Hälsa och Samhälle Institutionen för Vårdvetenskap Kod nr----------------------- TENTAMEN KURS OM141A Delområde: Barn och ungdomars hälsa och ohälsa Hjälpmedel: Inga Frågorna är konstruerade så att du måste begränsa dina svar. Du redovisar på angivet skrivutrymme och det är beräknat att räcka till respektive fråga. Men skulle du behöva mer skrivutrymme så finns det extra papper att använda. Du skriver med bläckpenna och skriv din kod på varje sida av tentamen. Max Poäng: 43 poäng Väl godkänd: 37 poäng Godkänd: 29 poäng Examinator: Elisabeth Mangrio Fråga 1: Barn med typ 1 diabetes kan inledningsvis vid insjuknandet få en partiell remission. (Totalt 4 poäng) a)Förklara vad detta tillstånd innebär; (3 poäng) b)Hur länge kan denna period vara; (1 poäng) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________________________ Fråga 2: Många spädbarn lider av sömnproblem. (Totalt 6 poäng) a)Redogör för 3 medicinska tillstånd som kan orsaka sömnproblem hos spädbarn; ( 3 poäng) b)Redogör för råd som kan ges till föräldrar som har spädbarn med sömnproblem; (3 poäng) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fråga 3. Det finns en mängd medicinska tillstånd som leder till avvikande längd eller vikt. Ange tre sådana tillstånd; (Totalt 3 poäng) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ __________________________________________________________________________ Fråga 4: Magdalena är 16 månader och har precis fått en nykokt kopp kaffe över hela sin kropp. Beskriv lämpliga akuta åtgärder för att lindra brännskadan hos barnet; (Totalt 3 p) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fråga 5: : Lisa 7 år inkommer på barnakuten med 40 graders feber. Lisa har under hela dagen haft kraftig huvudvärk samt verkat slö och trött. Hon har nyligen kräkts och har svårt att böja nacken. ( Totalt 4 poäng) a)Redogör för trolig diagnos; ( 2 poäng) b)Redogör för lämplig behandling vid denna diagnos; ( 2 poäng) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________ Fråga 6: Astma är en av de vanligaste kroniska sjukdomarna bland barn och en ökad förekomst av astma kan ses i många länder. (Totalt 5 p) a) Nämn 4 symtom som kan ses hos barn med astma; (2 p) b)Vilka medicinska åtgärder är lämpliga då ett barn får ett akut astmaanfall; (3 p) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________ Fråga 7: Mohammed är 13 år och har diabetes typ 1. Han använder en insulinpump och under en natt råkar nålen till pumpen åka ut och Mohammed börjar få ont i magen och må illa. Vid kontroll på vårdcentralen upptäcks en insulinbrist. (Totalt 6 p) a)Redogör för 3 symtom vid insulinbrist förutom magont och illamående; (3 p) b) Redogör för behandling vid insulinbrist; (3 p) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________________________ Fråga 8: Vid ADHD är ett av kärnsymtomen ”Uppmärksamhet och koncentrationssvårigheter”. Redogör för 4 sätt som detta kan ta sig uttryck hos ett barn i skolan eller på fritiden; (Totalt 4 poäng) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _______________________________________________________________ Fråga 9: 5-6 % av alla tonåringar drabbas utav depression. Hur kan depression yttra sig hos tonåringar?( Totalt 4 poäng) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________ Fråga 10: Spädbarn kan drabbas utav kolik. Totalt 4 poäng a) Vid vilken ålder brukar vanligtvis spädbarn drabbas av kolik; ( 1 p) b) Vilken behandling och omvårdnad kan rekommenderas vid kolik. (3 p) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________