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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which finding in the fingers is typical of long-standing cyanotic heart disease?
ASwan-neck deformity of the fingers
BSpoon-shaped, thin nails
CWebbing between the fingers
DClubbing of the fingertips
2.سهلة
From about what age can whole cow's milk be given as a main drink?
AAbout 6 months
BNot until about 2 years
CAbout 3 months
DAbout 12 months
3.سهلة
Which is the most common congenital heart defect?
ATransposition of the great arteries
BTetralogy of Fallot
CVentricular septal defect
DCoarctation of the aorta
4.متوسطة
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
AInject into the outer thigh, through clothing if needed, and call emergency services
BInject into the upper arm muscle, but only after removing all the clothing first
CUse it only after an antihistamine has failed to work
DInject it into the buttock muscle and then let the child walk it off at home
5.متوسطة
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
AAdvise them to wait until the child can read letters
BRefer the baby to an eye specialist
CReassure the parents that this always resolves by school age
DCover the right eye with a patch at home without review
6.متوسطة
When is the best time to tell a 2-year-old about an upcoming procedure?
AAbout a week before, so there is time to get used to it
BJust before it happens, in simple, concrete words
CThe day before, with a detailed explanation
DNot at all, to avoid upsetting the child beforehand
7.صعبة
A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?
AYes, but only if a cold bath is given at the same time
BNo; it may ease discomfort but does not prevent febrile seizures
CNo, because paracetamol can cause febrile seizures
DYes; giving it every 4 hours during a fever will always prevent seizures
8.صعبة
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
AInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
BPotassium is needed to dissolve the insulin in the drip
CInsulin moves potassium into the cells, so blood potassium can fall sharply
DPotassium has no role in DKA; it is a routine test only
مفتاح الإجابات
1. D · Clubbing of the fingertips
2. D · About 12 months
3. C · Ventricular septal defect
4. A · Inject into the outer thigh, through clothing if needed, and call emergency services
5. B · Refer the baby to an eye specialist
6. B · Just before it happens, in simple, concrete words
7. B · No; it may ease discomfort but does not prevent febrile seizures
8. C · Insulin moves potassium into the cells, so blood potassium can fall sharply
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