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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the normal pH range of arterial blood?
A7,00–7,10
B6,85–6,95
C7,55–7,65
D7,35–7,45
2.سهلة
أي علامة تشير إلى الجفاف لدى البالغ؟
Aزيادة الوزن خلال يومين
Bتورم الكاحلين وخراخر في الرئتين وارتفاع الضغط الوريدي الوداجي
Cفم رطب وبول فاتح ونبض طبيعي
Dجفاف الفم وبول داكن مركّز وتسرّع القلب
3.سهلة
Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?
ASinus bradycardia
BFirst-degree heart block
CAsystole
DVentricular fibrillation
4.متوسطة
What is the best way to protect the heels of a bed-bound patient from pressure damage?
ARest the heels on a rolled-up towel
BOffload the heels so they do not touch the mattress
CApply a tight bandage to the heels
DMassage the heels firmly several times a day to help circulation
5.متوسطة
Which tool is commonly used at the bedside to screen for delirium?
AThe Confusion Assessment Method (CAM)
BThe Glasgow-Blatchford score
CThe Malnutrition Universal Screening Tool
DThe Braden scale
6.متوسطة
Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?
ALie down straight after each meal to let the food settle
BWear tight belts to support the stomach
CEat one very large meal a day rather than several small ones
DAvoid large meals late in the evening and raise the head of the bed
7.صعبة
Why can pulse oximetry be misleading in carbon monoxide poisoning?
AThe oximeter overheats in smoke-exposed patients
BCarbon monoxide only affects the heart rate reading
CStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
DCarbon monoxide makes the oximeter read zero even in a well patient
8.صعبة
Why is a large pleural effusion drained slowly rather than all at once?
ARapid drainage can cause re-expansion pulmonary oedema
BFluid drained quickly turns into blood
CQuick drainage causes the effusion to spread to the other lung
DSlow drainage stops the patient needing oxygen
مفتاح الإجابات
1. D · 7,35–7,45
2. D · جفاف الفم وبول داكن مركّز وتسرّع القلب
3. D · Ventricular fibrillation
4. B · Offload the heels so they do not touch the mattress
5. A · The Confusion Assessment Method (CAM)
6. D · Avoid large meals late in the evening and raise the head of the bed
7. C · Standard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
8. A · Rapid drainage can cause re-expansion pulmonary oedema
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