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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?
ACalcium carbonate
BVitamin C
CIron
DFolic acid
2.سهلة
أي مدى لمعدل نبض القلب نموذجي لحديث الولادة السليم أثناء الراحة؟
Aنحو 200 إلى 260 نبضة في الدقيقة
Bنحو 110 إلى 160 نبضة في الدقيقة
Cنحو 60 إلى 100 نبضة في الدقيقة
Dنحو 70 إلى 110 نبضات في الدقيقة
3.سهلة
How is congenital hypothyroidism treated?
AAn iodine-free diet from birth
BDaily levothyroxine, usually for life
CA single dose of radioactive iodine
DRemoval of the thyroid gland in infancy
4.متوسطة
Which early sign may tell a child with haemophilia that a joint bleed is starting?
AA sudden fever with a rash
BA cold, pale hand or foot
CTingling or warmth in the joint
DAn itchy feeling on the skin over the elbow
5.متوسطة
Why are elbow splints often used after cleft lip repair?
ATo keep the IV cannula from being needed
BTo stop the baby touching or rubbing the suture line
CTo make the baby sleep for longer
DTo keep the baby's arms warm and still after surgery and anaesthesia
6.متوسطة
In a large ventricular septal defect, in which direction does blood mainly flow through the defect?
AFrom right to left, causing cyanosis from birth
BFrom the aorta into the pulmonary veins
CFrom left to right, increasing blood flow to the lungs
DThere is no flow at all, because the pressures in both ventricles are always equal
7.صعبة
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
AThe blood pressure is in the high range
BA urine output of about 1 mL/kg per hour
CThe burned skin looks less red and the blisters are smaller
DThe child is asking for a drink
8.صعبة
The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?
AThe baby should sleep through the night without waking for feeds
BAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain
CThe baby should feed for exactly 10 minutes on each side at every feed, day and night
DHer breasts should always feel full and hard between feeds
مفتاح الإجابات
1. D · Folic acid
2. B · نحو 110 إلى 160 نبضة في الدقيقة
3. B · Daily levothyroxine, usually for life
4. C · Tingling or warmth in the joint
5. B · To stop the baby touching or rubbing the suture line
6. C · From left to right, increasing blood flow to the lungs
7. B · A urine output of about 1 mL/kg per hour
8. B · About 6 or more wet nappies a day, regular yellow stools and steady weight gain
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