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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?
ADarkening of the skin on the hands and face
BRinging in the ears
CA painful erection that does not go away
DA dry cough
2.سهلة
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
AContemplation
BPreparation
CPrecontemplation
DMaintenance of change
3.سهلة
The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?
AJudgement
BOrientation
CPerception
DRecent memory
4.متوسطة
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
AOffer the oral medicine first, before considering an injection
BHide the medicine in his drink without telling him
CGive an intramuscular injection at once without offering any choice
DPlace him in seclusion and then decide about medicine later
5.متوسطة
بعد ساعات قليلة من الجرعة الأولى من الهالوبيريدول، يلتوي عنق شاب إلى جانب وتتدحرج عيناه إلى أعلى. ما هذا؟
Aخلل الحركة المتأخر
Bالمتلازمة الخبيثة للمهدئات العصبية
Cمتلازمة السيروتونين
Dخلل التوتر الحاد
6.متوسطة
What is the main difference between disulfiram and naltrexone in alcohol dependence?
ANaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
BDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
CBoth work in exactly the same way, so they are fully interchangeable
DDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
7.صعبة
مريض مصاب باكتئاب شديد منذ أسابيع أصبح فجأة مبتهجًا وهادئًا ويعطي ساعته لمريض آخر. ما الإجراء الأنسب؟
Aسؤاله مباشرةً عن الأفكار والخطط الانتحارية وإبلاغ الفريق
Bملاحظة أن مزاجه يتحسن بوضوح وخفض مستوى مراقبته
Cالتخطيط لخروجه غدًا
Dمدحه على كرمه وعدم قول أي شيء آخر
8.صعبة
A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?
APromise never to tell anyone about it, so that she keeps trusting the school nurse
BTell her that cutting is a phase that many teenagers go through and it needs no help
CPhone her parents at once without telling her
DExplain that safety information must be shared, and involve her in how this is done
مفتاح الإجابات
1. C · A painful erection that does not go away
2. C · Precontemplation
3. A · Judgement
4. A · Offer the oral medicine first, before considering an injection
5. D · خلل التوتر الحاد
6. D · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
7. A · سؤاله مباشرةً عن الأفكار والخطط الانتحارية وإبلاغ الفريق
8. D · Explain that safety information must be shared, and involve her in how this is done
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