feedback
 CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

6 A physiotherapist attending a workshop on back pain management. This

presentation is categorized under
a Informative presentation
b Persuasive presentation
c Goodwill presentation
d Multipurpose presentation

7 Noise does the following :

a Distorts or interfere with a message
b Causes listeners to listen to message more carefully
c Enhances a message
d Focuses wondering thought

8 An example of verbal communication is :

a Shaking hand with client
b Discussion with the clients on exercise prescription
c Touching the clients shoulder
d Smiling to the caregivers

9 Mrs S, 60 years-old , with impairs hearing and sight, need to consult with
you regarding his knee joint pain. To be effective communication, you
should avoid to :
a Talk directly face to face
b Speak while eating and chewing
c Control normal tone of voice
d Keep patient inform ,notify before touching

10 Following are types of public speaking , except :

a Informative
b Persuasive
c emotions
d extemporaneous
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

SECTION - B

Answer ALL of the following SHORT questions: 4 x 5 marks = 20 marks

1 Write on the benefit of communication (S.U.C.C.E.S.S). (5 marks)

2 List factor affecting on communication. (5 marks)

3 List types of presentation. (5 marks)

4 Describe type of non-verbal communication. (5 marks)

CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

SECTION - C

Answer ANY ONE of the following ESSAY questions: 1 x 20marks = 20 marks

1 a)Write short notes on elements of communication (10 marks)

b)List reason for communication according to De Vito (2000). (10 marks)

2 a) Write in details on therapeutic communication. (20 marks)

END OF QUESTIONS
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
KUALA LUMPUR METROPOLITAN UNIVERSITY COLLEGE
COSMOPOINT INTERNATIONAL COLLEGE OF TECHNOLOGY
HDP 112 ANATOMY AND PHYSIOLOGY 2
SOLUTION

Q.No Solution SubMarks Total

marks
Question A1 (c ) 4 1 marks 1 marks
Question A2 (c) 5th intercostal space-left side 1 marks 1 marks
Question A3 (b) Coronary artery 1 marks 1 marks
Question A4 (b) Aorta 1 marks 1 marks
Question A5 ( c) To keep dust out of the lungs 1marks 1 marks
Question A6 (A) SA node 1 marks 1 marks
Question A7 (d) Epiglottis 1 marks 1 marks
Question A8 (d) Carina 1 marks 1 marks
Question A9 (a) alveoli 1 marks 1 marks
Question A10 (a) alveoli 1 marks 1 marks
Question A11 (c )Hypoxia 1 marks 1 marks
Question A12 (b) exchanged during normal breathing 1 marks 1 marks
Question A13 (a) cyanosis 1 marks 1 marks
Question A14 (b) pons and medulla 1 marks 1 marks
Question A15 (b) towards 1 marks 1 marks
Question A16 (d) all the above 1 marks 1 marks
Question A17 (c ) neuron 1 marks 1 marks
Question A18 (a) node of Ranvier 1 marks 1 marks
Question A19 (c ) 31 pairs 1 marks 1 marks
Question A20 (b) efferent neurons 1 marks 1 marks
Question B1 Regular exercise makes the cardiovascular system
more effiecient at pumping blood and delivering
oxygen to the exercise muscle.

During exercise, there:

-Gradual increase in heart rate

-Gradual decrease in stroke volume
-Cardiac output is maintained
- Rise in systolic blood pressure 5 marks 5 marks

Initial signal t drive cardiovascular system comes from

higher brain center
2. fined tuned feedback from:
Chemoreceptor
Mechanoreceptor
Baroreceptor

There is Redistribution of Blood Flow

1. Increased blood flow to working skeletal muscle.
At rest ,muscle receive approximately 20 % of the
total blood flow,but during exercise, the blood flow to
muscle increase to 80-85%.
2. Reduced blood flow to less active organ-Liver
,kidney
3. Brain blood flow not affected.
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
Question B2 The chest wall is formed by 12 pairs of ribs, strernum,
costal cartilage and the 12 thoracic vertebrae.

1st rib- during inspiration the 1st rib elevates and moves
superiorly and posteriorly at costovetebral joints and
pushes the manubrium superiorly. This increases the
vertical diameter of the rib cage.

2nd rib-6th rib During inspiration, the upper half of

ribs moves superiorly and anteriorly increasing the
anterio-posterior diameter of the thorax(Pump handle 5 marks 5 marks
movement).

7th-10th ribs- during inspiration the lower half of the

ribs moves superiorly and laterally increasing the
lateral diameter of the thorax (Bucket handle
movement)

11-12th ribs they can move in any direction because

they dont have any attachment with sternum.

Question B3 The Cardiac Cycle

Stages of Cardiac Cycle.

Cardiac cycle occurs due to:
Systole- period of contraction
Diastole a period of relaxation of the heart chambers. 5 marks 5 marks

Stages of Cardiac Cycle

Atrial Systole - contraction of atria-0.1 sec
Venticular Systole contraction of ventricles-0.3 sec
Complete Cardiac Diastole relaxation of the atria
and ventricles -0.4 secs

Atrial contraction : SAnode triggers causing atrial

contraction. Blood from the atria enter into the
ventricles.

Ventricular systole : AV node troggers and impulse

travel through the ventricles. Ventricles contract,
Atrioventricular valve close, aortic and pulmonary
valve open. Blood from the ventricles flow into the
aorta and the pulmonary artery.

Complete cardiac diastole after contraction of the

ventricles there is a complete cardiac diastole when the
atria and ventricles are relaxed. Aortic and pulmonary
valves close, while atrioventricular valves open. The
blood from the veins fill the two atria- superior and
inferior vena cava fill the right atrium and the
pulmonary veins fill the left atrium. The
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
atrioventricular valves are open and blood flows to the
ventricles passively.

Question B4 (a) 1 marks

Gas exchange is the exchange of respiratory gases
(oxygen and carbon dioxide) between tissues and
blood.
5 marks

(b)Factor affecting gas exchange:

-The thickness of the membrane: this comprises the

thickness of the alveolar wall, capillary wall and the
interstitial membrane. The thicker the membrane the
lesser gas exchange.
-The surface area of the membrane: These comprise 4 marks
the surface area available for gas exchange. The more
the surface area, the more gas exchange.
-The diffusion coefficient of the gas through the
membrane; the more the diffusion gradient, the greater
is the gas exchange
-The partial pressure difference of the gas between the
two sides of the membrane ;this comprises the
difference in the amount of gas present in the tissue
and the blood. The greater the difference in the partial
pressure, the more gas exchange.

Question B5 Electrocardiogram:

(a) Definition:
An electrocardiogram is a non-invasive procedure for
recording of the electrical signal produced by heart 2 marks
muscle fibers during each heartbeat, 5 marks

(b) ECG Normal waveform

- P wave represent atrial depolarization. 3 marks
- QRS complex represent ventricular depolarization
- T wave represent ventricular repolarization

Question B6 Cyanosis is blue coloration of the skin and mucous

membranes due to the presence of deoxygenated 5marks 5 marks
hemoglobin in blood vessel near the skin surfaces.

Cyanosis divided in to two main types:

Central (around the core and lips)
Peripheral (only the extremities are effected)
Question B7 (A)
Cardiac output is defined as the quantity of blood 1 marks
pumped by heart in 1 minutes.

Cardiac output= heart rate* stroke volume

CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

5 marks
Factor affecting cardiac output: 4 marks

There are three important factors that affect the

cardiac output:
- Preload
-Contractility
-After load

Preload: preload means the amount of blood coming

back into the heart through the veins. More preload
greater is the cardiac output.

Contractility: it is the ability of the heart to produce a

strong contraction.

Contractility depends on the inotrophic agents

After load: it is the amount of back pressure that the

heart has to overcome before the semilunar vlve can
open and blood flow out into the aorta and pulmonary
artery. More the afterload lesser is the cardiac output.

Question B8
Nervous system is made up of highly specialized cells
that are capable of transmitting information rapidly
between different parts of the body.

The nervous system is divided into the

-peripheral nervous system (PNS)
- central nervous system (CNS)

The CNS consists of the spinal cord and the brain

Functions are: 5 marks 5 marks
Thought, language, emotion, the control of movement
and analysis of sensation.

The PNS consists of

-sensory neurons running from stimulus receptors that
inform the CNS of the stimuli
motor neurons running from the CNS to the muscles
and glands - called effectors - that take action.

The peripheral nervous system is subdivided into

the sensory-somatic nervous system
the autonomic nervous system

Q.No. Solution SubMarks TotalMarks

CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
(a) The heart is a hollow muscular organ in the
thoracic cavity

Chambers of the heart: The heart has 4

chambers.
o The two chambers on the right side are
called right atrium and right ventricle
o The two chambers on the left side are
known as the left atrium and left ventricle
o The left and right atria are smaller in size,
the upper chambers of the heart. The atria
are separated by interatrial septum.
o The left and right ventricles are larger in
size, the lower chambers of the heart. The
two ventricles are separated by 9 marks
interventricular septum.

Valves of the heart: The heart has 4 valves.

o The opening between the right atrium and
Question C1
the right ventricle is guarded by the
tricuspid valve - right atrioventricular
(AV) valve.
o The opening between the left atrium and
the left ventricle is guarded by the 20 marks
bicuspid valve -- Mitral valve - left
atrioventricular (AV) valve
o The opening between right ventricle and
pulmonary artery is guarded by the
Pulmonary valve.
o The opening between the left ventricle
and the aorta is guarded by the Aortic
valve.

(b)

Layers of the heart: The heart has 3 layers

o The innermost layer is called
endocardium
o The middle layer is made of cardiac
muscles called myocardium
o The outermost layer is called the 6 marks
pericardium
o The pericardium is divided further as the
fibrous pericardium and the serous
pericardium
o The serous pericardium is further divided
into visceral and parietal pericardium
o The pericardial fluid is present between
these two layers

(c)
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

Coronary circulation: The heart receives

blood supply through the right and left
coronary arteries. They are the first branches 5 marks
of aorta.
o Main branches of Right coronary
artery:
- Posterior interventricular branch
- Marginal artery
o Main branches of left coronary artery:
- Anterior interventricular branch
- Circumflex artery

Venous blood of heart is collected by the coronary

sinus. It opens directly into the right atrium.

Veins draining into coronary sinus are:

Great cardiac vein

Middle cardiac vein
Small cardiac vein

Question C2 (a)
LOBES OF THE LUNGS AND
BRONCHOPULMONARY SEGMENT

Each lung is divided into lobes by means of fissures

The right lung which is bigger has 3 lobes

-upper lobe
-middle lobe
-lower lobe

The left lung has 2 lobes:

- Upper lobe
- Lower lobe
10 marks
The right lung has two fissures:
- The horizontal fissures
- The oblique fissures
The left lung has only one fissures:
- The oblique fissure

Bronchopulmonary segment

RIGHT LUNG
Upper lobe 20 marks
-apical segment
-anterior segment
Posterior segment

MIDDLE LOBE
-Medial segment
-Lateral segment
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION

LOWER LOBE
-apicobasal
-Medial basal
-Anterior basal
-Lateral basal
- Posterior basal

LEFT LUNG
Upper lobe
-apical segment
-Anterior
-Posterior

Lingula
-Superior segment
-Inferior segment

Lower lobe
-Apicobasal
- lateral basal
-anterior basal
-posterior basal

(b) the pleura is the outer covering of the lung

It consists of two layers 5 marks
- Parietal pleura
- Visceral pleura

Pleural space
- Between the parietal and visceral pleura there
is a space called as pleural cavity.
- The pleural cavity contains pleural fluid.
- The pleural fluid prevents between the two
pleural during breathing movement.
Intercostal muscle
5 marks
Intercostal muscles are groups of muscles
that run between the ribs, and help form and
move the chest wall.
the external intercostal muscles, which aid in
quiet and forced inhalation. They originate on
ribs 1-11 and have their insertion on ribs 2-
12. The external intercostals are responsible
for the elevation of the ribs.
Intercostal muscles are groups of muscles that
run between the ribs, and help form and move
the chest wall.
the external intercostal muscles, which aid in
quiet and forced inhalation. They originate on
ribs 1-11 and have their insertion on ribs 2-
12. The external intercostals are responsible
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
for the elevation of the ribs.

d) diaphragm
The diaphragm is a sheet of internal muscle that
extends across the bottom of the rib cage.
The diaphragm separates the thoracic cavity (heart,
lungs & ribs) from the abdominal cavity and
performs an important function in respiration

Origin :
- Sternal: back of the xiphoid process
- Costal: the inner surfaces of the lower six ribs
on either side
- Lumbar: the lumbar vertebrae
Insertion:
- Central tendon
Nerve supply:
- Phrenic nerve

Question C3
Respiratory volumes
I) Tidal volume (TV)
It is the volume of air moved in and out of the lungs
during quiet breathing at rest. TV=500ml

ii) Inspiratory reserve volume (IRV) It is the volume

of air additional to TV that can be inspired during a
maximum inspiration. IRV=2500ml 20 marks 20 marks

iii) Expiratory Reserve volume (EVR)

It is the volume of air additional to TV that can be
expired during a maXimum expiration.ERV=1000ml

iv) Residual volume (RV)It is the volume of air

remaining in the lungs after a maximum expiration.
RV=1500ml

Respiratory capacities
i) Total lung capacity (TLC)
It is the total volume of air in the lungs after a
maximum inspiration.
TLC= IRV + TV + ERV+ RV=5500ml

ii) Vital capacity (VC)

It is the maximum volume of air that can be expired
after a maximum inspiration
VC= IRV + TV + ERV = 4000ml

iii) Inspiratory capacity (IC):

It is the maximum volume of air that can be inspired
from the end point of quiet expiration at rest
IC =IRV + TV =3000ml

iv) Functional residual volume (FRC):

It is the volume of air remaining in the lungs at the
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
end of quiet expiration at rest.
FRC= RV + ERV = 2500ml

(a)

CELL BODY/SOMA
The expanded portion of the cell contains the nucleus
and the apparatus necessary to sustain the metabolic
activities of the cell.
The nucleus has a inner core called nucleolus. 10 marks 20 marks
Question C4 The other structures present in the cell body are golgi
apparatus, mitochondria, endoplasmic reticulum.

AXON
Axon is a longitudinal, tubular extension of the cell
membrane and cytoplasm.
The function is to transmit information away from
the cell body, the cell membrane surrounding the
axon is referred to as axolemma.

DENDRITES
They are processes of the cell membrane that radiate
from the cell body in various directions and are
responsible for receiving information and
transmitting it to the cell body.

(b)

STRUCTURE OF A PERIPHERAL NERVE

A peripheral nerve is formed by a number of axons. 10 marks

The size of the nerve depends on the number of
axons.
Individual myelinated axons are surrounded by a
tubular sheath of fibrous tissue called endoneurium.
A group of axons are held together by a larger
fibrous sheath called perineurium
A bundle of axons held within a perineurial sheath is
called as a nerve fascicle.
The fascicles inside a peripheral nerve is bound by
CONFIDENTIAL/SULIT HDP 171- INTERPERSONAL COMMUNICATION
an external sheath of fibrous tissue called epineurium