PNCB Certification Problem Solving Exam Questions and With Distinction level Marking scheme updated 2023/2024
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Course
PNCB
Institution
PNCB
PNCB Certification Problem Solving Exam Questions and With Distinction level Marking scheme updated 2023/2024
What is true when using avoidance as a method of conflict resolution?
A) results in pursuing one's own goals at expense of another
B) results in meeting the goals of the other person
...
PNCB Certification Problem Solving Exam
Questions and With Distinction level Marking
scheme updated 2023/2024
What is true when using avoidance as a method of conflict
resolution?
A) results in pursuing one's own goals at expense of another
B) results in meeting the goals of the other person
C) it does not address the conflict
D) effective when individuals are of equal power - correct
answer
C) it does not address the conflict, only postpones it
Wrong answers:
A) this is competition
B) this is accommodation
D) this is compromise
What is most likely cause of seizures?
A) hypokalemia
B) hyponatremia
C) hypocalcemia
D) hypomagnesemia - correct answer
B) in newborn w/o fever, hyponatremia = most common cause for
seizure
- water intoxication is most common cause of hyponatremia
during infancy (unable to concentrate urine adequately)
,Wrong answers:
A) uncommon in infancy & does not typically cause seizures
C) possible, but would be more likely if mom was diabetic, baby
was preterm or had hx of anoxic enceph
D) possible, but even less likely than hypocalcemia
Historical Background:
- 5 yo w/daily fevers q evening
- flat rash on trunk comes and goes, lasting a few hours
- child c/o jt pains & often limps
- less energy than normal
- mom says she looks ill
What is this most consistent with?
A) polyarticular jia
B) oligoarticular jia
C) systemic jia
D) psoriatic arth - correct answer
C) often presents w/ill appearing child w/chronic daily fevers and
a fleeting evanescent rash
-- often arthralgias & myalgias, but may delayed years
Wrong answers:
A) polyarticular jia = 5+ jts w/in 1st 6 mo, wt bearing jts often
affected w/some systemic involvement; ana is positive
,B) oligoarticular/pauciarticular jia = 4 or fewer jts, often large wt
bearing jts --> flexion contractures; no systemic involvement; ana
can be positive if uveitis present
D) psoriatic arthritis - monoarticular & precedes rash; pitting
nails, sacroilitis, and tenosynovitis
Historical Background:
- pt in alcohol withdrawal
How do you communicate with this pt?
A) cheerful tone & humor
B) short sentences & matter of fact manner
C) loud voice to ensure pt can hear
D) full explanations in a soft voice - correct answer
B) pt may be disoriented & anxious
Wrong answers:
A) leads pt to feeling like the staff member is laughing at him,
which may lead to withdrawal
C) loud tone of voice makes pt feel as though he's being yelled at
or chastised
D) typically these pts can't follow extensive explanations, so keep
sentences short & to the point
Historical Background:
- 10yo male w/constitutional growth delay
Kid asks, "when will i be as tall as my dad?"
, A) eventually, you'll hit a growth spurt
B) little chance you'll be as tall as your dad
C) unsure what final height will be, but should be less than dad
D) eat well, otherwise you'll always be short - correct answer
A
What % of adolescents who commit suicide suffered from
associated psychiatric disorder at the time of their death?
A) 90%
B) 75%
C) 50%
D) 30% - correct answer
A) 90%
Preceding stressful events include romantic breakups,
school/legal probs, & death in the family
Historical Background:
Gi = n/v/ab pain
Renal = diabetes insipidus
Neuro = tremor, ataxia, coma
Most effective tx for this type of poisoning?
A) activated charcoal
B) sodium bicar
C) glucagon
D) hemodialysis - correct answer
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