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الاسم: ____________________ التاريخ: ____________
1.سهلة
لماذا يُشجَّع المرضى على مغادرة السرير مبكرًا بعد الجراحة؟
Aليلتئم الجرح دون غرز
Bلرفع ضغط الدم بشكل دائم
Cلتقليل خطر الجلطات وعدوى الصدر
Dلتقصير الأثر المهدئ للتخدير العام
2.سهلة
A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:
AThe patient cannot receive antibiotics, fluids or any other active treatment
BAll treatment, including food, drink and pain relief, is stopped
CCPR will not be attempted if the heart stops, but other care continues
DThe patient must be moved to a hospice
3.سهلة
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
A1 mmol/L
B7 mmol/L
C4 mmol/L
D10 mmol/L
4.متوسطة
A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?
ATo monitor whether the infection is spreading or improving
BTo help the patient find the sore area
CTo mark the site for an injection
DTo show the surgeon exactly where to make the incision
5.متوسطة
Which group of symptoms suggests hypothyroidism?
AFever, neck stiffness and photophobia
BTiredness, weight gain and feeling cold
CExcessive thirst and passing large volumes of urine
DWeight loss, heat intolerance and tremor
6.متوسطة
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
APhosphate
BChloride
CMagnesium
DSodium
7.صعبة
A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?
ATo treat hidden diabetes; HbA1c must be checked daily
BTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
CTo protect the heart muscle directly; the patient must be kept nil by mouth
DTo remove potassium from the body; urine output must be stopped for a time
8.صعبة
After a high spinal cord injury, a patient has low blood pressure with a slow heart rate and warm, dry skin. What is most likely?
ASeptic shock
BCardiac tamponade
CHypovolaemic shock
DNeurogenic shock
مفتاح الإجابات
1. C · لتقليل خطر الجلطات وعدوى الصدر
2. C · CPR will not be attempted if the heart stops, but other care continues
3. C · 4 mmol/L
4. A · To monitor whether the infection is spreading or improving
5. B · Tiredness, weight gain and feeling cold
6. C · Magnesium
7. B · To shift potassium into cells; blood glucose must be monitored for hypoglycaemia
8. D · Neurogenic shock
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