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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does the INR measure?
AThe number of platelets circulating in the blood
BThe level of white cells in the blood
CHow long the blood takes to clot, compared with a standard
DThe amount of iron stored in the body's liver and bone marrow
2.سهلة
When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:
A100 mL of retained fluid
B5 litres of retained fluid
C10 mL of retained fluid
D1 litre of retained fluid
3.سهلة
Which sign is typical of right-sided heart failure?
AA high fever with rigors
BSwollen ankles and a raised jugular venous pressure
CPinpoint pupils, drowsiness and a slow breathing rate
DCrackles in both lungs and pink frothy sputum
4.متوسطة
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
AHigh sodium and low potassium
BLow haemoglobin and high platelets
CLow sodium and high potassium
DHigh glucose and high calcium
5.متوسطة
مريض بالسكري من النوع 1 يتقيأ ويأكل قليلًا. ما النصيحة الصحيحة لأيام المرض؟
Aلا توقف الإنسولين؛ وافحص السكر والكيتونات أكثر
Bافحص السكر مرة واحدة يوميًا فقط
Cأوقف الإنسولين حتى تعود إلى الأكل بشكل طبيعي لتجنب نقص السكر
Dقلل تناول السوائل إلى النصف لمنع القيء
6.متوسطة
Which group of symptoms suggests hypothyroidism?
AWeight loss, heat intolerance and tremor
BExcessive thirst and passing large volumes of urine
CTiredness, weight gain and feeling cold
DFever, neck stiffness and photophobia
7.صعبة
A patient with a COPD exacerbation remains acidotic with a high PaCO2 despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?
AStopping all oxygen therapy
BNon-invasive ventilation
CSedation to slow the breathing
D15 L/min oxygen via a non-rebreathe mask
8.صعبة
A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?
AThe patient has had a recent cold
BThe whole of one side of the face, including the forehead, is weak
CThe patient has pain behind the ear
DThe forehead can still be wrinkled on the affected side
مفتاح الإجابات
1. C · How long the blood takes to clot, compared with a standard
2. D · 1 litre of retained fluid
3. B · Swollen ankles and a raised jugular venous pressure
4. C · Low sodium and high potassium
5. A · لا توقف الإنسولين؛ وافحص السكر والكيتونات أكثر
6. C · Tiredness, weight gain and feeling cold
7. B · Non-invasive ventilation
8. D · The forehead can still be wrinkled on the affected side
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