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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which type of pain is typical of a kidney stone?
AA tight band around the head
BA burning pain behind the breastbone after meals
CA dull ache in both knees
DSevere, colicky pain from the loin towards the groin
2.سهلة
Stridor, a harsh noise heard mainly on breathing in, is a sign of:
AMild constipation
BFluid collecting in the bases of both lungs
CNarrowing or obstruction of the upper airway
DNormal breathing during sleep
3.سهلة
يجب رعاية المريض المشتبه بإصابته بالسل الرئوي باستخدام:
Aاحتياطات الانتقال الهوائي في غرفة مفردة
Bالاحتياطات القياسية فقط في جناح مفتوح
Cاحتياطات التماس فقط
Dلا احتياطات خاصة
4.متوسطة
Which features suggest Cushing's syndrome?
AWeight gain around the trunk, a rounded face and thin, easily bruised skin
BDark skin, low blood pressure, salt craving and a low blood sodium level
CCoarse facial features and very large hands and feet
DWeight loss, heat intolerance, tremor and protruding eyes
5.متوسطة
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
ALow haemoglobin and high platelets
BHigh sodium and low potassium
CHigh glucose and high calcium
DLow sodium and high potassium
6.متوسطة
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
ATo strengthen the abdominal muscles around the wound
BTo measure their lung function so the result can go in the discharge letter
CTo encourage deep breaths that prevent atelectasis and chest infection
DTo lower their heart rate before mobilising
7.صعبة
A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?
AHypovolaemia from dehydration
BHyperkalaemia
CCardiac tamponade
DPneumonia
8.صعبة
A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?
ABlood pressure cannot be lowered with drugs
BRapid lowering always causes the hypertension to come back much worse
CRapid lowering causes hyperglycaemia
DA sudden drop can reduce blood flow to the brain, heart and kidneys
مفتاح الإجابات
1. D · Severe, colicky pain from the loin towards the groin
2. C · Narrowing or obstruction of the upper airway
3. A · احتياطات الانتقال الهوائي في غرفة مفردة
4. A · Weight gain around the trunk, a rounded face and thin, easily bruised skin
5. D · Low sodium and high potassium
6. C · To encourage deep breaths that prevent atelectasis and chest infection
7. C · Cardiac tamponade
8. D · A sudden drop can reduce blood flow to the brain, heart and kidneys
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