HAAD Exam 3 Past Paper PDF

JUST FOR HAAD EXAM 00962795824506 Ibrahim zboun Ayman Jamous Omar Ahmed FORM THREE OF HAAD EXAM 3 1) A 14 years child admitted to ER complaining of polyuria, polydipsia with fruity smell which of the following related to signs and symp...

JUST FOR HAAD EXAM 00962795824506 Ibrahim zboun Ayman Jamous Omar Ahmed FORM THREE OF HAAD EXAM 3 1) A 14 years child admitted to ER complaining of polyuria, polydipsia with fruity smell which of the following related to signs and symptom A. diabetic ketoacidosis B. Type 2 DM C. Meningitis D. Gastroenteritis A 9-year-old male is brought to the Emergency Department by his parents with a 1-week history of diarrhea and vomiting confused and drowsy. He is not known to have any medical problems and does not take any regular medication His respiratory rate is 21 breaths per minute, oxygen saturation is 99% on room air, HR is 125 bpm, BP is 100/78 mmHg and his blood sugar level is 24 mmol/L (432 mg/dl). His urine results are positive for ketones What is the most likely interpretation of his symptoms? A. A Diabetic ketoacidosis B. B Gastroenteritis C. C Appendicitis D. D Meningitis What is the most appropriate initial management for her? A IV fluids using saline 0.45% and potassium, insulin infusion, and hourly blood glucose measurements 2) A 32 years old female patient represented to ER with Hb 9.2 Full investigation the patient diagnosed as iron deficiency anemia The type of this : A. Microcytic hypochromic anemia  B. Macrocytic hypochromic anemia C. Folic acid diffecncy anemia D. Microcytic normochromic anemia Which of the following are the best management for this condition ? 1. management the underlying causing for deficiency 2. giving IV infusion iron 3. management the bleeding 4. B12 +FOLIC ACID A. 1.2 B. 2.3 C. 3,4 D. 1,4 In form tow of haad exam the same topic but another method A58 years old presented with pallor of the skin and mucous membrane, headache, dizziness ,fatigue Palpitation and dyspnea. A full examination reveals microcytic hypochromic anemia. which of the following findings are most likely to be present in this case? Findings 1) Decreased Hb, hematocrit, serum Iron and ferritin 2) Decreased Hb, hematocrit and folic acid 3) Elevated red cell distribution within and Transferrin 4) Marked Variation in the size and shape of RBCs A - 1and 3 B - 1 and 4 C - 2and 3 D - 2 and 4 What advice should the nurse provide to her ? ADVICE 1) Take iron tabs on empty stomach with full glass of water or fruit juce. 2) Take folic acid tabs on empty stomach with full glass of water or fruit juice 3) Anticipate some epigastric discomfort, change in color and consistency of stool a black and tarry and in some cases nausea,constipation or diarrhea. 4) Anticipate some epigastric discomfort, change in color of stool to green or black and in some cases nausea, constipation or diarrhea. A. 1,2 B. 1,3 C. 1,4 D. 2,3 3) Which of the following vitamin can be given to neonate after delivery ? A. Vitamin K B. Vitamin B C. Vitamin C D. Vitamin A NOTE Vitamin K 1mg For Full Term , 0.5mg For Pre Term IM VASTAS LATERALIS 4) A 42-year-old male has been admitted with a history of nausea, vomiting, abdominal pain that radiates to the back and a fever for the past 2 days Laboratory studies on Physical examination reveals distended abdomen which is very tender on palpitation Lab test reveal following: *WBC 13, 130/mm3 *potassium 3.0 *lipase 445 unit/l *Amylase 302 units/l *total bilirubin 3.3 *AST 140U/L *ALT 387U/L Based on the symptoms and laboratory results, What is the best interpretation of his symptoms? A. Billy duct disease B. Liver cirrhosis C. Heart failure D. Appendicitis 5) A 20-year-old presents with a 24-hour history of sudden abdominal cramps, and vomiting and this pain increase with meal. On examination, his BP is 123/65 mmHg, HR 67 bpm and temperature is 38°C. What is the best interpretation of his symptoms? A. Gastritis B. Myocardial Infarction C. Peptic Ulcer D. Infection 6) A 18 years old female patient presented to ER. A patient was overweight and was exposed to stressful event in her life. She stopped eating and drinking, and her weight began to lose. A full examination reveals diagnosed of anorexia nervosa. Which of the of the following priority course of action ? A. taking a blood sample(CBC) to evaluate electrolytes condition or mal nutrition B. referral patient to the psychiatric clinic C. focusing on patient Wight 7) 14 years old young patient arrive to ER good complaining from SORE THROUT swallow tonsil and after SEEN by the physician he noticed that the condition developed to inflammation to the pharynx. What is the best interpretation of his symptoms? A. Tonsillitis B. Pharyngitis or Peritonsillar abscess C. Bronchitis D. Asthma Keep in mind Peritonsillar abscess is a complication of tonsillitis. It is most often caused by a type of bacteria called group A beta-hemolytic streptococcus. Peritonsillar abscess most often occurs in older children, adolescents, and young adults. The condition is rare now that antibiotics are used to treat tonsillitis 8) According to the previous patient what is the best treatment ? A. Penicillin or amoxicillin or erythromycin B. Penicillin V  C. Cephalosporin Amoxicillin (50 mg/kg/day) alone or with clavulanate is the first line antibiotic. Penicillin is the antimicrobial agent of choice for treatment of group A streptococcal pharyngitis. It is indicated for the prophylaxis or treatment of mild to moderately severe upper respiratory tract infections caused by organisms susceptible to low concentrations of penicillin G 9) A 41years old male Patient presented to ER with increase in his body temperature , fatigue, weakness hypotension. Patient Said he omitted a multi dose of prednisolone what will suspect the patient have A. Addison crisis B. Cushing syndrome C. Hypothyroidism D. Graves' disease 10) Patient presented to ER complaining from abdominal pain and abd distention the X-ray shows that the patient have accumulation of a fluid in his abdomen area.......... in patient absence of bowel movement. Which of the following is the best medical procedure for this condition ? A. Analgesia and nasogastric tube and Npo B. IV hydration nasogastric tube and Npo C. IV hydration , Npo nasogastric tube and lobrotomy 11) which anti-diabetic medication in a related with gastrointestinal conditions? A. Metformin B. Glimepiride(Glizid) 1-2 MG DAILY C. Insulin D. 12) which of The following the most common cause of pancreatitis ? A. Alcoholism or gallstones and heavy alcohol consumption B. AKI C. Gastritis D. Common duct stone Keep in mind The 2 most common causes of pancreatitis are gallstones and heavy alcohol consumption. 13) A 49 patient complain from pain and swelling in his first toe in his left leg A. GOUT B. C. D. 14) patient diagnose as a case of gout and he is on a regular allopurinol he complain from irritation around his eyes A. Steven Johnson disease B. C. D. 15) a 47 years old male diagnosed as a case liver cirrhosis a nurse during the shift notice that the patient developed involuntary rapid repetitive movement in his wrist and finger A. Astraxia B. Epistaxis C. Epistaxis D. 16) a Latin American Traveler complaining 5 days cough night sweat and abdominal pain A. Tuberculosis B. Malaria C. Diphtheria D. Typhoid What is the correct incubation period for malaria? A. 7-15 B. 15-30 or 7-28 C. 30 -40 D. 17) A 46 Years old male patient he has history from five years of HIV he complaining of skin rashes in his sacral area. What is the best interpretation of his symptoms?  A. Herbs Simplex Zoster B. Kaposi Sarcoma C. Herbs Zoster D. Psoriasis 18) Which of the following nursing Behavior not related to a TRANSCULTURAL NURSING care: A. A female nurse dealing with the critical situation based on her believe B. Ignore the cultural differences between patient C. A nurse must deal in his practice based on patient needs not based on what you believe D. ‫اﻧﺘﺒﮭﻮا ھﻮن ﺑﺎﻟﺴﺆال ﻣﻤﻜﻦ ﯾﺠﻲ ﻧﻔﺲ اﻟﺴﻮال ﻟﻜﻦ ﺑﻌﻄﻲ ﺑﺎﺳﺘﺜﻨﺎء‬ ‫ﻓﺒﺘﺨﺘﺎروا ﻛﻞ اﻟﺨﯿﺎرات وﺗﺴﺜﻨﻮا ﺧﯿﺎر ﻣﻜﺘﻮب ﻓﯿﮫ‬ PATINET BACKGRAOUND Note: Madeleine Leininger (1978,1984) developed the Transcultural Nursing Model. She advocated that nursing is a humanistic and scientific mode of helping a client thru specific cultural caring processes (cultural values, beliefs, and practices) to improve or maintain a health condition) 19) Most common site of placement of pacemaker electrode? A. Right Ventricle SINGLE B. Right Atrium C. Left Atrium D. Left Ventricle 20) P Wave On ECG Representing of A. Atrial Depolarization B. Ventricular Repolarization T-WAVE C. D. 21) SA node location in the heart A. Right Ventricle B. Right Atrium  C. Left Atrium D. Left Ventricle 22) A patient went to dinner with his work colleagues, and it was all spices, curry( ‫);ﻛﺎري ﻣﺎﻛﻞ ﻣﺮﯾﺾ‬. During or after eating dinner or lunch, the patient had an allergic reaction, as the patient’s lips swollen and he became short of breath. A full examination reveals diagnosed of anaphylactic shock what is the leading cause for this condition as mechanism of the body A. Increase vascular resistance B. Decrease in osmotic vascular resistance According to the above situation, As I was the patient, he entered the ambulance and was given oxygen at the highest level, but he did not stabilize which of the following is the best course of action? 1. Iv fluid 2. ETT 3. Increase O2 consumption 4. EPINPHRINE A. B. C. 2,4 D. 23)A35 Years old pregnant female patient complaining from frequent urination, polyphagia and excessive thirst. What is the best interpretation of his symptoms? A- Gestational DM B- Dehydration C- Gestational HTN D- Hyperglycemia 24) What is the best time to evaluate patient condition A. 24-28 weeks B. 28-32 C. 16-20 D. 20-24 25) A women - and her husband …. Unable to sleep, unable to build a complete conversation with him. Purchasing needless items from the market  A. Bipolar B. Stress Related Anxiety C. Post Traumatic Syndrome D. Cyclothymic 26) Alzheimer patient admitted to the hospital post fall Nursing intervention : select all that apply : 1- Involve the patient in activities 2- patient to sleep during the daytime 3- Television 4 -putting a patient in a single Inner Room in order to avoid disturbing other patients 5- darken the room to provide quiet environment A. 2,3,4, B. 1,2,3, C. 1,2,3,4 D. 1,2,3,4,5 27) 26 Years old young patient represented in Clinic and complaining from chest pain during rest. What do you expect to happen to the patient? A. B. ANGINA C. D. According to the previous patient condition So that it does not develop into a heart attack(MI) what is the best treatment ? A. Aspirin B. Nitroglycerin C. D. 28) A 55 years old male patient with atrial fibrillation(AF) who was admitted to the hospital for a GI study is taking his morning anticoagulant dose.(APIXABAN ) After learning this, the patient’s operation was cancelled, as the patient asked the nurse Why my operation was cancelled Why was the procedure abandoned? A. Put the patient at risk of bleeding B. Affect on his NPO condition C. Patient in stress 29) Which of the following is true regarding Kegel exercises ? 1- to Strength pelvic floor muscles 2- in a UTI condition the patient must make this exercise but in less frequent 3-making this exercise for 3second then relax 3 second with repetition in cluster of 15 and for three times per day 4- the patient can do this exercise in a sitting standing and lying position 5- this exercise is done by Landing on here back A. 1,2,3,4,5 B. 1,3,4,5 C. 1,4,5 D. 1,5 30) Patient post trauma about 50%, he have a Cardiac Tamponate Intervention A. Analgesia. IV Fluid ,ETT B. Oxygen, X-Ray ,IV Fluid C. Analgesia ,X-Ray, ETT D. Oxygen ,X-Ray, CHEST Tube Keep in mind : CARDIAC TAMPONATE Complication of pericardial effusion s/s: muffled or distant heart tones, narrowed pulse pressure, jugular vein distention, pulse paradoxus (widening systolic pressure of >10),.dyspnea, tachypnea, tachycardia Treatment: emergency pericardiocentesis Beck's triad: hypotension, muffled heart sounds, distended neck veins 31) Smoker patient for 30 years ago regarding smoking cessation answer: A. stop immediately. exercise. alternative methods electronic cigarette, nicotine patch B. stop immediately. exercise. alternative methods (acupancture) nicotine patch C. Educate or teaching the patient about smoke-related risks. exercise. ,alternative methods electronic cigarette, nicotine patch D. Educate or teaching the patient about smoke-related , exercise alternative methods (acupuncture) and nicotine patch ‫ ال ﯾوﺟد ﺑﮫ اﻛواﺑﻧﻛﺷر او ﻧﯾﻛوﺗﯾن ﺑﺎﺗش ﺑرﺿو ﺗروﺣوا ﻣﻌﮫ‬4 ‫ﻣﻣﻛن ﯾﻛون اﻟﺧﯾﺎر‬ ‫ﺻﺣﯾﺢ‬ ‫اھم ﺷﻲ ﺗﺗﺟﻧب اﻟوﻗف اﻟﻣﻔﺎﺟﻰ وﺗﺟﻧب اﻟﺳﺟﺎﺋر ااﻟﻠﻛﺗروﻧﯾﮫ وااﻟرﺟﯾﻠﮫ‬ 32) Bronchiectasis patient…( Bronchiectasis is an irreversible widening (dilation) of portions of the breathing tubes or airways (bronchi) resulting from damage to the airway wall.) Management Select all that apply: 1- Oxygen Therapy 2- Chest Physiotherapy 3- Expectorant And Mucolytic 4- Antibiotic 5-Flu Vaccine 6- Pneumococcal Vaccine A.  B. C. D. 2,3,4,5,6 KEEP IN MIND ‫ھون ﻣﺎ اﺧﺗرﻧﺎ ااﻟﻛﺳﺟﯾن ﻣﻌﺎھم اﻟﻧﮫ ذﻛروا اﻧﮫ ﻧﺳﺑﮫ ااﻟﻛﺳﺟﯾن ﻓﻲ اﻟﺳؤال ﻣﻣﺗﺎزة‬ 33) What is the target Auto saturation for asthmatic patient A. 88-92 B. 90-94 C. 94-98 D. 99-100 Which of the following is the correct position for an asthma patient? A. High fowler B. Semi fowler C. Fowler D. Setting stand position 34) female patient with external rotated left leg was falling down A. Tibia fracture B. Femur fracture C. Knee fracture D. Hip fracture 35 ) this patient diagnosed Extra capsular fracture what is the BEST the management REMEMBER Late Management A. ORIF (open reduction internal fixation ) B. C. According to the previous situation, what is the best initial management in the emergency department? A. B. X-RAY, immobilization and analgesic C. ‫ ﻣﻣﻛن ﯾﺟﻲ ﺳﺎﺗﺎ‬.D 36) A 74-year-old male has Hypotension Weakness and fatigue Lab reveal are HB 9,7, creatinin 3.5 , urea 220 and a glomerular filtration rate (GFR) of 35 mL/min. A full examination reveal diagnosed a chronic kidney disease Which of the following statements is correct? Which of the following is the best management regarding blood transfusion: A. PT NO need for blood transfusion according to this reading B. The patient need to correct the hemoglobin level C. Give IV fluid to correct hypotension D. CKD associated anemia is a systemic and will reserve. 37) Another intervention (priority) the same case in the above A. Weekly weight B. 2 L normal saline over 24 hour C. Restrict sodium intake 1 liter per day D. Maintain adequate balance According to the previous case, which of the following is considered correct regarding this patient’s diet? A. Low NA diet B. High K diet C. High protein diet D. 38 Which of the following condition lead to urine retention 1. Stroke 2. Decrease in activity 3. Anticholinergic drugs 4. Oliguria A. B. 1,2,3 C. D. An elderly patient suffers from Dementia and has experienced urinary incontinence Which of the following reasons is related to this patient’s urinary incontinence? 1. 2.immobility 3.infection 4. Related patient's ealry disease onset of Delirium A. B. 1,3,4 C. D. Keep in mind It's common for people to have more difficulties using the toilet as they get older, particularly if they have dementia. Accidents and incontinence can cause problems, especially as a person's condition progresses. This can be upsetting for the person with dementia and difficult when you're supporting them 39) female patient received by ER staff nurse complain from dizziness.. Nausea hypotension 100\60 general malaise K=2,8 what is the priority in management A. Hypokalemia B. C. D. What is the optimal of potassium level A. 3 B. 3.5 C. 5.5 D. 6.5 Another question related to Kcl  How can you give the patient potassium? A. 40mleq in 50 saline in infusion pump B. C. D. 40) Which of the following correct statement regarding right of medication ? A- Right Name, Right ,Drug, Right Dose, Right rout, Right time B C D 41) A pt 55 years old male present to the clinic maybe smoker or not And unable To sleep during night and he is referred for an overnight sleep study to confirm obstructive sleep study " A full examination reveal diagnosed a positive sleep apnea Which of the following management plans is most appropriate? A. Albuterol Nebulizer 20-30 Min before Sleep B. We Non- Invasive Positive Pressure O2 Therapy. NOT Non- Invasive Positive Pressure which mean positive pressure CPAP = Continuous Positive Air Way Pressure Definition in form one It provides a fixed level of ventilation but does not respond to a patient's own inspiratory efforts NOTE keep in mind All of the following could be caused pneumothorax in long term or exacerbations A. Asthma B. COPD C. Mechanical Ventilator D. Cpap,Peep and Bipap E. All of the above  41) Which of the following procedures is used to diagnose asthma? 1- PFT 2- Serial peak flow 3- chest- x-ray 4-FeNO E. 1,2,3 F. 1,2,4 G. 2,3,4 H. 1,2,3,4 42) Which of the following tools is used to examine otitis media? A. Pneumatic Otoscope allows determination of the mobility of a patient's tympanic membrane (TM) in response to pressure changes B. Tympanometry is a test that shows how well your middle ear is working. C. Tonometry used to measure intraocular pressure =10-20mmHg D. 1Pneumatic Otoscope Tympanometry may reveal any of the following: 1. A tumor in the middle ear. 1) 2. Fluid in the middle ear. 2) 3. Impacted ear wax. 3) 4. Lack of contact between the conduction bones of the middle ear. 4) 5. Perforated eardrum. 5) 6. Scarring of the eardrum 43) case IQ level 60... stage  A. Severe mental disability. B. Moderate mental disability. C. Mild mental disability. D. Borderline mental disability. IQ tests begin to assess a person's intelligence quotient by measuring their short-term and long-term memory. It also measures how well individuals can solve puzzles or recall information they have heard, as well as how quickly they can complete these activities Breakdown of Scores on an IQ Scale 1 to 24: Profound mental disability. 25 to 39: Severe mental disability. 40 to 54: Moderate mental disability. 55 to 69: Mild mental disability. 70 to 84: Borderline mental disability. 85 to 114: Average intelligence. 115 to 129: Above average or bright. 130 to 144: Moderately gifted 44) leakage CSF from ear or nose ? what is the cause A. TIA B. CVA C. Duarmater Infection D. LOC 45) CASE female patient with menorrhagia what cause of menorrhagia A. Iron Deficiency Anemia B. HF C. Uterine Fibroids  D. Low Mood And Depression 46) patient with hip fracture : method of replacement position Trochanter roll A. Trochanter Roll , LOG Rolling B. C. D. 47) A 33 years old female pregnant she has urinary tract infection (UTI) Which of the following is the appropriate treatment? A. Cefuroxime ,zenat ,cephalosporin and amoxicillin save with any trimester of pregnancy 750mg B. trimethoprim C. Penicillin V D. Not Cefuroxime ,zenat ,cephalosporin and amoxicillin save with any trimester of pregnancy IN ANOTHER METHOD A 33 years old female pregnant she has Upper respiratory tract infection (URTI) Which of the following is the appropriate treatment? A. Cefuroxime ,zenat ,cephalosporin and amoxicillin save with any trimester of pregnancy 750mg 48) Which of the following is the first line antibiotics for Osteomyelitis? A. B. Clindamycin C. D. Penicillin V Oral antibiotics that have been proved to be effective include clindamycin, rifampin, trimethoprim-sulfamethoxazole, and fluoroquinolones. Β-lactam antibiotics, including penicillins and cephalosporins, for IV antibiotic 49) A 18 years old Young pt with URTI A. Erythromycin B. C. Penicillin V D. Cephalosporin Amoxicillin (50 mg/kg/day) alone or with clavulanate is the first line antibiotic. Penicillin is the antimicrobial agent of choice for treatment of group A streptococcal pharyngitis. It is indicated for the prophylaxis or treatment of mild to moderately severe upper respiratory tract infections caused by organisms susceptible to low concentrations of penicillin G 50) Pt Complain From Heat exhaustion which of the following the best intervention ? A- v/s Q 15 min B- v/s Q 30 min C- v/s Q 1 hours D- v/s Q 2-4 hours in another form 78 years old present to the emergency department with poor nutrition associated with hypotension. what imbalance most likely to be suffering harm? A- Sodium Excess B- Potassium Deficit C - Fluid Volume Deficit D- Fluid Volume Excess. 51) Pt With ESR 10 X-Ray Reported Trust...... Joint A-Osteoarthritis B-Osteomyelitis C-Osteoporosis D-Osteomalacia Another note 52) Asthmatic pt , what The Can cause of difficult of Breathing A. narrow of airway produce mucous B. C. D. 53) Which of the following is the appropriate position for sigmoid colonoscopy? A. Right lateral sims position B. Right lateral position C. Left lateral knee chest position D. lateral semi-prone position 54) pt with Atrial Fibrillation, Regarding Aprixiban with Amidarone. -Amidarone increase level of Aprixaban and pt risk for Bleeding 55) Post Endoscopy procedures what is initial intervention A. The nurse should be wait pt NPO until gag Reflex return B. C. D. 56 Which of the following indicates a malfunction in the bladder catheterization ( Suprapubic Catheter Dysfunctions)?  A. Decrease Urine Output B. C. D. 57) patient post 5 Day operation Fall Down ,and laying on Back A. Atonic seizure B. Tonic clonic C. Tonic D. Generalized Seizure 58) Skin rashes on neck "Red" and pain full A. B. Psoriasis C. D. 59 ) A 45-year-old patient with high blood pressure. The doctor prescribed some blood pressure medications for him, as after three days of taking the treatments, he started complaining of a dry cough. Which of the following medications may cause these symptoms A. Lasix loop diuretic B. ACE (basoprill ) C. Propranolol beta blocker D. Nifedipen CCB 60 ) A Patient told me about HIV. The number of CD4 was 275. What stage is - stage three 1. =>200 Stage IV 2. 200-349 Stage III 3. 350-499 Stage II  4. =