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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the usual normal white cell count in adults?
AAbout 0,1–0,5 × 109/L (100–500/mm3)
BAbout 4–11 × 109/L (4,000–11,000/mm3)
CAbout 50–80 × 109/L (50,000–80,000/mm3)
DAbout 150–400 × 109/L (150,000–400,000/mm3)
2.سهلة
Coeliac disease is an immune reaction to:
ALactose
BShellfish
CPeanuts
DGluten
3.سهلة
أي دواء يعكس تثبيط التنفس الناجم عن الأفيونات؟
Aفلومازينيل
Bنالوكسون
Cفيتامين K
Dأتروبين
4.متوسطة
A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?
AUse a soft toothbrush and an electric razor
BEncourage contact sports to keep fit
CTake temperatures rectally
DGive medicines by intramuscular injection
5.متوسطة
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
ASteroids make glucose meters inaccurate
BSteroids always cause hypoglycaemia
CSteroids can raise the blood glucose
DSteroids destroy the pancreas
6.متوسطة
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
ATo encourage deep breaths that prevent atelectasis and chest infection
BTo strengthen the abdominal muscles around the wound
CTo lower their heart rate before mobilising
DTo measure their lung function so the result can go in the discharge letter
7.صعبة
A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?
AInsulin is needed for the anaesthetic to work
BWithout any insulin they can develop diabetic ketoacidosis
CStopping insulin causes immediate hypoglycaemia during the operation
DInsulin prevents wound infection on its own
8.صعبة
An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO2 is now 100% and stable. What should be done?
AReduce the oxygen to keep the SpO2 within the prescribed target range
BIncrease the oxygen further to build up a reserve
CKeep the oxygen at 15 L/min for at least a week to be on the safe side
DStop the oxygen and the saturation monitoring because the patient is now well
مفتاح الإجابات
1. B · About 4–11 × 109/L (4,000–11,000/mm3)
2. D · Gluten
3. B · نالوكسون
4. A · Use a soft toothbrush and an electric razor
5. C · Steroids can raise the blood glucose
6. A · To encourage deep breaths that prevent atelectasis and chest infection
7. B · Without any insulin they can develop diabetic ketoacidosis
8. A · Reduce the oxygen to keep the SpO2 within the prescribed target range
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