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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي فئة دوائية هي العلاج الرئيسي لانسحاب الكحول؟
Aمضادات الذهان كعلاج خط أول
Bالأفيونات
Cمثبطات SSRI
Dالبنزوديازيبينات
2.سهلة
ما خلل الحركة المتأخر (tardive dyskinesia)؟
Aتململ وعدم القدرة على الجلوس ساكنًا في الأيام الأولى
Bتشنج عضلي مفاجئ ومؤلم في الرقبة أو اللسان أو العينين خلال ساعات أو أيام من الجرعة الأولى
Cحركات لاإرادية، غالبًا في الفم واللسان والوجه، بعد استخدام مضادات الذهان مدة طويلة
Dحمّى مرتفعة مع تصلب عضلي
3.سهلة
Which feature is typical of Korsakoff syndrome?
AA flapping tremor of the hands caused by liver failure
BSevere memory loss with confabulation
CPinpoint pupils and slow breathing
DFever, rigidity and a high creatine kinase
4.متوسطة
Which measurement should be monitored regularly in a patient taking venlafaxine?
ASerum lithium level
BVisual acuity
CBlood pressure
DPeak expiratory flow
5.متوسطة
A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?
ABulimia; severe hypokalaemia from vomiting
BAnorexia; dangerously low body weight and bradycardia
CPica; poisoning such as lead toxicity, or bowel obstruction
DARFID; the risk of choking on food
6.متوسطة
A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?
AArgue with him that what he sees is not real until he accepts it
BShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
CLeave him alone in a dark room so that he can sleep it off
DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
7.صعبة
A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?
APersistent depressive disorder
BBipolar I disorder
CSchizoid personality disorder with low mood
DBorderline personality disorder
8.صعبة
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
ALet him rest, because the pain will pass when the drug wears off
BGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
CTreat it as a possible heart attack, with an urgent ECG and medical review
DReassure him that young people do not have heart problems
مفتاح الإجابات
1. D · البنزوديازيبينات
2. C · حركات لاإرادية، غالبًا في الفم واللسان والوجه، بعد استخدام مضادات الذهان مدة طويلة
3. B · Severe memory loss with confabulation
4. C · Blood pressure
5. C · Pica; poisoning such as lead toxicity, or bowel obstruction
6. D · Stay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
7. D · Borderline personality disorder
8. C · Treat it as a possible heart attack, with an urgent ECG and medical review
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