more AKT Questions

1. A Theatre nurse in the local hospital presented to you several weeks ago stating that he fell into an at-risk category for HIV infection. After counselling, you arrange a test. This has now come back positive. You discuss with him the physical and social implications of the condition and how it will be managed. He states very clearly that he does not wish his employer to know. You explain the difficulties this may place on your professional obligation to maintain patient confidentiality. In this regard, what is the single, most appropriate action to take?

a ) You ask him to inform the Occupational Health Dept.
b ) You inform, anonymously, the Occupational Health Dept.
c ) You agree to review the issue after an interval.
d ) You inform, openly, the Occupational Health Dept.
e ) You agree to disclose the issue to no-one.

Answer: D

If you know, or have good reason to believe, that a medical colleague or a health care worker who has, or may have, a serious communicable disease, is practising, or has practised, in a way which places patients at risk, you must inform an appropriate person in the health care worker's employing authority, for example an occupational health physician, or where appropriate, the relevant regulatory body.

2. OPTIONS:
a ) Autistic spectrum disorder
b ) Cerebral palsy
c ) Developmental dyspraxia
d ) Dyscalculia
e ) Dysgraphia
f ) Dyslexia
g ) Fragile X syndrome

INSTRUCTIONFor each of the patients below, select the single most likely diagnosis from the list above. Each option can be used once, more than once or not at all.

1 . A father consults you with his 8 year old son. He says that the boy has trouble putting thoughts on paper and writes with inappropriately sized and spaced letters. He has spelling difficulties although he seems to know verbally how to spell the words. He seems to have no difficulty reading. He is interested in sports and has lots of friends.
a . The Correct answer is e.

2 . A young couple attend the surgery to discuss their 6 year old son. They are clearly distressed and are finding their son difficult to cope with. He plays on his own and does not interact well with his peer group. He is not interested in stories and has a habit of repeating what is said.

a . The Correct answer is a.


3 . A young single mother brings her 9 year old son to your surgery. She has noticed that he is poor at games and is getting a hard time at school. He knocks into things and has difficulty with buttons when dressing. He has some difficulty with sounding words and has poor handwriting.

answer C