Nokea
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.
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Set in motion and continue the trajectory projection and scheme' is a goal of management in which of the following trajectory phases?
- A. Pretrajectory
- B. Onset
- C. Comeback
- D. Downward
Correct Answer: C
Rationale: Comeback phase kicks plans alive sustaining chronic care's path, not preventing, starting, or adapting decline. Nurses steer this, a rebound's drive.
In which ethnic group are people over 35 years advised to have their blood glucose levels checked because of the risk of type 2 diabetes?
- A. Creoles
- B. Hindu
- C. Moroccans
- D. Turks
Correct Answer: B
Rationale: Hindus over 35 South Asian risk rockets type 2, outpacing others' odds. Nurses screen this, a chronic ethnic flag.
The nurse is caring for a patient with left-sided lung cancer. Which finding would be most important for the nurse to report to the health care provider?
- A. Hematocrit of 32%
- B. Pain with deep inspiration
- C. Serum sodium of 126 mEq/L
- D. Decreased breath sounds on left side
Correct Answer: C
Rationale: Lung cancer can spark SIADH sodium at 126 risks seizures, outpacing anemia , pleuritic pain , or expected breath loss . Nurses in oncology report this low sodium's a metabolic emergency, needing swift fix.
Mr Soh, a 40-year-old accountant on allopurinol 200 mg OM for the past eight months, reports two recent gout attacks in the past year. He has no other known past medical history. When you probe, he is adherent to allopurinol except for missing it perhaps once or twice a month. His BMI 25 kg/m², BP 144/94 mm Hg. His last uric acid was one month ago, which was 405 mmol/L. He is having a gout attack now. He tells you that his gout attacks are usually aborted with colchicine TDS for two days. Whilst on colchicine, he does not experience diarrhoea except for one episode of loose stools, after which he stops colchicine. Which is the most appropriate next step?
- A. Start Hydrochlorothiazide for hypertension
- B. Start Losartan for hypertension
- C. Stop Allopurinol during this acute gout attack and start colchicine. Consider checking a baseline creatinine if not recently available
- D. Continue allopurinol at 200 mg OM despite the attack and start colchicine. Consider checking an updated uric acid level and creatinine two weeks after the attack resolves. If uric acid is >360, explain that allopurinol 200 mg OM is insufficient and needs to be up titrated
Correct Answer: D
Rationale: Gout mid-attack 405 uric acid on 200 mg allopurinol says it's not enough. Keep it rolling, add colchicine to quash the flare, then recheck labs post-calm to titrate up if >360. Stopping allopurinol spikes urate; HCTZ worsens gout; Losartan's fine but sidesteps; upping now risks confusion. Clinicians stick this path, steering chronic control smart.
Which ONE of the following is NOT a diagnostic criterion for Kawasaki's disease?
- A. fever for 5 days
- B. bilateral non purulent conjunctivitis
- C. generalised lymphadenopathy
- D. polymorphous rash
Correct Answer: C
Rationale: Kawasaki fever, eyes, rash, hands fit; lymph's one node, not general. Nurses count this chronic five, not six.