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الاسم: ____________________ التاريخ: ____________
1.سهلة
How should jaundice that first appears within the first 24 hours of life be regarded?
AAs normal physiological jaundice that needs no follow-up
BAs harmless as long as the baby is feeding well
CAs breast milk jaundice that is best treated by stopping breastfeeding
DAs pathological until proven otherwise; it needs prompt evaluation
2.سهلة
What is usually the first sign of puberty in girls?
AUnderarm hair
BFirst menstrual period
CRapid weight loss
DBreast budding
3.سهلة
Which symptom is typical of scabies?
ALarge blisters on the soles of the feet after walking
BIntense itching, worse at night, with burrows between the fingers
CPainless red patches that slowly spread outward over months
DDry, flaky scalp with dandruff but no itching
4.متوسطة
ما الإجراءات المحورية في تدبير نوبة الانسداد الوعائي (الألم) في داء الخلايا المنجلية؟
Aمكملات الحديد
Bتقييد السوائل لحماية الكلى وكمادات باردة على المناطق المؤلمة
Cالسوائل، وتسكين الألم الفعّال، والأكسجين إذا كان الطفل ناقص الأكسجة
Dراحة صارمة في السرير دون مسكنات
5.متوسطة
How can the nurse best support a child with autism on a children's ward?
AChange the nurse each shift so the child meets more people
BPlace the child in the busiest bay near the nurses' station
CExplain all procedures only at the very last minute to avoid days of worry
DKeep routines predictable, reduce noise and use visual schedules
6.متوسطة
Until when is a child with chickenpox usually considered infectious?
AUntil all the blisters have crusted over
BFor 6 weeks after the rash appears
CUntil the fever has gone for 24 hours
DOnly during the day before the rash appears
7.صعبة
A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?
AChildren of this age are already likely to have the virus, so it treats the infection
BIt is given at this age because it prevents chickenpox in adolescence
CIt is only effective if given in the first year of secondary school, before exams start
DIt works best before any exposure to the virus, and young adolescents respond strongly
8.صعبة
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
AChlamydia can only be caught from shared towels and toilet seats
BChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
CChlamydia always causes severe pain, so testing is only a formality
DTesting is required by law before any young person can see a nurse or doctor for any reason
مفتاح الإجابات
1. D · As pathological until proven otherwise; it needs prompt evaluation
2. D · Breast budding
3. B · Intense itching, worse at night, with burrows between the fingers
4. C · السوائل، وتسكين الألم الفعّال، والأكسجين إذا كان الطفل ناقص الأكسجة
5. D · Keep routines predictable, reduce noise and use visual schedules
6. A · Until all the blisters have crusted over
7. D · It works best before any exposure to the virus, and young adolescents respond strongly
8. B · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
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