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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does "orthopnoea" mean?
ABreathlessness when lying flat that eases on sitting up
BA breathing rate that is slower than normal
CBreathing that stops for short periods during sleep
DBreathlessness that only starts after heavy exercise
2.سهلة
Which drug is the first-line treatment for anaphylaxis?
AOral paracetamol
BAn oral antihistamine given on its own
CIntramuscular adrenaline (epinephrine)
DIntravenous antibiotics given straight away
3.سهلة
What is the approximate normal white cell count in adults?
A20–30 × 10⁹/L
B0,5–1 × 10⁹/L
C4–11 × 10⁹/L
D150–400 × 10⁹/L
4.متوسطة
A large pressure ulcer is left open and fills in with new tissue from its base. This is called healing by:
APrimary intention
BTertiary intention
CSecondary intention
DDelayed intention
5.متوسطة
Why do nurses often count the respiratory rate while still appearing to take the pulse?
AThe pulse and breathing rates are always the same number
BCounting breaths is only accurate when the wrist is held
CIt is not allowed to tell patients that breathing is measured
DPatients who know their breathing is watched tend to change it
6.متوسطة
During a manual blood pressure measurement in an adult, which point is usually recorded as the diastolic pressure?
AWhen the first clear tapping sound is heard
BWhen the cuff is fully deflated
CWhen the sounds disappear completely
DWhen the sounds become loudest
7.صعبة
Which newly started medication most increases an older patient's risk of falling?
AA night-time sedative such as a benzodiazepine
BA vitamin D supplement
CRegular paracetamol (acetaminophen) for back pain
DAn emollient cream for dry skin
8.صعبة
An 82-year-old takes nine regular medicines and has had two falls this month. What is the most useful next step?
AAdvise the patient to stay in bed
BStop all the medicines straight away
CAsk for a full medication review
DAdd a sedative to help them rest
مفتاح الإجابات
1. A · Breathlessness when lying flat that eases on sitting up
2. C · Intramuscular adrenaline (epinephrine)
3. C · 4–11 × 10⁹/L
4. C · Secondary intention
5. D · Patients who know their breathing is watched tend to change it
6. C · When the sounds disappear completely
7. A · A night-time sedative such as a benzodiazepine
8. C · Ask for a full medication review
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