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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which group of findings suggests fluid overload?
ADry mouth, thirst, dark urine and a rapid weak pulse
BWeight loss, sunken eyes and a dry mouth
CLow jugular venous pressure and cool skin
DSwollen ankles, breathlessness, lung crackles and weight gain
2.سهلة
The term "hypernatraemia" means:
AA high serum sodium level
BA high blood glucose level
CA low serum sodium level
DA high serum potassium level
3.سهلة
What should be done with a used needle after an injection?
APlace it on the bed until the end of the round
BPut it straight into a sharps container without recapping
CPut it in the clinical waste bag
DRecap it carefully using both hands, then put it in the bin
4.متوسطة
Why are alternate sutures sometimes removed first when taking out stitches?
ABecause the remaining sutures dissolve on their own within a day
BTo make the procedure faster
CTo check the wound stays closed before removing the rest
DTo reduce the cost of dressings
5.متوسطة
Which advice is correct for a patient taking levothyroxine?
ATake it with a large meal to avoid nausea and stomach upset
BTake it only on days when feeling tired
CStop taking it once the symptoms improve
DTake it on an empty stomach, usually before breakfast
6.متوسطة
Which side effect of regular opioids usually needs preventive treatment from the start?
AExcessive hunger
BConstipation
CHigh blood pressure
DDiarrhoea
7.صعبة
Why should chronic hypernatraemia be corrected gradually?
ALowering the sodium too fast can cause cerebral oedema
BSlow correction is only needed in children
CFast correction causes osmotic demyelination from swelling of the kidneys
DFast correction causes severe hyperkalaemia
8.صعبة
A postoperative patient on IV fluids has a sodium of 128 mmol/L and is becoming confused. Which fluid could make this worse if given in large amounts?
A5% glucose (D5W)
BHuman albumin solution
CHartmann's solution (similar to lactated Ringer's)
D0,9% sodium chloride
مفتاح الإجابات
1. D · Swollen ankles, breathlessness, lung crackles and weight gain
2. A · A high serum sodium level
3. B · Put it straight into a sharps container without recapping
4. C · To check the wound stays closed before removing the rest
5. D · Take it on an empty stomach, usually before breakfast
6. B · Constipation
7. A · Lowering the sodium too fast can cause cerebral oedema
8. A · 5% glucose (D5W)
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