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الاسم: ____________________ التاريخ: ____________
1.سهلة
Where should eye drops be placed for a child?
AOnto the upper eyelid while the eye is shut
BInto the inner corner of the eye
CInto the pocket of the lower eyelid
DDirectly onto the centre of the cornea
2.سهلة
How is congenital clubfoot (talipes equinovarus) usually treated first?
AGentle manipulation and serial casting (the Ponseti method)
BMassage alone, with no casts or braces
CWaiting until school age and then operating on the bones of the foot
DSpecial shoes worn only at night from age 5
3.سهلة
What causes respiratory distress syndrome in preterm babies?
AAn allergy to the oxygen used in the incubator
BA lack of surfactant in the immature lungs
CInhaling meconium-stained fluid during birth
DA viral infection caught from the mother
4.متوسطة
Which approach best helps a 4-year-old during a vaccination?
AHave staff hold the child flat on the couch so the injection is quick
BTell the child the injection will not hurt at all
CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
DPromise a reward only if the child stays completely still and does not cry
5.متوسطة
In acute post-streptococcal glomerulonephritis, which assessment is especially important?
ABlood pressure
BBlood glucose
CSerum bilirubin
DPeak flow
6.متوسطة
Which finding is an early sign of shock in a child?
ALow blood pressure with a slow heart rate and pauses in breathing
BSlow, deep breathing with a normal heart rate
CA warm, flushed child with a strong, bounding pulse
DA fast heart rate with a prolonged capillary refill
7.صعبة
طفل واعٍ عمره 10 سنوات مصاب بالسكري من النوع 1 يرتجف ويتعرق وسكر دمه 3,2 mmol/L. ما الإجراء الأول؟
Aتركه ينام حتى يزول
Bإعطاء وجبة كبيرة تحتوي على البروتين والدهون فقط وإعادة قياس الغلوكوز عند وقت الوجبة التالية
Cإعطاء كربوهيدرات سريعة المفعول بالفم وإعادة قياس الغلوكوز بعد نحو 15 دقيقة
Dإعطاء الجرعة التالية من الإنسولين
8.صعبة
The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?
A"We'll call the hospital straight away if she has a fever."
B"We'll learn how to feel her tummy for an enlarged spleen."
C"In summer she can drink less so she doesn't need the toilet at school."
D"We'll dress her warmly before she goes out in cold weather."
مفتاح الإجابات
1. C · Into the pocket of the lower eyelid
2. A · Gentle manipulation and serial casting (the Ponseti method)
3. B · A lack of surfactant in the immature lungs
4. C · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
5. A · Blood pressure
6. D · A fast heart rate with a prolonged capillary refill
7. C · إعطاء كربوهيدرات سريعة المفعول بالفم وإعادة قياس الغلوكوز بعد نحو 15 دقيقة
8. C · "In summer she can drink less so she doesn't need the toilet at school."
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