1. State six clinical features of liver cirrhosis.(6 mks)
2.(a) Define Hernia.(1 mk)
(b) State three posible outcomes of hernia.(3 mks)
3. Explain the pre-deposing factors to the spread of hepatitis A infection(5 mks)
4. Explain the pathophysiology of accute viral hepatitis.

ESSAY QUESTION
(a) Define appendicitis.(1 MK)
(b) List eight signs and symptoms af accute appendicitis.(4 mks)

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