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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?
A135–145 mmol/L
B95–105 mmol/L
C3,5–5,0 mmol/L
D2,2–2,6 mmol/L
2.سهلة
The term "bradycardia" in an adult means a heart rate:
AAbove 100 beats per minute
BBelow 60 beats per minute
CThat is irregularly irregular
DBetween 60 and 100 beats per minute
3.سهلة
Pain from gallstones (biliary colic) is typically felt in which area?
AThe lower back on the left, when walking
BThe left lower abdomen, usually after drinking water
CThe right upper abdomen, often after a fatty meal
DBehind the left knee
4.متوسطة
A patient has a fentanyl patch for chronic pain. Which advice is correct?
ACut the patch in half if the pain improves, to lower the dose
BAvoid heat sources such as hot water bottles over the patch
CApply the patch to broken skin for faster effect
DKeep using the old patch with the new one
5.متوسطة
A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?
ATo monitor whether the infection is spreading or improving
BTo show the surgeon exactly where to make the incision
CTo help the patient find the sore area
DTo mark the site for an injection
6.متوسطة
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
AKidney damage and hearing loss
BConstipation and urinary retention
CHyperglycaemia and tremor
DHair loss and weight gain
7.صعبة
A postoperative patient on IV fluids has a sodium of 128 mmol/L and is becoming confused. Which fluid could make this worse if given in large amounts?
A0,9% sodium chloride
BHartmann's solution (similar to lactated Ringer's)
C5% glucose (D5W)
DHuman albumin solution
8.صعبة
مريض بعد جراحة بطنية لم يتبول منذ ثماني ساعات، ولديه انزعاج في أسفل البطن ومثانة مجسوسة. ما المشكلة الأرجح؟
Aجفاف فقط
Bعدوى المسالك البولية دون احتباس
Cإصابة كلوية حادة دون إنتاج للبول
Dاحتباس البول الحاد
مفتاح الإجابات
1. A · 135–145 mmol/L
2. B · Below 60 beats per minute
3. C · The right upper abdomen, often after a fatty meal
4. B · Avoid heat sources such as hot water bottles over the patch
5. A · To monitor whether the infection is spreading or improving
6. A · Kidney damage and hearing loss
7. C · 5% glucose (D5W)
8. D · احتباس البول الحاد
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