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الاسم: ____________________ التاريخ: ____________
1.سهلة
How does respiratory syncytial virus (RSV) mainly spread?
AThrough the bites of insects such as mosquitoes
BThrough contaminated food and drinking water
COnly through the air over long distances, like measles
DThrough droplets and contaminated hands and surfaces
2.سهلة
Which practice most increases the risk of early childhood tooth decay?
ABrushing the teeth with a smear of fluoride toothpaste
BOffering water to drink between meals
CHaving a first dental visit by about the first birthday
DPutting a baby to bed with a bottle of milk or juice
3.سهلة
At about what age can most infants sit steadily without support?
AAbout 2 to 3 months
BAbout 18 to 24 months
CAbout 6 to 8 months
DAbout 12 to 15 months
4.متوسطة
Which newborn problem may be the first sign of cystic fibrosis?
AUmbilical hernia
BPhysiological jaundice
CMeconium ileus
DErythema toxicum
5.متوسطة
Which group of findings suggests Kawasaki disease?
AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
BFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
CHigh fever for 3 days, then a pink rash as the fever settles
DLow-grade fever, a barking cough and stridor that are worse at night
6.متوسطة
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
AWaiting for bladder control to develop naturally
BClean intermittent catheterisation
CRestricting fluids to reduce urine volume
DA permanent catheter left in place for life
7.صعبة
يرفض أحد الوالدين لقاحًا موصى به لرضيعه بسبب مخاوف من الآثار الجانبية. ما أفضل نهج تمريضي أولي؟
Aإخبار الوالد بأن الطفل لن يُعالَج في العيادة بعد الآن ما لم يُعطَ اللقاح
Bتجنب الموضوع في الزيارات المقبلة
Cإعطاء اللقاح على أي حال بينما الوالد منشغل
Dالإصغاء إلى المخاوف، وتقديم معلومات واضحة قائمة على الأدلة، وتوثيق النقاش
8.صعبة
Which long-term problems should be monitored in a child with a repaired cleft palate?
ABone density and fracture risk in the teenage years
BKidney function and blood pressure
CGrowth hormone levels and puberty timing
DMiddle ear infections, hearing, speech and teeth
مفتاح الإجابات
1. D · Through droplets and contaminated hands and surfaces
2. D · Putting a baby to bed with a bottle of milk or juice
3. C · About 6 to 8 months
4. C · Meconium ileus
5. A · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
6. B · Clean intermittent catheterisation
7. D · الإصغاء إلى المخاوف، وتقديم معلومات واضحة قائمة على الأدلة، وتوثيق النقاش
8. D · Middle ear infections, hearing, speech and teeth
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