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الاسم: ____________________ التاريخ: ____________
1.سهلة
في أي عمر تقريبًا تظهر أول سنّ لدى الرضيع عادةً؟
Aنحو 18 شهرًا
Bنحو 6 أشهر
Cعند الولادة لدى معظم الرضع
Dنحو 3 سنوات
2.سهلة
After a tonsillectomy, which drinks are usually avoided at first?
ADiluted apple juice or squash
BRed-coloured drinks
CCrushed ice
DCool water
3.سهلة
What does the HbA1c blood test show in a child with diabetes?
AThe blood glucose at the exact moment of the test
BWhether ketones are present in the blood right now
CThe amount of insulin the pancreas is making on the day of the test
DThe average blood glucose over about the past 2–3 months
4.متوسطة
Which advice is first-line for a school-age child with functional constipation?
AAvoiding the toilet at school until the problem has settled
BCutting out all fruit and vegetables to soften the stools
CMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
DDaily enemas given at home by the parents for several months, without other changes
5.متوسطة
Which non-drug technique suits a 5-year-old during a cannula insertion?
AReading a detailed leaflet about the procedure
BDoing slow breathing exercises with a numeric scale
CBeing left alone so the child can concentrate
DBlowing bubbles or looking at a pop-up book
6.متوسطة
A child with ITP has a low platelet count. Which advice is correct?
ATake aspirin for any pain to thin the blood
BPlay rugby and football as normal to stay active
CAvoid contact sports and medicines such as ibuprofen and aspirin
DUse a hard toothbrush and floss firmly to keep the gums healthy
7.صعبة
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
APhone the uncle straight away to ask for his side of the story before reporting anything
BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
CAsk detailed, leading questions to find out exactly what happened
DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
8.صعبة
Why does a child with juvenile idiopathic arthritis need regular eye examinations?
AThe joints of the eye socket are affected by arthritis
BArthritis drugs always cause cataracts within a year
CEye checks are only needed if the child already wears glasses for short sight
DUveitis can develop without symptoms and damage vision
مفتاح الإجابات
1. B · نحو 6 أشهر
2. B · Red-coloured drinks
3. D · The average blood glucose over about the past 2–3 months
4. C · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
5. D · Blowing bubbles or looking at a pop-up book
6. C · Avoid contact sports and medicines such as ibuprofen and aspirin
7. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
8. D · Uveitis can develop without symptoms and damage vision
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