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1.سهلة
Gestational hypertension is defined as new hypertension after 20 weeks:
AWith proteinuria and a seizure
BWithout proteinuria or organ damage
CThat was already present before pregnancy
DThat occurs only during labour
2.سهلة
On which part of the foot is a newborn heel-prick blood sample taken?
AThe outer or inner side of the heel
BThe centre of the back of the heel
CThe tip of the big toe
DThe ball of the foot
3.سهلة
أي علامة نموذجية للمشيمة المنزاحة (placenta praevia)؟
Aنزف مهبلي أحمر فاتح غير مؤلم
Bألم بطني شديد مع رحم متصلب
Cنزف داكن ومتخثر دائمًا
Dحمّى مرتفعة مع إفرازات كريهة الرائحة
4.متوسطة
A woman with hypothyroidism becomes pregnant. What usually happens to her levothyroxine needs?
AThey stay the same, so no monitoring is needed
BThey usually rise, so levels are checked early
CThey decrease to zero, so she stops the drug
DShe switches to iodine tablets instead
5.متوسطة
Which baby is at greatest risk of early-onset group B streptococcal infection?
AA baby of a GBS-positive mother with no antibiotics
BA baby born by planned caesarean with intact membranes
CA baby born at 40 weeks to a mother with no risk factors
DA baby whose mother was GBS-negative at 36 weeks
6.متوسطة
Which measure helps prevent infant abduction from a maternity unit?
APosting the baby's name and room on the door
BLeaving babies in the nursery overnight
CLetting any visitor carry the baby in the corridor
DChecking staff ID before handing over a baby
7.صعبة
A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?
ARecord it and arrange follow-up; many descend later
BArrange emergency surgery on the testis today
CTell the parents it will never descend
DMassage the groin daily to push it down
8.صعبة
A woman at 16 weeks says she drinks four cups of strong coffee a day. Which response is most appropriate?
AAdvise limiting caffeine to about 200 mg a day, roughly two cups of coffee
BAdvise switching to energy drinks, which contain less caffeine
CTell her to switch to strong tea, which has no caffeine
DTell her coffee has no effect on pregnancy and she can continue
مفتاح الإجابات
1. B · Without proteinuria or organ damage
2. A · The outer or inner side of the heel
3. A · نزف مهبلي أحمر فاتح غير مؤلم
4. B · They usually rise, so levels are checked early
5. A · A baby of a GBS-positive mother with no antibiotics
6. D · Checking staff ID before handing over a baby
7. A · Record it and arrange follow-up; many descend later
8. A · Advise limiting caffeine to about 200 mg a day, roughly two cups of coffee
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