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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which is the most common congenital heart defect?
ATetralogy of Fallot
BTransposition of the great arteries
CCoarctation of the aorta
DVentricular septal defect
2.سهلة
Which finding in the fingers is typical of long-standing cyanotic heart disease?
AWebbing between the fingers
BClubbing of the fingertips
CSwan-neck deformity of the fingers
DSpoon-shaped, thin nails
3.سهلة
What is the HEADSS (or HEEADSSS) assessment used for?
AA structured psychosocial interview with adolescents
BA pain score for children who cannot speak
CA screening test for newborn hearing before discharge
DA scale for scoring dehydration in infants
4.متوسطة
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
AGive insulin only if the child is vomiting
BStop all insulin until the child is eating normally again, then restart at the usual dose
CGive double the usual insulin to prevent ketones
DKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
5.متوسطة
Which factors can trigger a sickle cell crisis?
AEating a high-iron diet and taking daily multivitamins
BDehydration, infection, cold and low oxygen
CDrinking plenty of water during hot weather
DSleeping for long periods in a warm room
6.متوسطة
A toddler refuses a liquid medicine. Which approach is appropriate?
AMix it with a small spoonful of food, if the pharmacist says this is safe
BTell the child it is a sweet so that he takes it happily
CMix it into a full bottle of milk or juice for the whole day
DHold the child's nose firmly until he has to open his mouth to breathe
7.صعبة
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
APostconventional level
BConventional level
CPreconventional level
DFormal operational level
8.صعبة
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
AKeep them apart, not sharing rooms, equipment or play areas
BPut them in the same room so they can support each other
CAsk them to do their daily physiotherapy sessions together in the playroom
DLet them share airway clearance equipment to save resources
مفتاح الإجابات
1. D · Ventricular septal defect
2. B · Clubbing of the fingertips
3. A · A structured psychosocial interview with adolescents
4. D · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
5. B · Dehydration, infection, cold and low oxygen
6. A · Mix it with a small spoonful of food, if the pharmacist says this is safe
7. C · Preconventional level
8. A · Keep them apart, not sharing rooms, equipment or play areas
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