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1.سهلة
Where is the pain of appendicitis typically felt once it has localised?
AIn the upper middle abdomen only
BAround the left shoulder blade
CIn the left lower abdomen
DIn the right lower abdomen
2.سهلة
What is the first-line treatment for anaphylaxis in a child?
AIM adrenaline (epinephrine)
BOral paracetamol (acetaminophen)
CAn oral antihistamine
DAn inhaled corticosteroid via a spacer
3.سهلة
متى ينبغي أن يتناول الطفل المصاب بالتليف الكيسي كبسولات أنزيمات البنكرياس؟
Aعلى معدة فارغة في الصباح فقط
Bمرة واحدة يوميًا عند النوم
Cفقط عندما يكون البراز رخوًا
Dمع كل وجبة ووجبة خفيفة
4.متوسطة
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
AEpisodes of crying with red-currant jelly stools
BSudden projectile vomiting with a palpable olive-shaped mass
CHigh fever with a stiff neck and a purple rash
DChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
5.متوسطة
Which advice is best for a baby with mild nappy rash?
AApply talcum powder thickly at every nappy change
BChange nappies often, clean gently, use a barrier cream and allow nappy-free time
CUse tighter nappies so that less urine reaches the skin
DWipe with perfumed baby wipes at every change to kill the bacteria on the skin
6.متوسطة
A child has just spilled hot tea on his arm. What is the correct first aid?
ABurst any blisters to let the heat out
BCool the burn under cool running water for about 20 minutes
CSpread butter or toothpaste on the burn
DHold ice directly on the burn for about an hour to stop the pain
7.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"We'll dress her warmly before she goes out in cold weather."
D"In summer she can drink less so she doesn't need the toilet at school."
8.صعبة
A 3-year-old was pulled from a pool after a brief submersion. She is now awake and coughs now and then. What should the nurse advise?
ATake her straight home, because she is awake, talking and only coughing now and then
BGive her a warm drink and put her to bed for a long sleep
COnly seek care if she develops a fever in the next week
DObserve her in hospital for several hours, as breathing problems can develop later
مفتاح الإجابات
1. D · In the right lower abdomen
2. A · IM adrenaline (epinephrine)
3. D · مع كل وجبة ووجبة خفيفة
4. D · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
5. B · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
6. B · Cool the burn under cool running water for about 20 minutes
7. D · "In summer she can drink less so she doesn't need the toilet at school."
8. D · Observe her in hospital for several hours, as breathing problems can develop later
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