Cytomegalovirus causes:
- A. infantile bronchiolitis
- B. retinitis
- C. chronic
- D. neonatal encephalitis
Correct Answer: B
Rationale: CMV retinitis blinds HIV, not bronchiolitis, vague chronic, brain hits, or Kaposi's herpes 8. Nurses eye this chronic sight thief.
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Madam Tan is newly diagnosed to have Type 2 DM. Her fasting plasma glucose is 12 mmol/L. Her blood pressure and fasting lipid profile are normal. She has been provided with patient education and advice on therapeutic life-style modification. Which is the most appropriate course of management for this lady?
- A. Commence her on combination therapy of three oral hypoglycaemic agents
- B. Motivate her to adhere with life-style modification
- C. Commence her on monotherapy of oral hypoglycaemic agent
- D. Commence her on combination therapy of two oral hypoglycaemic agents
Correct Answer: C
Rationale: New type 2, fasting 12 lifestyle's fresh, so metformin monotherapy starts, easing glucose without overload. Triple or dual oral's too much; insulin's for later; pushing lifestyle alone won't cut it yet. Nurses build this chronic base, balancing effort and meds.
As per Johnson and Chang (2014) which of the following is not a component of the Chronic Care Model?
- A. Person centred care
- B. Population health approach
- C. Community setting, collaborative across both primary and secondary care
- D. Reactive, symptom driven
Correct Answer: D
Rationale: The Chronic Care Model thrives on proactive pillars person-centered focus, population health, and community-primary-secondary teamwork aiming to preempt, not just patch, chronic woes. Reactive, symptom-driven care's old-school, clashing with this forward lean. Nurses ditch that lag, embracing prevention, a model shift for chronic mastery.
What is an implementation intention?
- A. The decision of an organisation to implement a specific method or intervention
- B. A concrete plan to show particular behaviour in specific situations
- C. A well-considered idea of how a person can handle a relapse or difficult situations
- D. The intention to live healthier in all important areas of life
Correct Answer: B
Rationale: Implementation intention specific act, set scene, not org moves, relapse plans, or vague health kicks. Nurses cue this, a chronic action lock.
What is the cut-off of blood pressure for the diagnosis of hypertension that is recommended by MOH Clinical Practice Guideline?
- A. 120/70 mmHg
- B. 125/75 mmHg
- C. 130/70 mmHg
- D. 140/90 mmHg
Correct Answer: D
Rationale: MOH guidelines hold hypertension at 140/90 mmHg, a conventional cutoff balancing sensitivity and specificity for diagnosis in primary care, aligning with global norms like WHO. Lower thresholds 120/70, 125/75, 130/70, 135/80 catch prehypertension or align with newer AHA standards, but MOH sticks to 140/90 for actionable clarity, triggering treatment to curb stroke or heart risks. This higher bar avoids overdiagnosis in resource-stretched settings, ensuring focus on clear disease, a practical call for managing chronic vascular load.
The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for psychologic support, which question by the nurse will provide the most information?
- A. How long ago were you diagnosed with this cancer?'
- B. Do you have any concerns about body image changes?'
- C. Can you tell me what has been helpful to you in the past when coping with stressful events?'
- D. Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?'
Correct Answer: C
Rationale: Stage I colon cancer's early psych support hinges on coping history . Past wins reveal strengths, more than timing , body image (B less hit here), or textbook stages . Nurses in oncology dig this how they've handled stress before predicts now, guiding tailored help.