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الاسم: ____________________ التاريخ: ____________
1.سهلة
The term "dyspnoea" means:
AA cough with sputum
BNoisy breathing during sleep
CChest pain on breathing
DBreathlessness
2.سهلة
ما العلامة المبكرة الشائعة للسكتة الدماغية؟
Aحكة في جلد الذراعين
Bتدلٍّ مفاجئ في الوجه أو ضعف في ذراع في جهة واحدة
Cحمى مع سعال منتج للبلغم
Dفقدان تدريجي للذاكرة يتطور على مدى عدة سنوات
3.سهلة
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
AAbout 135–145 mmol/L
BAbout 3,5–5,0 mmol/L
CAbout 6,5–8,0 mmol/L
DAbout 1,5–2,5 mmol/L
4.متوسطة
A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?
AEncourage a low-calorie diet
BWeigh the patient again in six months and review at that point
CRestrict fluids to encourage appetite and give a low-protein diet instead
DRefer to the dietitian and start a nutrition care plan with food charts
5.متوسطة
An arterial blood gas shows a low pH, a high PaCO2 and a normal bicarbonate. What does this show?
ARespiratory alkalosis
BMetabolic acidosis
CMetabolic alkalosis
DRespiratory acidosis
6.متوسطة
Why does a patient with a suspected TIA need urgent specialist assessment?
AThe symptoms will come back permanently within an hour
BThe risk of a full stroke is highest in the days after a TIA
CA TIA always turns into a brain tumour unless it is treated
DThe patient needs urgent surgery on the brain
7.صعبة
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
ALie the patient face down
BGive sips of oral fluid to clear the throat and wake them
CWait for the patient to wake up fully
DOpen the airway with a head tilt–chin lift or jaw thrust
8.صعبة
A patient with long-standing COPD has an arterial blood gas with pH 7,37, a raised PaCO2 and a raised bicarbonate. How is this best described?
AUncompensated metabolic alkalosis
BAcute respiratory acidosis
CCompensated respiratory acidosis
DMixed metabolic and respiratory alkalosis
مفتاح الإجابات
1. D · Breathlessness
2. B · تدلٍّ مفاجئ في الوجه أو ضعف في ذراع في جهة واحدة
3. B · About 3,5–5,0 mmol/L
4. D · Refer to the dietitian and start a nutrition care plan with food charts
5. D · Respiratory acidosis
6. B · The risk of a full stroke is highest in the days after a TIA
7. D · Open the airway with a head tilt–chin lift or jaw thrust
8. C · Compensated respiratory acidosis
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