Nokea
Distal occlusion of the posterior cerebral artery may produce:
- A. Contralateral hemiplegia
- B. Homonymous hemianopia
- C. Dysarthria
- D. Cerebellar ataxia
Correct Answer: B
Rationale: Homonymous hemianopia is a classic finding in posterior cerebral artery occlusion. Hemiplegia, dysarthria, and ataxia are not typical.
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Recognised features in Marfan's syndrome include:
- A. Mutation in fibrillin gene
- B. Mitral valve prolapse
- C. Cognitive impairment
- D. Myopia
Correct Answer: B
Rationale: Mitral valve prolapse
A woman who works as a data entry clerk is concerned as to how recent diagnosis of Raynaud's syndrome is going to affect her job performance. Which instruction should the nurse provide this client?
- A. Use a space heater to keep the workspace warm
- B. Keep hands elevated above the heart to prevent swelling.
- C. Wear tight gloves during work to avoid temperature fluctuations.
- D. Take frequent breaks to improve circulation in the hands.
Correct Answer: A
Rationale: Keeping the hands warm helps prevent vasospasms, which are characteristic of Raynaud's syndrome.
Defects of complement system should be suspected in:
- A. Recurrent folliculitis
- B. Facial swelling following trauma
- C. Recurrent meningococcal infection
- D. Pneumocystis carinii pneumonia
Correct Answer: C
Rationale: Recurrent meningococcal infection: Defects in the complement system, especially the terminal complement components, increase the risk of recurrent meningococcal infections.
The following tests are routine in the management of an epileptic on carbamazepine:
- A. Blood counts
- B. Serum levels
- C. Liver function tests
- D. Renal function tests
Correct Answer: C
Rationale: Liver function tests are routinely monitored in patients taking carbamazepine due to the risk of liver toxicity, which can occur with prolonged use.
Pro-BNP can be increased in all, except
- A. Coronary artery disease
- B. Sepsis
- C. Pulmonary hypertension
- D. Obesity
Correct Answer: D
Rationale: Obesity is not typically associated with increased Pro-BNP levels.