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الاسم: ____________________ التاريخ: ____________
1.سهلة
Moisture-associated skin damage is mainly caused by:
AAn allergy to the bed sheets
BProlonged contact with urine, faeces or sweat
CPressure over a bony area for a long time
DA deep tissue infection
2.سهلة
The term "bradycardia" in an adult means a heart rate:
ABelow 60 beats per minute
BAbove 100 beats per minute
CThat is irregularly irregular
DBetween 60 and 100 beats per minute
3.سهلة
A patient's care plan says "nil by mouth". What does this mean?
AOnly clear fluids such as water and black tea are allowed
BFood is allowed, but drinks must be stopped until the next day
CThe patient may eat if they feel hungry
DNo food or drink by mouth unless specific exceptions are prescribed
4.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 lower their heart rate before mobilising
DTo encourage deep breaths that prevent atelectasis and chest infection
5.متوسطة
Which blood result often rises in an upper GI bleed because blood is digested in the gut?
ACalcium
BUrea (blood urea nitrogen)
CGlucose
DSodium
6.متوسطة
Which drug is first-line in an acute asthma attack?
AA nebulised or inhaled short-acting beta2-agonist (salbutamol/albuterol)
BA long-acting inhaled corticosteroid, used alone at a higher dose
CAn oral antihistamine such as cetirizine taken every few hours
DAn oral beta-blocker
7.صعبة
يصبح مريض مسن مصاب بكسر في الورك ضيق النفس ومشوشًا، مع طفح نمشي على الصدر بعد يومين من الإصابة. أي مضاعفة يجب الاشتباه بها؟
Aقرحة الضغط
Bمتلازمة الحيّز
Cمتلازمة الانصمام الدهني
Dعدوى المسالك البولية
8.صعبة
A patient with a central venous catheter needs the line removed. Which position reduces the risk of air embolism during removal of a neck or chest line?
AStanding up and walking
BLying on the right side with the legs raised
CLying flat or slightly head-down, holding the breath or breathing out
DSitting fully upright and taking a deep breath in as the line comes out
مفتاح الإجابات
1. B · Prolonged contact with urine, faeces or sweat
2. A · Below 60 beats per minute
3. D · No food or drink by mouth unless specific exceptions are prescribed
4. D · To encourage deep breaths that prevent atelectasis and chest infection
5. B · Urea (blood urea nitrogen)
6. A · A nebulised or inhaled short-acting beta2-agonist (salbutamol/albuterol)
7. C · متلازمة الانصمام الدهني
8. C · Lying flat or slightly head-down, holding the breath or breathing out
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