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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does a peak flow meter measure?
AThe fastest rate at which a person can blow air out
BThe oxygen level in the blood during a deep breath
CThe number of breaths per minute
DThe total amount of air the lungs can hold
2.سهلة
أي دواء يعكس تثبيط التنفس الناجم عن الأفيونات؟
Aفلومازينيل
Bفيتامين K
Cنالوكسون
Dأتروبين
3.سهلة
يصف مصطلح "التغوط الأسود" (melaena):
Aدم أحمر قانٍ ممزوج بالقيء أو البلغم
Bبراز شاحب بلون الطين
Cبول أصفر داكن
Dبراز أسود قطراني كريه الرائحة
4.متوسطة
Which is a recognised risk factor for postoperative nausea and vomiting?
AA short operation under local anaesthetic
BBeing a smoker
CBeing male
DUse of opioids after surgery
5.متوسطة
Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?
ADelays can quickly worsen rigidity, immobility and swallowing
BLate doses cause dangerous high potassium
CEarly doses cause severe low blood glucose and sweating attacks
DThe drug only works if taken at midnight
6.متوسطة
Which advice should be given to a patient with a new permanent pacemaker?
AStop all heart medicines straight away
BNever raise the arm on that side again
CTell staff about the pacemaker before any MRI scan or procedure
DAvoid using all household electrical appliances such as kettles
7.صعبة
Why can pulse oximetry be misleading in carbon monoxide poisoning?
AStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
BThe oximeter overheats in smoke-exposed patients
CCarbon monoxide makes the oximeter read zero even in a well patient
DCarbon monoxide only affects the heart rate reading
8.صعبة
An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO2 is now 100% and stable. What should be done?
AKeep the oxygen at 15 L/min for at least a week to be on the safe side
BReduce the oxygen to keep the SpO2 within the prescribed target range
CIncrease the oxygen further to build up a reserve
DStop the oxygen and the saturation monitoring because the patient is now well
مفتاح الإجابات
1. A · The fastest rate at which a person can blow air out
2. C · نالوكسون
3. D · براز أسود قطراني كريه الرائحة
4. D · Use of opioids after surgery
5. A · Delays can quickly worsen rigidity, immobility and swallowing
6. C · Tell staff about the pacemaker before any MRI scan or procedure
7. A · Standard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
8. B · Reduce the oxygen to keep the SpO2 within the prescribed target range
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