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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why is vitamin K given to newborns shortly after birth?
ATo protect against hepatitis B infection
BTo prevent bacterial eye infection after birth
CTo prevent vitamin K deficiency bleeding
DTo prevent jaundice in the first week of life
2.سهلة
Which five signs make up the Apgar score?
ABreathing rate, blood glucose, length, muscle tone and cry
BHeart rate, blood pressure, temperature, weight and colour
CHeart rate, breathing effort, muscle tone, reflex response and colour
DOxygen saturation, temperature, reflexes, weight and feeding
3.سهلة
How do most preschool children understand death?
AAs temporary or reversible, like being asleep or away
BAs permanent and something that will happen to everyone
CAs an abstract idea they can discuss in depth
DAs a purely biological process, explained by science
4.متوسطة
How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?
AWith large, full-volume feeds straight away to make up for the weight lost
BNot until 10 days after surgery, when the wound has healed
COnly by nasogastric tube for the first month at home
DWithin hours, increasing gradually as per protocol; some vomiting can be expected
5.متوسطة
يُخطَّط لاستخدام كريم مخدر موضعي (ليدوكائين–بريلوكائين) قبل إدخال قنية. ما المهم؟
Aوضعه على جلد متقرح لتأثير أسرع
Bوضعه قبل وقت كافٍ، عادةً نحو 60 دقيقة، تحت ضمادة محكمة
Cفركه بقوة في الجلد ومسحه بعد نحو دقيقة، دون ضمادة
Dوضعه قبل الإبرة بثوانٍ فقط
6.متوسطة
A child has scabies. Which plan is correct?
AStop treatment as soon as the itch improves on the first day
BTreat only the child, as family members without itching are not infected
CTreat the child and all close contacts at the same time, and wash bedding and clothes
DTreat only the itchy areas of skin, not the whole body
7.صعبة
A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?
AWarn her firmly that she will die soon if she does not do what she is told
BTell her parents to supervise every session until she is 18
CExplore her reasons and plan treatment with her that fits her daily life
DStop the physiotherapy, since she does not want it
8.صعبة
Which finding in a teenager with anorexia nervosa most clearly suggests the need for hospital admission?
AMissing one menstrual period after starting a new diet
BWanting to exercise every day
CFainting episodes with a very slow heart rate and low potassium
DWeighing 2 kg less than at last month's clinic visit
مفتاح الإجابات
1. C · To prevent vitamin K deficiency bleeding
2. C · Heart rate, breathing effort, muscle tone, reflex response and colour
3. A · As temporary or reversible, like being asleep or away
4. D · Within hours, increasing gradually as per protocol; some vomiting can be expected
5. B · وضعه قبل وقت كافٍ، عادةً نحو 60 دقيقة، تحت ضمادة محكمة
6. C · Treat the child and all close contacts at the same time, and wash bedding and clothes
7. C · Explore her reasons and plan treatment with her that fits her daily life
8. C · Fainting episodes with a very slow heart rate and low potassium
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