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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is cerebral palsy?
AAn infection of the spinal cord that causes sudden paralysis of the legs
BA progressive muscle disease in which muscle fibres are slowly replaced by fat
CA non-progressive disorder of movement and posture from damage to the developing brain
DA genetic disorder of collagen that makes the bones break easily
2.سهلة
ما النصيحة العامة بشأن مقاعد السيارة المواجهة للخلف للأطفال الصغار؟
Aتدوير المقعد للأمام عند 6 أشهر لكل طفل
Bإبقاء الطفل مواجهًا للخلف أطول فترة ممكنة، ضمن حدود طول المقعد ووزنه
Cتدوير المقعد للأمام بمجرد أن يستطيع الطفل الجلوس دون دعم، مهما كان وزنه
Dالمقاعد المواجهة للخلف لازمة لحديثي الولادة فقط
3.سهلة
Which finding in the fingers is typical of long-standing cyanotic heart disease?
ASpoon-shaped, thin nails
BClubbing of the fingertips
CSwan-neck deformity of the fingers
DWebbing between the fingers
4.متوسطة
Which group of findings is typical in a teenager with severe anorexia nervosa?
AFast heart rate, high blood pressure and a high fever
BSlow heart rate, low blood pressure and low body temperature
CRapid growth, acne and an increased appetite
DWeight gain, oedema and high blood pressure
5.متوسطة
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
APlatelet count
BSerum amylase and lipase
CSerum bilirubin
DSerum potassium
6.متوسطة
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
AHead circumference twice daily, because it signals hydrocephalus
BBlood pressure, because the swelling causes hypertension
CJaundice, because the breakdown of the trapped blood adds to bilirubin
DUrine colour, because the swelling causes kidney damage
7.صعبة
A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?
AHigh sodium, high glucose, low albumin and low urea
BHigh potassium, high phosphate, high uric acid and low calcium
CLow potassium, low phosphate, low uric acid and high calcium
DLow haemoglobin and low platelets with a normal potassium
8.صعبة
A 3-year-old was pulled from a pool after a brief submersion. She is now awake and coughs now and then. What should the nurse advise?
ATake her straight home, because she is awake, talking and only coughing now and then
BGive her a warm drink and put her to bed for a long sleep
COnly seek care if she develops a fever in the next week
DObserve her in hospital for several hours, as breathing problems can develop later
مفتاح الإجابات
1. C · A non-progressive disorder of movement and posture from damage to the developing brain
2. B · إبقاء الطفل مواجهًا للخلف أطول فترة ممكنة، ضمن حدود طول المقعد ووزنه
3. B · Clubbing of the fingertips
4. B · Slow heart rate, low blood pressure and low body temperature
5. D · Serum potassium
6. C · Jaundice, because the breakdown of the trapped blood adds to bilirubin
7. B · High potassium, high phosphate, high uric acid and low calcium
8. D · Observe her in hospital for several hours, as breathing problems can develop later
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