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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which group of findings suggests fluid overload?
ASwollen ankles, breathlessness, lung crackles and weight gain
BDry mouth, thirst, dark urine and a rapid weak pulse
CLow jugular venous pressure and cool skin
DWeight loss, sunken eyes and a dry mouth
2.سهلة
Which sign is typical of right-sided heart failure?
ASwollen ankles and a raised jugular venous pressure
BA high fever with rigors
CCrackles in both lungs and pink frothy sputum
DPinpoint pupils, drowsiness and a slow breathing rate
3.سهلة
Which of these is a common complication of prolonged bed rest?
ALower risk of pressure ulcers
BIncreased muscle strength
CDeep vein thrombosis
DImproved lung expansion
4.متوسطة
Which advice is important for a patient on long-term oral corticosteroids?
ADouble the dose if a dose is missed
BDo not stop them suddenly
CTake them on an empty stomach at night
DTake them only when symptoms flare
5.متوسطة
Long-term amiodarone treatment can affect which of the following?
AHair colour and nail growth only, with no effect on organs
BThyroid function, the lungs and the skin's sensitivity to sunlight
CThe sense of smell and taste only, with no other effects
DBlood glucose and cholesterol only
6.متوسطة
Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?
AHyperthyroidism
BHypoxia
CHyperventilation
DHypertension
7.صعبة
Why is a patient kept under observation for several hours after successful treatment of anaphylaxis?
AAdrenaline always causes a heart attack hours later
BAntihistamines cause dangerous drowsiness for 24 hours
CThe patient must stay until all allergy tests are complete
DSymptoms can return later in a biphasic reaction
8.صعبة
A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?
AArrange a professional interpreter
BAsk the patient to sign the form without explanation
CLet the child interpret to save time
DUse gestures and proceed
مفتاح الإجابات
1. A · Swollen ankles, breathlessness, lung crackles and weight gain
2. A · Swollen ankles and a raised jugular venous pressure
3. C · Deep vein thrombosis
4. B · Do not stop them suddenly
5. B · Thyroid function, the lungs and the skin's sensitivity to sunlight
6. B · Hypoxia
7. D · Symptoms can return later in a biphasic reaction
8. A · Arrange a professional interpreter
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