الحمل والولادة


حل امتحان الميدتيرم الفرقة الثانية  2016/2015
   




Midterm exam 2 year (2016-2017)
1.Varicose veins can cause changes in what component of Virchow’s triad?
  1. Blood coagulability
  2. Vessel walls
  3. Blood flow
  4. Blood viscosity
2.Which of the following characteristics is typical of the pain associated with DVT?
  1. Dull ache
  2. No pain
  3. Sudden onset
  4. Tingling
3. Buerger’s disease is characterized by all of the following except:
  1. Arterial thrombosis formation and occlusion
  2. Lipid deposits in the arteries
  3. Redness or cyanosis in the limb when it is dependent
  4. Venous inflammation and occlusion
4. Which of the following landmarks is the correct one for obtaining an apical pulse?
a. Left intercostal space, maxillary line
b. Left fifth intercostal space, midclavicular line
c. Left second intercostal space, midclavicular line
d. Left seventh intercostal space, midclavicular line
5. The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including:
  1. Headache
  2. High blood pressure
  3. Shortness of breath
  4. Stomach cramps

6.If the blood supply to the kidneys becomes limited it can cause the following except:
1.    Loss of appetite
2.    Difficulty concentrating
3.    Chest pain
4.    Swelling of the hand feet
7.Cerebrovascular disease is a group of brain dysfunctions related to :
a.    Disease of blood vessels supplying the brain
b.    Disease of the blood vessels supplying the brain stem
c.    Disease of the blood vessels supplying the cerebrum
d.    Disease of the blood vessels supplying the cerebellum
8.When a blood vessel is part of the brain becomes weak and busts this may leading to :
1.    ischemic stroke
2.    hemorrhagic stroke
3.    arteriovenous malformation
4.    atherosclerosis
9.Which of the following is a specific investigation to detect seizures?
1.    MRI
2.    X-rays
3.    Electroencephalogram(EEG)
4.    CT scan


10.Which of the following pathologic processes is often associated with aseptic meningitis?
  1. Ischemic infarction of cerebral tissue
  2. Childhood diseases of viral causation such as mumps
  3. Brain abscesses caused by a variety of pyogenic organisms
  4. Cerebral ventricular irritation from a traumatic brain injury

11.A client has signs of increased ICP. Which of the following is an early indicator of deterioration in the client’s condition?
  1. Widening pulse pressure
  2. Decrease in the pulse rate
  3. Dilated, fixed pupil
  4. Decrease in LOC
*12.Type of seizures in which patient experiences sensory,psychic,autonomic,and motor phenomena called aura signs :
1.    focal seizures
2.    Grand mal seizures
3.    Generalized seizures
4.    Absence or petit mal seizures

13.When the patient developed a brain tumor as a result of metastasis cancer cells through blood stream to brain this type of tumor called:
1.    primary cancerous tumor
2.    Secondary cancerous tumor
3.    Benign tumor
4.    Intracranial neoplasm
14. The accumulation of fluids in the pleural space is called:
1.    Pleural effusion
2.    Hemothorax
3.    Hydrothorax
4.    Pyothorax
15. An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?
A. A low respiratory rate
B. Diminished breath sounds
C. The presence of a barrel chest
D. A sucking sound at the site of injury
16. Which phrase is used to describe the volume of air inspired and expired with a normal breath?
A. Total lung capacity
B. Forced vital capacity
C. Tidal volume
D. Residual volume
17.After thoracentesis the client should be placed on which position?
a.    Affected side
b.    Unaffected side
c.    Prone position
d.    Supine position
18)Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop?
  1. Atelectasis
  2. Bronchiectasis
  3. Effusion
  4. Inflammation
19.When poor blood flow to the brain leading to cell death this mean :
a.    A patient has cerebrovascular accidents
b.    2- a patient has a brain attack
c.    3- a patient a stroke
d.    4- All of a above

20) Which of the following tests is used most often to diagnose angina?
  1. Chest x-ray
  2. Echocardiogram
  3. Cardiac catherization
  4. 12-lead electrocardiogram (ECG)

Write the letter(T) if the statement is true and (f) if the statement false               (10 marks)
1-Nonsteroidal anti-inflammatory medication used to reduce pain and inflammation
2-Stenoses is a localized sac or dilation of an artery formed at a weak point in vessel wall
3- Elastic compression stockings are used to maintain compression of leg for patient suffers from deep venous thrombosis
4- A linear skull fracture is a break in a cranial bone reassembling a thin line with splintering , depression , or distortion of bone.
5- Ischemic stroke occurs when blood vessel I a part of brain becomes weak and bursts open.
6- in a craniotomy operation the bone flap is removed from the skull to access the brain then replaced again
7- The electrical activity is caused by complex chemical changes that occur in nerve cells .
8- Residual volume (RV) the a mount of inhaled or exhaled during normal breathing .
9- The chest trauma is serious injury of the chest it can be classified as blunt or penetrating and compression injury.
10- Encourage patient who suffering from tonsillitis to take liquid and irritating diet relieve pain



Midterm exam 2014/2015 First term

1) Atherosclerosis impedes blood flow by which of the following mechanisms?
A. Plaques obstruct the vein
B. Plaques obstruct the artery
C. Blood clots form outside the vessel wall
D. Hardened vessels dilate to allow the blood to flow through
2)Which of the following risk factors for coronary artery disease cannot be corrected
A. Cigarette smoking                       B. DM
C. Heredity                                        D. HPN
3) Dyspnea, cough, expectoration, weakness, and edema are classic signs and symptoms of which of the following conditions?
A. Heart Failure                            B. Hypertension
C. Myocardial Infarction               D. Pericarditis
4) Which of the following landmarks is the corect one for obtaining an apical pulse?
A. Left intercostal space, midaxillary line
B. Left fifth intercostal space, midclavicular line
C. Left second intercostal space, midclavicular line
D. Left seventh intercostal space, midclavicular line
5)stimulation of the sympathetic nervous system produce which of the following response
a. Tachycardia                                          b. Bradycardia
c. Decreased myocardial contractility       d. Hypotention
6). Which of the following classes of drugs id most widely used in the treatment of cardiomypathy?
a. Nitrates                                 b. Calcium channel blokers.
c. Beta- adrenergic blockers     d. anticoagulants
7)What is the first intervention for a client experiencing myocardial infarction?
A. Administer morphine                          B. Administer oxygen
C. Administer sublingual nitroglycerin    D. Obtain an electrocardiogram
8)Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage?
A. Cardiac catheterization           B. Cardiac enzymes
C. Echocardiogram                     D. Electrocardiogram
9)Which of the following conditions is most commonly responsible for myocardial infarction?
A. Aneurysm                               B. Heart failure
C. Coronary artery thrombosis   D. Renal failure

9). For a male client with suspected increased intracranial pressure (ICP), a most appropriate respiratory goal is to:

BY : Amro Abu Hashim
         Ahmed Elhady
a. prevent respiratory alkalosis.

b. lower arterial pH.
c. promote carbon dioxide elimination.
d. maintain partial pressure of arterial oxygen (PaO2) above 80 mm Hg
11)a neighbor's fall from the roof of his house. The nurse rushes to the victim and determines the need to open the airway. The nurse opens the airway in this victim by using which method?
a. Flexed position    b. Head tilt-chin lift
c. Jaw thrust maneuver   d. Modified head tilt-chin lift
12). The nurse is assessing the motor function of an unconscious male client. The nurse would plan to use which plan to use which of the following to test the client's peripheral response to pain?
a. Sternal rub
b. Nail bed pressure
c. Pressure on the orbital rim
d. Squeezing of the sternocleidomastoid muscle
13.     A male client is having a lumbar puncture performed. The nurse would plan to place the client in which position?
a.    Side-lying, with a pillow under the hip
b.    Prone, with a pillow under the abdomen
c.    Prone, in slight-Trendelenburg’s position
d.    Side-lying, with the legs pulled up and head bent down onto chest
14).    If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse would anticipate that the client has problems with:
a.    body temperature control.           b.    balance and equilibrium.
c.    visual acuity.                                d. thinking and reasoning.
15). The nurse is assessing a 37-year-old client diagnosed with multiple sclerosis. Which of the following symptoms would the nurse expect to find?
a. Vision changes                      b. Absent deep tendon reflexes
c. Tremors at rest                      d. Flaccid muscles
16)The nurse is performing an assessment on a client bein evaluated for viral hepatitis. Which symptom will the nurse most likely assess on this client?
a. Arthralgia    . B.Excitability.   c. Headache     d. Polyphagia
17)which type of hepatitis is transmitted by fecal oral route via contaminated food water or direct contact with an infected person?
a. hepatitis A       b. hepatitis B      c. hepatitis C    c. hepatitis D
18)A nurse is preparing to remove a nasogartric tube from a female client. The nurse should instruct the client to do which of the following just before the nurse removes the tube?
a. Exhale                                                  b. Inhale and exhale quickly
c. Take and hold a deep breath               d. Perform a Valsalva maneuver
19)The nurse is caring for a hospitalized female client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?
"a. Hypotension                  b. Bloody diarrhea
c. Rebound tenderness      d. A hemoglobin level of 12 mg/dL
II) Circle the letter (T) if the statement is true and (F) if the statement is false and correct
1. (  F ) Stenosis is localized sue or dilation of an artery formed at weak point in the vessel wall.  Aneurysm
2. (  F ) Atherozleeosis is diffuse process where by muscle filters and the endothelial ling of the walls of small arteries and arterioles, thicken.
3. ( T ) Rubor is reddish blue discoloration of the extremities indicative of seven peripheral arterial damage in vessels that hemain dilated and unable to constrict
4.(   T  ) Vasculitis is an inflammatory occlusive vascular disorder involved smaal and medium-size arteries and veins
5.(  F  ) Myocardial infractions is syndrome that results from the inability of the heart to pump sufficient blood to meet the metabolic demands of the body
6. ( T   )Terminal ileum in alimentary canal is the most common location for chron's disease
7. (  T   )Dysphonia is a voice impairment on altered voice production neuropathy general term indicating a disorder of the nervous system
8.( F) Dyskinesia  is a double vision or awareness of two images of the same object
9. (  T   ) Side- lying position is ideal for the client in the early postoperative period after occurring in one or both eyes
10. (  F  ) Concussion is more severe injury, the brain is bruised, with possible surface hemorrhage
11.( T) Cerebrospinal fluid clear and colorless fluid with a specific gravity of 10.007
12. (  F  )The ventricular and subarachnoid system contains approximately 50ml.of fluid each lateral ventricle normally contains 25 ml of CSf
13.(   T   ) A complete spinal cord injury where no motor sensory function is oreserved in the sacral segments S4-S5
14. ( T  ) Altered tissues perfusion related to cerebral oedema ,increased ICP,SEIZURE
15. (  T  )  Primary brain tumor are commonly located in the anterior 2/3 of the cerebral hemispheres
Question3 
  Discuss the following 
1-The most common warning signs of brain tumors

2- Clinical manifestation associated with thrombophlebitis 

3- nursingCare for peptic ulcer

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