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1. A mother who had a child with spina bifida asks for advice for her next pregnancy. What is the most important recommendation?
A) Take folic acid before conception
B) Avoid exercise during pregnancy
C) Increase vitamin C intake
D) Delay next pregnancy for 5 years
✅ Answer: A) Take folic acid before conception
Rationale: Folic acid supplementation before and during early pregnancy reduces the risk of neural tube defects.

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2. A pregnant woman with gestational diabetes is at higher risk of delivering a baby with:
A) Microcephaly
B) Macrosomia
C) Spina bifida
D) Down syndrome
✅ Answer: B) Macrosomia
Rationale: Gestational diabetes increases the risk of fetal overgrowth (large for gestational age).

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3. A patient undergoes appendectomy. Which statement is most accurate regarding post-operative care?
A) The patient should remain NPO for 7 days
B) Early ambulation is encouraged
C) Pain management is unnecessary
D) Diet is unrestricted immediately
✅ Answer: B) Early ambulation is encouraged
Rationale: Early ambulation reduces risk of complications like DVT and promotes bowel function.

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4. Parents ask about managing a child diagnosed with ADHD. Which advice is most appropriate?
A) Ignore hyperactive behavior
B) Implement structured routines and positive reinforcement
C) Restrict all social interactions
D) Avoid all physical activity
✅ Answer: B) Implement structured routines and positive reinforcement
Rationale: Behavioral interventions, structure, and support improve outcomes for children with ADHD.

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5. Which of the following best describes neurogenic shock?
A) Hypotension and bradycardia due to loss of sympathetic tone
B) Hypotension and tachycardia due to hypovolemia
C) Hypertension and bradycardia
D) Hypertension and tachycardia
✅ Answer: A) Hypotension and bradycardia due to loss of sympathetic tone
Rationale: Neurogenic shock occurs with spinal cord injuries above T6 causing vasodilation and bradycardia.

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6. A patient receiving a blood transfusion suddenly complains of back pain and chills. What is the priority action?
A) Slow the transfusion
B) Stop the transfusion immediately and notify the physician
C) Give acetaminophen and continue
D) Check vital signs in 24 hours
✅ Answer: B) Stop the transfusion immediately and notify the physician
Rationale: These are signs of acute hemolytic transfusion reaction; stopping transfusion prevents further complications.

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7. A patient who had a thyroidectomy should be advised to eat:
A) Soft foods that are easy to swallow
B) Hard and crunchy foods
C) Spicy foods immediately
D) Only liquids for 2 weeks
✅ Answer: A) Soft foods that are easy to swallow
Rationale: After thyroidectomy, the neck may be sore, and soft foods reduce discomfort and risk of injury.

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8. After a tonsillectomy, which food is most appropriate initially?
A) Ice cream and cold soft foods
B) Hard foods like crackers
C) Spicy foods immediately
D) Large solid meals
✅ Answer: A) Ice cream and cold soft foods
Rationale: Cold, soft foods reduce throat pain, inflammation, and bleeding risk.

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دعواتكم لهم وادعولي 🌷

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Community health
Medical health
Maternal Health
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