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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is Russell's sign, seen in some patients with eating disorders?
ACalluses or scars on the back of the hand from inducing vomiting
BYellowing of the skin from eating a lot of carrots
CFine, downy hair growing on the face and back
DSwelling of the ankles and feet during the first days of refeeding in hospital
2.سهلة
What is lanugo, which may be seen in severe anorexia nervosa?
AFine, soft hair that grows on the body as it tries to conserve heat
BThickening of the skin on the knuckles caused by repeated vomiting
CLoss of tooth enamel caused by repeated contact with stomach acid
DPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3.سهلة
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
ASchizophrenia
BAlzheimer's disease
CAttention-deficit hyperactivity disorder
DBorderline personality disorder
4.متوسطة
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
ARead and write in the language used by the staff
BUnderstand, retain and weigh the information, or communicate their decision
CRemember the decision for more than a year afterwards
DAgree with the decision that the doctor and the rest of the healthcare team recommend for them
5.متوسطة
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
A"I'll avoid aged cheese and cured meats."
B"I can take any cold and flu remedy from the pharmacy."
C"A sudden severe headache is a reason to get help straight away."
D"I'll tell any new doctor or dentist that I take an MAOI."
6.متوسطة
A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?
ALithium toxicity
BAlcohol withdrawal
CMood changes caused by the corticosteroid
DA normal reaction to feeling better from the treatment
7.صعبة
A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?
ADischarge the child home with the mother as soon as possible
BDiscuss the matter with the mother alone and ask her to stop
CDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
DEnsure the child's safety and follow child protection procedures
8.صعبة
تخبرك مريضة كانت تتناول جرعة عالية من البنزوديازيبين يوميًا لمدة سنة بأنها أوقفته فجأة قبل يومين. ما الخطر الرئيسي؟
Aنوبات الانسحاب التشنجية
Bزيادة الوزن
Cنقص سكر الدم
Dتساقط الشعر
مفتاح الإجابات
1. A · Calluses or scars on the back of the hand from inducing vomiting
2. A · Fine, soft hair that grows on the body as it tries to conserve heat
3. D · Borderline personality disorder
4. B · Understand, retain and weigh the information, or communicate their decision
5. B · "I can take any cold and flu remedy from the pharmacy."
6. C · Mood changes caused by the corticosteroid
7. D · Ensure the child's safety and follow child protection procedures
8. A · نوبات الانسحاب التشنجية
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