Curious about Actual OMSB Oman Medical Specialty Board (OMSB) Nursing (OMSB_OEN) Exam Questions?

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Asthma Management:

When a patient does not respond to a single controller medication like Fluticasone (a corticosteroid), a step-up in therapy is often required.

Treatment Strategies:

Chest Physiotherapy and Increased Oral Fluid: Helpful but not primary interventions for improving pulmonary function in asthma.

Intravenous Hydrocortisone: Typically for acute severe exacerbations, not chronic management.

Adding Salmeterol (Long-acting Beta Agonist): Combined with an inhaled corticosteroid (ICS), it can improve asthma control by reducing symptoms and preventing exacerbations.

Global Initiative for Asthma (GINA) guidelines

National Heart, Lung, and Blood Institute (NHLBI)

Correct : C

An echocardiogram is a diagnostic test used to detect hypokinetic (reduced movement) and akinetic (no movement) wall motion of the heart and to assess the ejection fraction, which measures the percentage of blood leaving the heart each time it contracts. This test uses ultrasound waves to create images of the heart's structure and function. An electrocardiogram (ECG) records the electrical activity of the heart, angiography visualizes blood vessels, and a stress test evaluates the heart's response to physical exertion.

Correct : D

Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat major depressive disorder. Patients taking MAOIs must avoid foods high in tyramine to prevent hypertensive crises. Parmesan cheese, beef liver, and raisins are high in tyramine and should be avoided. Garlic, fish, egg yolks, milk, peanuts, tomatoes, black beans, and pears do not typically contain high levels of tyramine and are generally safe to consume while taking MAOIs. The dietary restrictions are crucial to preventing dangerous interactions and maintaining patient safety.

Correct : B

Agnosia is the term used to describe a condition where a person is unable to recognize familiar objects, even though their sensory modalities (like vision or hearing) are intact. This can occur after a cerebrovascular accident (stroke) if the part of the brain responsible for processing sensory information is damaged. Apraxia refers to the inability to perform purposeful movements or tasks despite having the desire and physical ability to do so. Aphasia is a condition characterized by the inability to understand or express speech. Anopsia refers to a defect in the visual field.

Correct : C

A history of chlamydial infection is a significant risk factor for ectopic pregnancy. Chlamydia can cause scarring and damage to the fallopian tubes, increasing the likelihood of a fertilized egg implanting outside the uterus. Oral contraceptive usage generally reduces the risk of ectopic pregnancy. The frequency of sexual activity and history of urinary tract infections are not directly related to the risk of ectopic pregnancy. Identifying and understanding these risk factors is essential for appropriate management and prevention strategies.