Ajuda para tarefas de saúde pública

45. A 26-year-old male patient was presented to an ophthalmic clinic with compliant of burning pain on his eye for two days. On examination; the patient was unable to open the eye and has purulent discharge and lymphadenopathy. What is the most likely type of conjunctivitis the patient developed? (A) Viral (C) Allergic (B) Toxic (D) Bacterial 46. A 24-year-old male patient came to a health center with complaints of itching foreign body and burning sensation of both eyes. The patient reported exudates in the morning, purulent in nature that even makes difficult to open eyes The patient is worried about his condition. What is the priority nursing diagnosis for this patient? (A) Anxiety (C) Impaired mucosal lining (B) Acute pain (D) Disturbed sensory perception 7. A 47-year-old patient was presented to ophthalmic clinic with complaints of difficulty of reading and blurred vision Ophthalmoscopic examination and tonometry revealed significant opacity and increased intra-ocular pressure. What is the most appropriate management for this patient? (A) Surgery (C) Eye irrigation (B) Antibiotics (D) Corrective eyeglasses

12 44. A 67-year-old known diabetic man presents with a complaint of infected foot uleer with purulent discharge. He tried to treat it at home with over the-counter remedies He was not the long-term complications of diabetes mellitus and the prevention measures The physician has made i diagnosis of gangrenous foot and recommended for an amputation. What should be the priority patient expected outcome criteria for this patient? (A) Identifies signs and of hypoglycemia or hyperglycemia (B)technique for insulin injection (C) Demonstrates appropriate knowledge of diet selections (D) Maintains skin integrity and proper foot care BOONLET CODE: 011 45. A 26-year-old male patient was presented to an ophthalmic clinic with compliant of burning pain on his eye for two days. On examination; the patient was unable to open the eye and has purulent discharge and lymphadenopathy. What is the most likely type of conjunctivitis the patient developed? (A) Viral (C) Allergic (B) Toxic (D) Bacterial 46. A 24-year-old male patient came to a health center with complaints of itching foreign body and burning sensation of both eyes. The patient reported exudates in the morning, purulent in nature that even makes difficult to open eyes The patient is worried about his condition. What is the priority nursing diagnosis for this patient? (A) Anxiety (C) Impaired mucosal lining (B) Acute pain (D) Disturbed sensory perception 7. A 47-year-old patient was presented to ophthalmic clinic with complaints of difficulty of reading and blurred vision Ophthalmoscopic examination and tonometry revealed significant opacity and increased intra-ocular pressure. What is the most appropriate management for this patient? (A) Surgery (C) Eye irrigation (B) Antibiotics (D) Corrective eyeglasses SUBJECT CODE: 01

9. A 29 year-old woman came to the OPD with shortness of breath and body swelling of three weeks. On physical examination she has raised JVP, accentuatec P2 and grade IV diastolic murmur at the apex . Which of the following drug delays disease progression? A. Frusemide B. Penicillin e. Enalapril D. Digoxin 10. A 45 year-old male with heart failure is comfortable at rest He develops dyspnea and fatigue to walk to a nearby shop and is forced to rest for five minutes before symptoms improved. What is the stage and functional status of this patient? A. Stage A, Class II B. Stage B, Class Ill C. Sage C, Class IV D. Stage C, Class III 11. A 50 year-old man was found to have a BP=170/100 He has a history of asthma. Which one is the most appropriate drug of choice? A. Atenolol Q. Hydralazine B. Enalapril D. Furosemide

D. Stage C, Class III 11. A 50 year-old man was found to have a BP=170/100 He has a history of asthma. Which one is the most appropriate drug of choice? A. Atenolol Q. Hydralazine B. Enalapril D. Furosemide National Licensing Examination for Health Professionals by NBE July 2015 12. A 40 year-old man presented with fever shaking chills of three days duration. He also has non- productive cough and right-sided pleuritic chest pain. He has no significant past medical history. Physical examination revealed crepitation on the posterior right lower chest.Which one is the best initial investigation to confirm the diagnosis? A. Chest X-ray B. Culture of sputum C. Gram stain of sputum D. White blood cell count 13. A 25 year-old woman who was diagnosed with pulmonary tuberculosis and started anti- tuberculosis treatment two weeks ago is found to be HIV positive on screening On physical examination, she has pale conjunctiva and laboratory investigation shows CD4 count of 100cells/ul. Which one is the most appropriate first line antiretroviral regimen for this patient? A ABC/3TC/NVP A. TDE/3TC/EFV C. AZTI3TC/EFV D. D4T/3TC/NVP 14. A24 year-old man has generalized lymphadenopathy , aphthous ulcers, and gray-white plaques around his scrotum . Dark field microscopic examinatior demonstrates spirochetes Which of the following is the treatment of choice? A. Ceftriaxone Q. Penicillin B. Erythromycin D. Tetracycline 15. A 30 year-old prisoner presents with intermittent fever and headache of two days duration. He claims that three of his roommates had similar symptoms and were treated in the prison .Blood film examination showed a spirochete . Which one of the following is the most appropriate antibiotic choice for this patient? A. Ceftriaxone C. Procaine penicillin B. Ciproflocacillin D. Vancomycin 16. A 20 year-old Imale patient presents with abdominal swelling of three weeks duration. She lives in a rural village where the water source used is river water. Ultrasound examination reveals peri-portal fibrosis Which one of the following is most likely cause for the patient's condition? A. River blindness C. Leishmaniasis B. Ascariasis D. Schistosomiasis

16. A 20 year-old male patient presents with abdominal swelling of three weeks duration She lives in a rural village where the water source used is river water . Ultrasound examinatior reveals peri-porta fibrosis .Which one of the following is most likely cause for the patient's condition? A. River blindness c . Leishmaniasis B . Ascariasis Dr.Schistosomiasis 7. A 22 year-old HIV positive patient who presented with shortness of breath was suspected to have Pneumocystis jiroveci pneumonia but he has no signs of respiratory distress and his CD4 count is 150/mu L .Which of th e following drugs is recommended for this patient? x Co-trimoxazole C . Prednisolone B . Fluconazole D . Pyrimethamine National Licensing Examination ion for Health Professionals by NBE July 2015 18. A60 year-old male had cough for five years with clear sputum production and shortness of breath.He has smoked a pack of cigarettes per day for 20 years Laboratory examination reveals haemoglobin of 19g/dl. X-ray of the chest shows hyperinflation without infiltrates. Which of the following is the most likely diagnosis? A. Bronchial asthma J. Chronic obstructiv e pulmonary disease C. Interstitia l lung disease D . Pulmonary Tuberculosis 19. A 40 year-old alcoholic develops productive cough and fever.Chest x-ray shows an air-fluid level in the superior segment of the right lower lobe Which of the following is the most appropriate pharmacotherapy? A . Ceftazidime and ciprofloxacillin B . Ceftriaxone and gentamycin Metronidazole and crystalline penicillin D . Vancomycin and chloramphenicol 20. A 25 year-old man presents with abdominal pain headache and fever of five days duration. The Health officer suspected the diagnosis of typhoid fever.Which of the following investigations confirms the diagnosis? A. Stool examination B. Blood culture C . Weil-Felix titer D. Widal test 21. A 27 year-old man complains of fever, rigors productive cough with rusty-colou red sputum and pleuritic chest pain .Chest examination reveale d increased tactile fremitus and dullness to percussion in the right lower lung field. What is the most likely diagnosis Lobar pneumonia B Bronchopneumonia s.no C. Lung abscess D. Pleural effusion 22. A. 35 year-old woman presented with trismus for a day She also has shoulder and back pain. She reported that she sustained a puncture over the left foot a week ago She is fully conscious. Which of the following is the most appropriate pharmacotherapy? A . Carbamazepine B.Diazepam c . Phenobarbital D . Phenytoin