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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which finding is typical of impetigo?
AHoney-coloured crusts, often around the nose and mouth
BTiny burrows between the fingers
CSilvery scales on the elbows and knees
DA target-shaped rash with a dusky, pale centre on the palms
2.سهلة
Which sign may be the first clue to retinoblastoma in a young child?
ARed, itchy eyes with a sticky yellow discharge
BA droopy upper eyelid that appears after a cold
CA white pupil in photos instead of the usual red reflex
DTears running down the cheek on one side
3.سهلة
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
AIt needs emergency surgery within a few days
BMost close on their own; do not tape a coin over it
CStrapping it tightly with a binder every day makes it close faster
DIt is caused by the cord being cut too short
4.متوسطة
How should the nurse position the ear when giving ear drops to a 2-year-old?
APull the pinna gently down and back
BPull the pinna gently up and back
CPull the earlobe gently forward and up
DLeave the pinna alone and tilt the head
5.متوسطة
Which activity best supports a 9-year-old during a long hospital stay?
ASchoolwork and contact with classmates, plus games or hobbies
BStaying in bed with no visitors to rest
CPlaying with baby toys in the toddler playroom with younger children
DWatching television alone for most of the day
6.متوسطة
طفل لديه بول بلون الكولا وعينان منتفختان وضغط دم مرتفع بعد أسبوعين من التهاب الحلق. ما التشخيص المرجح؟
Aالتهاب كبيبات الكلى الحاد التالي للمكورات العقدية
Bورم ويلمز
Cالمتلازمة الكلائية
Dالتهاب المسالك البولية
7.صعبة
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
AGood growth thanks to improved feeding
BDehydration due to sweating during feeds
CWorsening heart failure with fluid retention
DAn allergic reaction to the new high-energy formula started yesterday
8.صعبة
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
ACheck that aspirate from the tube is acidic, using the pH limit in local policy
BAsk the child whether the tube feels comfortable and check the length mark only
CInject air and listen over the stomach for a "whoosh"
DPlace the end of the tube in water and look for bubbles
مفتاح الإجابات
1. A · Honey-coloured crusts, often around the nose and mouth
2. C · A white pupil in photos instead of the usual red reflex
3. B · Most close on their own; do not tape a coin over it
4. A · Pull the pinna gently down and back
5. A · Schoolwork and contact with classmates, plus games or hobbies
6. A · التهاب كبيبات الكلى الحاد التالي للمكورات العقدية
7. C · Worsening heart failure with fluid retention
8. A · Check that aspirate from the tube is acidic, using the pH limit in local policy
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