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Question 61

UP NHM CHO 2022• Domain Specific

In an in-patient psychiatric unit, the nurse helps the patient practice various techniques of assertive communication and gives positive feedback for attempting improve passive-aggressive interactions. This interaction would occur in which of the nurse-patient relationship?

  1. AOption (a)

    Pre-interaction phase

  2. BOption (b)

    Introductory phase

  3. COption (c)

    Termination phase

  4. DOption (d)

    Working phase

View answer & explanation

Correct answer

Answer: (d)D.

Working phase

Why this answer is correct

Concept-

The orientation (Pre-interaction phase) phase-

  • It involves creating an environment that instils trust and rapport. Another task at this stage involves establishing a contract for the intervention that details the expectations and responsibilities of the nurse and client. In this example, the client has built the necessary trust and rapport with the nurse.
  • The client now feels comfortable and is ready to acknowledge the problem and contract for intervention.
  • Goal: Establish trust and draw up a contract for intervention.

Working phase-

  • The work phase includes fostering customer insight and perception of reality, problem-solving, overcoming resistant behaviour, and continuously evaluating progress toward goal achievement.
  • In this instance, the client works towards better communication and is guided and encouraged by the nurse with positive feedback.
  • Goal: To drive customer change.

Termination phase-

  • The termination phase occurs when progress has been made toward the achievement of mutually set goals, a plan for continued care is mutually established, and feelings about termination are recognized and explored.
  • In this instance, the nurse must establish the reality of the separation and resist repeated delays by the client due to dependency needs.
  • Goal: Evaluate goal achievement and ensure therapeutic completion.

Question 62

UP NHM CHO 2022• Domain Specific

A nurse plans to show a patient a stretching exercise. What is the best time to perform these exercises?

  1. AOption (a)

    immediately after lunch

  2. BOption (b)

    When there are visitors in the patient's room

  3. COption (c)

    When the patient says he doesn't have pain

  4. DOption (d)

    When the patient is ready to express his current stressors

View answer & explanation

Correct answer

Answer: (c)C.

When the patient says he doesn't have pain

Why this answer is correct

Concept-

  • Stretching increases flexibility and enables the joints to move freely. Stretching is very important to increase the flexibility and movement of the body and protect it from injury.
  • Incorporating stretching into a routine is just as important as doing regular workouts. Even if you go to the gym regularly, do stretching, this will give relaxation to the muscles.

Important Points

  • Muscles can be stretched at any time during the day. Just make sure that there should be some space for your arms and legs to spread completely.
  • Stretching can also be done when you wake up or before going to sleep or during the break available during work.
  • Yogasanas or Surya Namaskar is also better stretchings, which involve a complete series of very simple but synchronous movements. Through this, stretches are done in a very balanced manner and can give a good start to the workout.
  • You can also include some warm movements with stretching before a workout, but one thing to note is that when the patient says that he is not in pain yet, then stretching exercises prove to be appropriate.
  • Stretching after heavy exercises such as weight training or running helps to relax the muscles.

Question 63

UP NHM CHO 2022• Domain Specific

After abdominal surgery, a patient is admitted to the surgical ward. He has an intra-permanent urinary catheter connected to a drainage bag. After 3 days of admission, the nurse noticed that the patient's urine was cloudy and had a temperature of 102°F. The nurse suspects that the patient may have a nosocomial infection. Which of the following refers to nosocomial infection?

  1. AOption (a)

    contamination by water

  2. BOption (b)

    infection in home environment

  3. COption (c)

    infection during hospital stay

  4. DOption (d)

    polluted air infection

View answer & explanation

Correct answer

Answer: (c)C.

infection during hospital stay

Why this answer is correct

Concept-

  • Catheterization is basically the process of inserting a catheter into a body cavity to allow the body fluids to exit the body.
  • There are two types of procedures – cardiac catheterization (where a catheter is inserted into the heart through a vein in the arm to diagnose heart problems) and urinary catheterization (where a catheter is inserted into the bladder through the urethra to help diagnose heart problems). urine out).
  • Urine drainage bags collect urine. The drainage bag will connect to a catheter (tube) inside your bladder. The reason you have a catheter and urinary drainage bag is if you have urinary incontinence, urinary retention, a surgery that required a catheter, or another health problem.
  • A hospital-acquired infection, also known as a nosocomial infection, is an infection that is acquired in a hospital or other health care facility.

The Centers for Disease Control and Prevention broadly classifies the types of hospital-acquired infections as follows:

  • Central Line-Associated Bloodstream Infection (CLABSI)
  • Catheter-associated urinary tract infection (CAUTI)
  • surgical site infection (SSI)
  • Ventilator-associated pneumonia (VAP)

Important Points

  • Cloudy urine can be caused by many different medical conditions, ranging from relatively benign to severe. These conditions can include dehydration, urinary tract infections, sexually transmitted infections, kidney stones, diabetes, and others.
  • Catheter-associated urinary tract infections occur when germs enter and infect the urinary tract through a urinary catheter. This can happen upon insertion, if the drainage bag is not emptied adequately, bacterial contamination from bowel movements, irregular cleaning, and if urine from the catheter bag flows backwards into the bladder.

Question 64

UP NHM CHO 2022• Domain Specific

An 18-year-old boy came with an injury from falling off a cycle. The doctor diagnose muscle or tendon injury. What is actual medical term of this trauma?

  1. AOption (a)

    Rupture

  2. BOption (b)

    Laceration

  3. COption (c)

    Sprain

  4. DOption (d)

    Strain

View answer & explanation

Correct answer

Answer: (d)D.

Strain

Why this answer is correct

Concept-

  • A muscle strain is an injury to a muscle or tendon the fibrous tissue that connects muscles to bones. Minor injuries may only aggravate a muscle or tendon, while more severe injuries may involve partial or complete tears in these tissues.
  • Sometimes called pulled muscles, strains usually occur in the lower back and the muscles in the back of the thigh (hamstrings).
  • The difference between a strain and a sprain is that a strain injures a muscle or band of tissue that connects a muscle to a bone, whereas a sprain injures the band of tissue that connects two bones together. connects together.

Important Points

  • Acute Strain can be caused by an event, such as a fall, using poor body mechanics to lift something heavy. When muscles are stressed by performing the same motion over and over, chronic muscle strain can result from repeated injuries.

Additional Information

  • Rupture: A break or rupture of an organ or soft tissue or Rupture is an instance where something bursts or breaks suddenly. An example of a rupture is a condition where an artery has suddenly opened.
  • A Laceration or cut refers to a wound to the skin. Unlike friction, no skin disappears. A cut is usually thought of as a wound caused by a sharp object like a piece of glass.
  • A sprain is a stretching or tearing of a ligament. The most common place for a sprain is in your ankle. Initial treatment includes rest, ice, compression and elevation.

Question 65

UP NHM CHO 2022• Domain Specific

Which of the following anatomical directions indicates that the position of the knee cap is on the anterior side of the leg?

  1. AOption (a)

    Dorsal

  2. BOption (b)

    Proximal

  3. COption (c)

    Distal

  4. DOption (d)

    Ventral

View answer & explanation

Correct answer

Answer: (d)D.

Ventral

Why this answer is correct

Concept-

  • The anatomical terms of location are important for understanding and using anatomy. They help to avoid any ambiguity that may arise when describing the location of structures.
  • Patella (ventral view) is also known as the kneecap. It sits in front of the knee joint and protects the joint from damage.
  • It is the largest sesamoid bone in the body and is located within the quadriceps tendon.
  • The kneecap is an example of a bone we are all familiar with, and which has an important functional role.
  • In general, ventral refers to the front of the body, and dorsal refers to the back. These words are also known as anterior and posterior respectively.
  • The patella is a thick, flat, triangular bone with the top facing down. The bone has a medial and lateral border, as well as a base that is proximal.

Anterior refers to the 'front', and posterior refers to the 'back'. To put it in context, the heart is behind the sternum as it is located behind it. Similarly, the sternum is in front of the heart as it is in front of it.

Example

  • The pectoralis major is in front of the pectoralis minor.
  • The triceps are behind the biceps brachii.
  • The patella is located anteriorly in the lower limb.

Important Points

TypeSesamoid bone
LocationWithin the quadriceps tendon, anterior to the knee joint
PartsApex (pointing inferiorly), medial and lateral borders, base (lies proximally)
FunctionAids with knee extension allow for smooth movement during knee flexion/extension, protect the anterior surface of the knee joint
Blood supplySuperior lateral and medial, inferior lateral and medial, descending and anterior genicular arteries

Question 66

UP NHM CHO 2022• Domain Specific

Where are the fibroblasts found in the skin?

  1. AOption (a)

    Subcutaneous tissue

  2. BOption (b)

    Dermis

  3. COption (c)

    Epidermis

  4. DOption (d)

    Hypodermis

View answer & explanation

Correct answer

Answer: (b)B.

Dermis

Why this answer is correct

Concept-

  • A fibroblast is a type of cell that contributes to the formation of connective tissue, a fibrous cellular material that supports and connects other tissues or organs in the body.
  • Fibroblasts secrete collagen proteins that help maintain the structural structure of tissues. They also play an important role in the healing of wounds.
  • Obtained from a person through a simple skin biopsy, fibroblasts can be grown in the laboratory for use in that person's genetic and other scientific studies.

Important Points

  • Fibroblasts are a specific type of connective tissue cell found in our skin and in our tendons. And in our genetics research, it's especially important because it's a type of cell that we can easily collect from people to grow in the lab.
  • The dermis is a connective tissue layer sandwiched between the epidermis and subcutaneous tissue. The dermis is a fibrous structure composed of collagen, elastic tissue, and other extracellular components that include the vasculature, nerve endings, hair follicles, and glands.
  • Fibroblasts are the primary cells within the dermis, but histiocytes, mast cells, and adipocytes also play an important role in maintaining the normal structure and function of the dermis.

Three layers of tissue make up the skin:

  • Epidermis, the top layer.
  • The dermis is the middle layer.
  • The hypodermis is the bottom or fatty layer.

Question 67

UP NHM CHO 2022• Domain Specific

How many tracheal cartilages are there in the human body?

  1. AOption (a)

    16-20

  2. BOption (b)

    15-20

  3. COption (c)

    15-18

  4. DOption (d)

    16-19

View answer & explanation

Correct answer

Answer: (a)A.

16-20

Why this answer is correct

Concept-

  • The trachea also known as the windpipe is a 10–11 cm long fibrocartilaginous tube of the lower respiratory tract.
  • It forms the trunk of the tracheobronchial tree or pulmonary conducting zone.
  • The trachea extends between the larynx and the thorax, consisting of two parts; Cervical and thorax. It ends at the level of the sternum angle (T5) where it divides into two main bronchi, one for each lung.
  • Each main bronchus drains into smaller intrapulmonary bronchi which supply air to the various pulmonary lobes and segments.
  • The main function of the trachea is to move air in and out of the lungs during the process of breathing. In addition, it protects the respiratory tract by heating and moistening the air and pushing it upwards towards the pharynx to expel foreign particles.

Important Points

StructureAnterolaterally: 16-20 tracheal cartilages
Posteriorly: Tracheal muscle
LimitsSuperior: inferior end of the larynx (cricoid cartilage and level of vertebra C6)
Inferior: tracheal bifurcation (level of sternal angle and upper border of vertebra T5)
Blood supplyArterial: tracheal branches of inferior thyroid artery
Venous: inferior thyroid venous plexus
Lymphatic drainagePretracheal nodes
Paratracheal cervical and thoracic lymph nodes
InnervationPulmonary plexus
FunctionsAir transport in and out of the lungs; protection
Clinical pointsTracheomalacia

Question 68

UP NHM CHO 2022• Domain Specific

Which of the following nerves innervates the orbicularis oris muscle of the eye?

  1. AOption (a)

    Oculomotor

  2. BOption (b)

    Trochlear

  3. COption (c)

    Abducens

  4. DOption (d)

    Facial nerve

View answer & explanation

Correct answer

Answer: (d)D.

Facial nerve

Why this answer is correct

Concept-

  • The cranial nerves originate from the brainstem of the central nervous system. These nerves control almost all the functions of the body. There are thirteen cranial nerve pairs in the human body.
  • The orbicularis oris muscle, also known as the musculus orbicularis oris, is a complex, multi-layered muscle that attaches to the dermis of the upper lip and lowers lip via a thin, superficial musculoaponeurotic system and is a link to many other surrounding facial muscles. Acts as an attachment site. oral area.
  • This muscle can be thought of as a single muscle anatomically, but functionally it is made up of different parts that act either independently or in conjunction with other facial muscles. It has neither bone nor soft origin.

Important Points

  • The orbicularis oculi are innervated by the seventh cranial nerve, the facial nerve.
  • The orbicularis orbicularis is not a simple sphincter muscle like the orbicularis oculi; It consists of several layers of muscle fibres around the mouth opening, but in different directions.
  • It consists partly of fibres derived from other facial muscles that are inserted into the lips, and partly of the fibres proper to the lips. Of the first, a considerable number are derived from the buccinator and form the deep layer of the orbicularis.

Question 69

UP NHM CHO 2022• Domain Specific

In which of the following does the trachea divide at the point of the carina into the right and left primary bronchi?

  1. AOption (a)

    2nd thoracic vertebra

  2. BOption (b)

    5th thoracic vertebra

  3. COption (c)

    3rd thoracic vertebra

  4. DOption (d)

    4th thoracic vertebra

View answer & explanation

Correct answer

Answer: (b)B.

5th thoracic vertebra

Why this answer is correct

Concept-

  • The trachea is a hollow and tube-like structure that runs from the larynx, or voice box, to the bronchi and the passageways that connect the trachea to the lungs.
  • The average length of the trachea is about 11.8 cm, and the trachea of the male is usually longer than that of the female.
  • The trachea is also lined with tiny hair-like structures called cilia. These help in expelling mucus or pathogens from the trachea.
  • A person then swallows or spits out the mucus.
  • The primary function of the trachea is to transport and transport air to the lungs. Without a trachea, a person would not be able to breathe.

Important Points

  • The trachea (windpipe) divides into two main or primary bronchi, the left and right, at the level of the sternum angle and higher or lower to the 5th thoracic vertebra or two vertebrae, depending on the breath, the carina of the trachea at the anatomical point.
  • The alveolus is an anatomical structure that has the form of a hollow cavity.

Question 70

UP NHM CHO 2022• Domain Specific

During the process of cell translation, which strand of the ribosome moves simultaneously and produces a new protein?

  1. AOption (a)

    rRNA

  2. BOption (b)

    dsRNA

  3. COption (c)

    tRNA

  4. DOption (d)

    mRNA

View answer & explanation

Correct answer

Answer: (d)D.

mRNA

Why this answer is correct

Concept-

  • In biology, the process by which a cell makes proteins using genetic information in messenger RNA (mRNA). mRNA is made by copying DNA, and the information it carries tells the cell how to link amino acids together to make proteins.
  • Transcription and translation are processes that the cell uses to make all the proteins the body needs from the information stored in the sequence of bases in the DNA. The four bases are the building blocks of DNA and RNA.
  • During translation, proteins are made using the information stored in the mRNA sequence.
  • The mRNA attaches to a structure called a ribosome that can read genetic information. As mRNA passes through the ribosome, another type of RNA called transfer RNA (tRNA) contains a protein building block in the ribosome called an amino acid.

Additional Information

  • During transcription, a piece of DNA that codes for a specific gene is copied into messenger RNA (mRNA) in the cell's nucleus.
  • The mRNA then holds the genetic information from the DNA to the cytoplasm, where translation occurs.
  • A long chain of amino acids appears as the ribosome decodes the mRNA sequence into a polypeptide or a new protein.
  • Messenger RNA (mRNA), is the molecule in cells that carries code from DNA in the nucleus to sites of protein synthesis in the cytoplasm (ribosomes).