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الاسم: ____________________ التاريخ: ____________
1.سهلة
يجب على مريض يتناول مثبّط أوكسيداز الأمين الأحادي (MAOI) أن يتجنب أي نوع من الطعام؟
Aالأرز والمعكرونة
Bالخضروات الطازجة
Cالأطعمة الغنية بالتيرامين، مثل الجبن المعتق واللحوم المقددة
Dالحليب الطازج والزبادي العادي بسبب محتواهما من الكالسيوم
2.سهلة
Which feature is typical of Korsakoff syndrome?
APinpoint pupils and slow breathing
BFever, rigidity and a high creatine kinase
CSevere memory loss with confabulation
DA flapping tremor of the hands caused by liver failure
3.سهلة
A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?
AFlight of ideas
BEcholalia
CThought blocking
DThought broadcasting
4.متوسطة
Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?
AHer calmness shows that the assault did not happen
BA controlled response is a common reaction in the acute phase after assault
CShe is probably exaggerating the seriousness of what happened, because she does not seem upset
DShe is not distressed and does not need any support
5.متوسطة
Which findings suggest recent cannabis use?
ASlow heart rate, constricted pupils, drooling and watery eyes
BPinpoint pupils, slow breathing and drowsiness
CRed eyes, increased appetite, dry mouth and a fast heart rate
DDilated pupils, high fever and severe muscle rigidity
6.متوسطة
A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?
AThyroid function tests
BAn MRI of the knee
CUrine drug screen only
DSerum lithium level
7.صعبة
تخبرك مريضة كانت تتناول جرعة عالية من البنزوديازيبين يوميًا لمدة سنة بأنها أوقفته فجأة قبل يومين. ما الخطر الرئيسي؟
Aنوبات الانسحاب التشنجية
Bتساقط الشعر
Cنقص سكر الدم
Dزيادة الوزن
8.صعبة
A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?
AReport the concerns through child protection procedures and ensure the child's safety
BAccept the parents' explanation, because babies often fall
CTell the parents that the nurse knows they are abusing the child
DDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
مفتاح الإجابات
1. C · الأطعمة الغنية بالتيرامين، مثل الجبن المعتق واللحوم المقددة
2. C · Severe memory loss with confabulation
3. D · Thought broadcasting
4. B · A controlled response is a common reaction in the acute phase after assault
5. C · Red eyes, increased appetite, dry mouth and a fast heart rate
6. A · Thyroid function tests
7. A · نوبات الانسحاب التشنجية
8. A · Report the concerns through child protection procedures and ensure the child's safety
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