Questions About Chronic Wasting Disease

Questions About Chronic Wasting Disease Related

Review Questions About Chronic Wasting Disease related questions and content

Mr Tan, a 50-year-old with hypertension, sees you for routine review. He reports three gout flares in the past two months relieved with three days of Arcoxia 120 mg OM for each episode. You perform some blood tests, which returns the following results: Creatinine 95 umol/L, eGFR >90 mL/min, Uric acid 460 mmol/L, HbA1c 5.4%, Random hypo-count 7.5 mmol/L. He is currently on Amlodipine 10 mg OM. He does not drink alcohol except one glass of wine once or twice a year on special occasions. His BMI is 20.5 kg/m². Which is the most appropriate next step?

  • A. Prescribe NSAIDs standby for gout flare
  • B. Offer dietary advice and advise regular exercise only
  • C. Prescribe prednisolone standby for gout flare
  • D. Discuss urate lowering therapy as he has had >2 gout flares in the past year, ideally with colchicine prophylaxis
Correct Answer: D

Rationale: Three gout flares in two months with uric acid 460 mmol/L (hyperuricemia) indicate frequent attacks warranting urate-lowering therapy (ULT) like allopurinol, per guidelines (e.g., ACR), especially with >2 flares yearly. Colchicine prophylaxis reduces flare risk during ULT initiation. NSAIDs or prednisolone treat acute flares but don't address recurrence. Diet/exercise alone won't suffice with this frequency and uric acid level. ULT discussion aligns with chronic gout management to prevent joint damage, critical for family physicians.

You may also like to solve these questions

People with obesity generally respond more strongly to food cues than non-obese people. Question: Which behavioural training is most indicated to reduce this mechanism?

  • A. Cognitive modulation training
  • B. Compulsivity training
  • C. Extinction training
  • D. None of the options above
Correct Answer: C

Rationale: Food cues overdrive extinction dims them, not cognitive tweaks or compulsion drills. Nurses train this, a chronic cue fade.

During his internship at a general practice, a medical student is asked to check the blood glucose level in a 50-year-old patient with type 2 diabetes. The measurement is performed at a random moment and the carbohydrate intake has not been standardised before the measurement is taken. The result of the measurement is shown below. The general practitioner (GP) asks the student to report the result using standard medical terminology. Question: Which diagnosis is most consistent with the findings provided above?

  • A. Hyperglycaemia
  • B. Hypoglycaemia
  • C. Hyperglycaemia with hyperosmolar state
  • D. Normoglycaemia (euglycaemia)
Correct Answer: A

Rationale: Random high glucose in type 2 hyperglycaemia, no hypo, osmolar crash, or norm. Nurses call this, a chronic sugar spike.

Which of the following is a priority nursing intervention for a client in atrial fibrillation with a rate of 180 beats per minute?

  • A. Apply compression stockings
  • B. Administer medications to slow the rate
  • C. Administer anticoagulants
  • D. Monitor urine output
Correct Answer: B

Rationale: AF at 180 bpm tanks output meds like beta-blockers or amiodarone slow it, restoring flow, a priority per ABCs over stockings' vein aid. Anticoagulants curb clots later; urine's secondary. Nurses push rate control, steadying this wild heart, a critical fix in this tachycardic storm.

The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement, if made by the patient, indicates that teaching was effective?

  • A. The biopsy will remove the cancer in my prostate gland.
  • B. The biopsy will determine how much longer I have to live.
  • C. The biopsy will help decide the treatment for my enlarged prostate.
  • D. The biopsy will indicate whether the cancer has spread to other organs.
Correct Answer: C

Rationale: Prostate biopsy snags tissue to check if enlargement's benign (BPH) or malignant guiding treatment like surgery or radiation. It's not therapeutic , doesn't predict lifespan , and staging spread needs more (e.g., scans). Nurses in oncology stress this it's a diagnostic linchpin, setting the course for managing prostate issues, critical for patient buy-in and clarity.

A 54-year-old has a diagnosis of breast cancer and is tearfully discussing her diagnosis with the nurse. The patient states, 'They tell me my cancer is malignant, while my coworker's breast tumor was benign. I just don't understand at all.' When preparing a response to this patient, the nurse should be cognizant of what characteristic that distinguishes malignant cells from benign cells of the same tissue type?

  • A. Slow rate of mitosis of cancer cells
  • B. Different proteins in the cell membrane
  • C. Differing size of the cells
  • D. Different molecular structure in the cells
Correct Answer: B

Rationale: Malignant breast cancer cells flaunt tumor-specific antigens (e.g., CEA) on their membranes, unlike benign ones from the same tissue think of it as a wanted' sign for the immune system. Mitosis isn't slow it's fast in malignant cells. Size varies, not the defining split. Molecular structure shifts, but membrane proteins are the standout marker. Nurses use this to explain why her cancer's a threat those antigens tag it as invasive, a core oncology lesson for scared patients piecing it together.

Copyright © 2025 Nokea. All rights reserved.