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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the cause of Hirschsprung disease?
AThickening of the muscle at the outlet of the stomach
BOne part of the bowel telescoping into the next part
CInflammation of the bowel lining after a viral infection
DMissing nerve (ganglion) cells in part of the bowel
2.سهلة
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
A1500 mL per day
B500 mL per day
C1000 mL per day
D2000 mL per day
3.سهلة
What is the most serious complication of Kawasaki disease?
ACoronary artery aneurysms
BKidney failure needing dialysis
CPermanent hearing loss
DDiabetes mellitus
4.متوسطة
Why should a child with diabetes rotate insulin injection sites?
ATo stop the insulin from becoming less effective over the years
BTo make sure each part of the body gets the same amount of insulin
CTo prevent lumpy fatty areas that absorb insulin unpredictably
DBecause the same site causes an allergy to insulin
5.متوسطة
أي علامة توحي بخلل التصنع النمائي للورك عند الرضيع؟
Aساقان مقوستان عند طفل دارج
Bثنيات جلدية غير متناظرة في الفخذين أو الإليتين وانحصار في تبعيد الورك
Cطول متساوٍ للساقين وثنيات جلدية متناظرة وتبعيد كامل وسهل للوركين
Dسعال نابح
6.متوسطة
How should a 3-year-old use a metered-dose inhaler?
AWith a spacer, giving all the prescribed puffs into it at the same time
BDirectly into the mouth without a spacer, while breathing in as fast as possible
CWith a spacer and face mask, taking several normal breaths after each puff
DWith a spacer and mask, holding the breath for 10 seconds after each puff
7.صعبة
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
AProtest
BDetachment
CDespair
DNormal adjustment with no distress
8.صعبة
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
AAbout 25 mL per hour
BAbout 104 mL per hour
CAbout 50 mL per hour
DAbout 67 mL per hour
مفتاح الإجابات
1. D · Missing nerve (ganglion) cells in part of the bowel
2. C · 1000 mL per day
3. A · Coronary artery aneurysms
4. C · To prevent lumpy fatty areas that absorb insulin unpredictably
5. B · ثنيات جلدية غير متناظرة في الفخذين أو الإليتين وانحصار في تبعيد الورك
6. C · With a spacer and face mask, taking several normal breaths after each puff
7. B · Detachment
8. D · About 67 mL per hour
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