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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the cause of Hirschsprung disease?
AThickening of the muscle at the outlet of the stomach
BOne part of the bowel telescoping into the next part
CInflammation of the bowel lining after a viral infection
DMissing nerve (ganglion) cells in part of the bowel
2.سهلة
بحسب الرعاية غير الرضّية (atraumatic care)، أين ينبغي إجراء الإجراء المؤلم مثل فحص الدم؟
Aفي سرير الطفل كي لا يضطر إلى التنقل
Bفي غرفة الانتظار أمام الأطفال الآخرين
Cفي غرفة العلاج، لا في سرير الطفل
Dفي غرفة اللعب ليشعر الطفل بالاسترخاء
3.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
4.متوسطة
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
ASeparate them by at least 4 weeks
BNever give both vaccines in the same year
CGive the second within 24 hours of the first
DSeparate them by at least 1 week
5.متوسطة
How is amblyopia (lazy eye) commonly treated in young children?
AWaiting until adulthood, when surgery can correct it
BPatching the weaker eye so that it can rest and recover
CPatching or blurring the stronger eye so the weaker eye works harder
DEye exercises alone, without any glasses, drops or patches
6.متوسطة
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
AA family history of diabetes
BBeing of a particular ethnic background
CObesity with low physical activity
DA viral infection in early childhood
7.صعبة
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
A"I stop taking my preventer inhaler whenever I've had a few good days."
B"I use my spacer with my inhaler, even at school."
C"I rinse my mouth after using my preventer inhaler."
D"I carry my reliever inhaler with me everywhere I go."
8.صعبة
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
ATesting is required by law before any young person can see a nurse or doctor for any reason
BChlamydia always causes severe pain, so testing is only a formality
CChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
DChlamydia can only be caught from shared towels and toilet seats
مفتاح الإجابات
1. D · Missing nerve (ganglion) cells in part of the bowel
2. C · في غرفة العلاج، لا في سرير الطفل
3. D · As pathological until proven otherwise; it needs prompt evaluation
4. A · Separate them by at least 4 weeks
5. C · Patching or blurring the stronger eye so the weaker eye works harder
6. C · Obesity with low physical activity
7. A · "I stop taking my preventer inhaler whenever I've had a few good days."
8. C · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
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