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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is a transient ischaemic attack (TIA)?
AA permanent stroke caused by bleeding into the brain
BA heart attack affecting the brain
CShort-lived stroke-like symptoms that resolve completely
DA type of migraine with no risk of stroke
2.سهلة
In palliative care, a syringe driver is used to:
ADrain fluid from the lungs
BMeasure blood glucose continuously
CGive a single fast intravenous injection when symptoms flare up suddenly
DGive a continuous subcutaneous infusion of medicines, often over 24 hours
3.سهلة
How should nursing records be written?
AIn pencil so that mistakes can be rubbed out
BAccurately and as soon as possible after the event, with date, time and signature
CUsing personal abbreviations that only the nurse who wrote them understands
DAt the end of the week, written from memory in one go to save time
4.متوسطة
A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?
APericarditis
BRheumatic fever
CInfective endocarditis
DMyocardial infarction
5.متوسطة
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
ASodium
BChloride
CMagnesium
DPhosphate
6.متوسطة
A very anxious patient breathes rapidly for a long period. Which change is expected?
ARespiratory alkalosis from a low PaCO2
BMetabolic alkalosis from vomiting
CMetabolic acidosis from a low bicarbonate
DRespiratory acidosis from a high PaCO2
7.صعبة
Which type of drug is commonly used to treat neuropathic pain?
ASome anticonvulsants or antidepressants, such as gabapentin
BProton pump inhibitors such as omeprazole
CAntihistamines such as cetirizine
DAntibiotics such as amoxicillin, given as a long course
8.صعبة
How should pain be assessed in a patient with advanced dementia who cannot describe it?
ABy assuming the patient has no pain unless they are crying out or calling for help
BWith an observational pain tool that scores facial expression, behaviour and body language
CBy checking the blood pressure only
DBy asking the patient to rate their pain on a numerical scale from 0 to 10
مفتاح الإجابات
1. C · Short-lived stroke-like symptoms that resolve completely
2. D · Give a continuous subcutaneous infusion of medicines, often over 24 hours
3. B · Accurately and as soon as possible after the event, with date, time and signature
4. C · Infective endocarditis
5. C · Magnesium
6. A · Respiratory alkalosis from a low PaCO2
7. A · Some anticonvulsants or antidepressants, such as gabapentin
8. B · With an observational pain tool that scores facial expression, behaviour and body language
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