2023 OCANZ Nursing Diagnosis Practice Exam With Answers (218 Solved Questions)
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OCANZ Exam With 100% Correct Answers 2023 How many Australians have diabetes? - Correct Answer - 1.7 million What % of diabetes is type 2? 90% - Correct Answer - 90% What is type 1 diabetes? - Correct Answer - Immune mediated destruction of B cells What is type 2 diabetes? B cell dysfunction and insulin resistance - Correct Answer - B cell dysfunction and insulin resistance Who is at risk of type 2 diabetes? - Correct Answer - >40, waist line >80cmF/>94cmM, south Asian or African descent, polycystic ovaries, gestational diabetes, mental illness medication How is type 2 diabetes diagnosed? - Correct Answer - Venous plasma glucose >11.1mmol/l, >7.0mmol/l fasting, HbA1c 48 mmol/mol (6.5%) Nam e diabetic meds types: - Correct Answer - Metformin, Thiazolidenediones (pioglitazone), suplhonylureas (gliclazide), meglitinides, DPP - 4 inhibitors (sitagliptin), glucosidase inhibitors What is prevalence of DR after two decades? - Correct Answer - 100% type 1, 60% type 2 What are the consequences of microvascular occlusion in DR? - Correct Answer - Hypoxia - > IRMA and NV What are the consequences of microvascular leakage in DR? Haems, plasma leakage - > oedema and exudates - Correct Answer - Haems , plasma leakage - > oedema and exudates What is R1? - Correct Answer - Flame, dot haems, singular blot haem What is R2? - Correct Answer - CWS, exudates, IRMA, venous changes, x2 blot haems What is R3? - Correct Answer - NVD, NVW, Rubeosis iridis, pre - retinal haems What are the types of diabetic maculopathy? - Correct Answer - Focal, diffuse, ischaemic, mixed What do you need to provide medicare treatment? - Correct Answer - A provider number Who is a green medicare card for? - Correct Answer - A permanent reside nt or citizen of Australia Whois a blue medicare card for? - Correct Answer - Someone waiting for permanent residence - a temporary medicare card
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What is a RHCA? - Correct Answer - A reciprocal health care agreement card for certified countries When can't medicare benefits be claimed? - Correct Answer - For dispensing and adjustments, rx copies, cosmetic surgery, refractive surgery, vocational tests or tests for sports, tests requested by an employer, driving license tests, when testing a spouse or dependant, post - op aftercare What is code 10905? - Correct Answer - Referred following examination 10910? - Correct Answer - Sight test for px < 65 10911? - Correct Answer - Sight test for px > 65 10912? - Correct Answer - Early test with significant change in visual function 10913? - Correct Answer - Early test with new signs or symptoms 10914? - Correct Answer - Early test progressive disorder 10915? - Correct Answer - Examination of diabetic px 10918? - Correct Answer - Second consultation 0921? - Correct Answer - CL con sultation NOT VALID IF WEARING FOR COSMETIC, WORK, SOCIAL, SPORTING OR PSYCHOLOGICAL PURPOSES 10931 - 10933? - Correct Answer - Domiciliary 10940 and 10941? - Correct Answer - Visual fields testing 10942? - Correct Answer - Low Vision Assessment 10943? - Corre ct Answer - Children's vision assessment aged 3 - 14 10944? - Correct Answer - FB removal What is the standard for Australian / NZ sunglasses? - Correct Answer - AS/NZS 1067 What is the standard mark for welding protection? - Correct Answer - AS/NZS 1338.1 What is the standard mark for filters against UV? - Correct Answer - AS/NZS 1338.2 What is the standard mark for protection against IR radiation? - Correct Answer - 1338.3 What is the minimum a px records should be kept for? - Correct Answer - 7 years or until the age of 25, whichever is the longest Which state quotes a minimum of 10 years? - Correct Answer - Western Australia
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What is the ocular marking HT? - Correct Answer - Heat tempered What is the ocular marking CT? - Correct Answer - Chemically tempered What letters would be on a medium impact device? - Correct Answer - I and F What letters would be on a high impact device? - Correct Answer - V and B What letter would be on an extra high impact devic e? - Correct Answer - A What letters would be on specs for molten metals or hot solids? - Correct Answer - M or 9 What are visual standards for cars and motorcycles? - Correct Answer - Uncorrected VA no worse than 6/12 better eye - license allowed if adequate correction with specs, Corrected VA no worse than 6/24. 110 degrees horizontally with 10 degrees above and below midline, scotoma within 20 degrees of fixation What are the visual standards for a HGV? - Correct Answer - Uncorrected VA is worse than 6/9 in b etter eye or 6/18 either eye - conditional license if correctable. Visual field 140 degrees within 10 degrees above and below the midline, no field loss/scotoma, hemianopia, quadrantanopia likely to impede driving What are the visual standards for a train driver? - Correct Answer - Can't be worse than 6/9 in best eye, can't be worse than 6/18 either eye. No visual field defect, not monocular, normal colour vision, no diplopia What are the visual standards for an electrician? - Correct Answer - Adequate colour vision - anomalous colour vision may be acceptable, D15 test. What are category A conditions for firefighters? - Correct Answer - BCVA less than 6/9 binocularly, less than 6/18 either eye, uncorrected distance less than 6/36 binocularly, BC NVA less than N 5, visual fields less than 120 degrees in the horizontal field each eye, protan defect, significant deutan defect, retinal detachment, diplopia, night blindness, corneal scarring, monocular vision What are category B conditions for firefighters? - Correct Answer - Mild deutan defect, cataracts, progressive or recurring eye disease What are visual standards for the police? - Correct Answer - May need good colour vision and no refractive surgery - needs referring to specialist if either of these criteria met If an occupational patient fails ishihara what is the next step? - Correct Answer - Occupational lantern test What are the visual standards for the armed forces? - Correct Answer - MRV1, MRV2, MRV3 Wha t are the standards in MRV1? - Correct Answer - Unaided 6/12, aided 6/6, no greater than 6PD horizontal, 1PD vertical
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What are the standards for MRV2? - Correct Answer - Unaided 6/24, aided 6/9, rx - 1.00 to +2.25 no greater than 1DC, no greater than 6PD horiz ontal or 1PD vertical What are the standards for MVR3? - Correct Answer - Unaided 3/60 Aided 6/12, up to +/ - 7.00D What are the standards for a pilot? - Correct Answer - 6/9 corrected, 6/6 or better when tested with both eyes, no greater than +/ - 5D, N5 with correction, N14 without correction What level of amblyopia is significant? - Correct Answer - 0.1 or more logMAR, greater than 1 line snellen, What is the expected VA of a 2 year old? - Correct Answer - 6/12 - 6/9 with Cardiff Cards or SG What is the expected VA of a 1 year old? - Correct Answer - 6/18 Cardiff/Keeler What is the expected VA of a 6 month old? - Correct Answer - 6/36 - 6/30 Keeler or Cardiff What is the expected VA of a 3 month old? - Correct Answer - 6/90 - 6/60 When would you prescribe the full rx to a child? - Correct Answer - Reduced likelihood of emmotropisation children with Down Syndrome / Cerebal Palsy. Strabismus. Previous spec wear chance to adjust to rx. What is the equation for back vertex distance? - Correct Answer - Fc = F/(1 - dF) What bifocal seg is best for myopes and why? - Correct Answer - D segs as induce less jump What bifocal seg is for hypermetropes and why? - Correct Answer - Round segs, less prismatic effect at near What sizes are D segs available in? - Correct Answer - 25,28, 35,40,45 What size are R segs available in? - Correct Answer - 22,24,25,28,30,38,40,45 What is the equation for calculating inset? - Correct Answer - Mono distance CD - mono near CD What is the equation for calculating different sized round segs? - Correct Answer - D1 - D2 = 2xdp/add What is slab off? - Correct Answer - Removes base down prism from the lower part of the more negative lens. Name 7 types of eye protection. - Correct Answer - Eyecup goggles, eyeshield, faceshield, safety clip ons, spectacle eye prote ctor, wide vision goggle, wide vision spectacles What is the LTF of grade 0 tinted specs? - Correct Answer - 80% - 100% What is the LTF of grade 1 tinted specs? - Correct Answer - 43% - 80%
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