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الاسم: ____________________ التاريخ: ____________
1.سهلة
Desmopressin is a synthetic analogue of which hormone?
AAldosterone
BInsulin
CAntidiuretic hormone (vasopressin)
DOxytocin, the hormone of labour
2.سهلة
Why are corticosteroids such as betamethasone given to a woman at risk of preterm birth?
ATo speed up fetal lung maturity
BTo stop contractions completely
CTo lower the mother's blood glucose
DTo prevent infection in the mother
3.سهلة
Which opioid receptor is mainly responsible for the pain relief and respiratory depression of morphine?
AKappa receptor
BMu receptor
CNicotinic receptor
DDelta receptor
4.متوسطة
Which adverse effect of ciprofloxacin should a patient report at once?
APain or swelling in a tendon, such as the Achilles tendon
BA slightly bitter or metallic taste for a while after each dose
CMild tiredness in the first few days
DDarker stools than usual
5.متوسطة
A woman taking the combined pill should seek care urgently for which symptom?
ALight spotting between periods early on
BMild breast tenderness in the first month
CSlight nausea in the first few weeks
DA painful, swollen calf or sudden chest pain
6.متوسطة
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
APosition the woman flat on her back
BGive a second oxytocin bolus
CIncrease the infusion to finish labour quickly
DStop the oxytocin infusion
7.صعبة
A patient on warfarin also takes ginkgo and high-dose garlic supplements and is having minor surgery next week. What should the nurse do?
AAdvise taking extra supplements to improve healing
BIgnore the supplements, as natural products are safe with warfarin
CAdvise stopping warfarin without telling anyone
DTell the surgical team, as the supplements can increase bleeding
8.صعبة
During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?
AGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
BIncrease the infusion rate to improve blood flow to the heart
CSit the patient fully upright and give paracetamol for the headache
DStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
مفتاح الإجابات
1. C · Antidiuretic hormone (vasopressin)
2. A · To speed up fetal lung maturity
3. B · Mu receptor
4. A · Pain or swelling in a tendon, such as the Achilles tendon
5. D · A painful, swollen calf or sudden chest pain
6. D · Stop the oxytocin infusion
7. D · Tell the surgical team, as the supplements can increase bleeding
8. D · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
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