اکنون در دسترس! پژوهش تلگرام ۲۰۲۵ — مهمترین بینشهای سال 
EXIT and COC AMU NECHSAR CAMPUS
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EXIT AND COC EXAM ONLY.lets do continue ሁሉም የቀላቀሉት ዘንድ ማያያዣውን አጋሩ።
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پستهای کانال
A 2-year old child presented with difficulty of breathing of 2 hours. Mother reported that he had barking cough and hoarseness of voice in the last two days. On physical examination he is agitated, has audible stridor at rest and lower chest indrawing. What is the most likely diagnosis in this child?
A. Croup syndrome
B. Foreign body aspiration
C. Pertussis
D. Severe pneumonia
| 2 | Which of the following CSF profiles suggests pyogenic meningitis in neonates?
A. High cell count
B. High protein
C. Low glucose
D. Positive Gram stain | 69 |
| 3 | The recommended time to start folate supplementation for a mother who had a baby with myelomeningocele to prevent its recurrence in future pregnancies is:
A. At the first missed period
B. End of first trimester
C. One month before conception
D. Third trimester | 74 |
| 4 | A 24-year-old man came to the Emergency OPD with severe pain originating in the flank, radiating inferiorly and anteriorly. He also has nausea and vomiting. His vital signs are within normal limits. Abdominal examination showed marked costovertebral angle tenderness. Urinalysis showed microscopic hematuria. What is the most likely diagnosis?
A. Cystitis
B. Pyelonephritis
C. Pyonephrosis
D. Ureteric colic | 85 |
| 5 | A 25-year-old woman with severe depression attempted suicide by overdosing on medication.
What is the best tolerated drug of choice?
A. Diazepam
B. Fluoxetine
C. Imipramine
D. Amitriptyline | 141 |
| 6 | A 35-year-old woman with severe depression says, "Why is this happening to me though I am a good person?" She is crying and begging the nurse to help her recover soon because she is the only caregiver for her children.
What is the best priority nursing action?
A. Provide tissue paper and encourage her to clean her tears
B. Refer the patient to psychiatrist for better management
C. Tell her it can happen to others too and advise her to be strong
D. Tell her depression is a disorder that can be managed effectively | 140 |
| 7 | A 30-year-old pregnant woman from a goiter-endemic area has decreased iodine level. What is the most appropriate measure to prevent fetal hypothyroidism?
A. Advise the mother to feed sea foods
B. Counsel the mother to feed iodized salt
C. Give IM depot injection of iodized oil
D. Advise the mother to avoid goitrogenic nutrients | 122 |
| 8 | An adolescent male patient with scrotal swelling. Examination shows pink-red color during transillumination test and no pain on palpation.
A. Orchitis
B. Hydrocele
C. Scrotal mass
D. Inguinal hernia | 113 |
| 9 |  بدون متن... | 108 |
| 10 |  بدون متن... | 107 |
| 11 | A term newborn was found to be jaundiced and unable to suck breast milk within the first week after birth. A nurse plans to put the neonate under phototherapy.
What is the most appropriate next step the nurse should do?
A. Adjust the light of phototherapy
B. Secure intravenous line for feeding
C. Obtain the result of serum bilirubin level
D. Cover the eye of the neonate with plaster | 112 |
| 12 |  بدون متن... | 102 |
| 13 | 7. A 29-year-old woman came to a hospital with a complaint of lower abdominal pain that aggravates during sexual intercourse. She developed fear and dissatisfaction toward her sexual life. On assessment, the woman has adnexal and cervical motion tenderness. Her blood pressure is 110/70 mmHg, pulse rate is 78/min and temperature is 37.5°C.
What is the priority nursing diagnosis for this woman?
A. Ineffective sexuality pattern
B. Sexual dysfunction
C. Activity intolerance
D. Hyperthermia
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8. A woman came to a clinic with her husband with complaint of inability to conceive for one year after unprotected intercourse. They couples are highly concerned about conception and their health status. The laboratory investigation results show normal semen analysis and hormonal section. Unexplained infertility is diagnosed for the couple.
What is the priority nursing intervention for this couple?
A. Provide medication to resume fertility
B. Advise to reduce alcohol consumption
C. Suggest alternative sources of childbearing
D. Reassure the couple for psychological upset
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9. A nurse provides post abortion care for a pregnant woman who has vaginal bleeding for two days. She has lower abdominal pain and small uterus for dates. Her blood pressure is 100/60 mmHg and pulse rate is 110/min. The woman is diagnosed with incomplete abortion.
What is the priority nursing intervention for this woman?
A. Give appointment after two weeks
B. Provide clear instruction on self-care
C. Counsel on complication of abortion
D. Resuscitate the woman with normal saline
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10. An adolescent girl with complaint of excessive menstrual bleeding for more than a week came to a health center. She also has fainting, breast tenderness and loss of appetite. She uses more than five pads per day. Her blood pressure is 80/60 mmHg, pulse rate is 120/min, temperature is 37.5°C and her hemoglobin level is 10.0 gm/dl.
What is the priority nursing intervention for this girl?
A. Administer iron-sulfate
B. Administer IV fluid
C. Administer antipyretics
D. Administer oral contraceptive
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11. A 60-year-old woman has just completed her ovarian cancer surgery and returned for postoperative care. She started chemotherapy with drugs cisplatin and carboplatin to increase the chance of good progress.
What is the priority nursing diagnosis for this woman?
A. Risk for aspiration
B. Risk for fluid volume deficit
C. Risk for nutritional imbalance
D. Risk for impaired tissue integrity
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12. A 48-year-old diabetic patient, diagnosed as first degree uterine prolapse, was admitted for an elective surgery. She has complaints of urinary frequency, urgency and incontinence. Physical examination result shows that she has skin rash at the area of perineum and upper part of her thigh.
What is the priority intervention for the woman?
A. Catheterization
B. Bladder training
C. Restriction of fluid intake
D. Use skin protection product | 109 |
| 14 | 2. A mother, who was lactating for seven months, came to family planning clinic to take contraceptive. A nurse assessed for medical eligibility criteria and explained to her about the options, side effects and benefits of contraceptive for her. The mother preferred to take the combined oral contraceptive.
For which category of contraceptive the woman is eligible?
A. Category 1
B. Category 2
C. Category 3
D. Category 4
3. A 26-year-old mother used Depo-Provera contraceptive for one year. She discontinued the contraceptive due to irregular bleeding, nausea, headache and missing period. After three months of discontinuing the contraceptive, she became amenorrheic. Her body mass index is 23.8 and blood pressure is 110/70 mmHg.
What would be the priority side effect of discontinuing this contraceptive?
A. Nausea
B. Headache
C. Amenorrhea
D. Irregular bleeding
4. A Multi-Para woman came to family planning clinic for the service of contraceptive. She has repeated history of STI. The nurse discussed with the woman on family planning options, benefits, side effect and time to initiate the contraceptives.
What is the most priority contraceptive to be recommended for this woman?
A. Sino-Implant
B. LNG-IUD
C. CU-IUD
D. Injectable
5. A 24-year-old girl went to a nearby hospital with complaint of irregular menstrual periods. She stated that her menses comes every two month apart and the amount of bleeding is also very little.
What is the most likely pattern of this menstrual cycle?
A. Oligomenorrhea
B. Hypomenorrhea
C. Menorrhagia
D. Metrorrhagia
6. A 54-year-old woman with complaints of pelvic pressure sensation, backache and painful intercourse came to a gynecologic clinic. She had urinary frequency, urgency and incontinence. On physical examination, ulcerated cervix was observed at the level of vaginal introitus.
What is the most likely manifestation used to reach the diagnosis?
A. Cervix on vaginal introitus
B. Pelvic pressure sensation
C. Painful sexual intercourse
D. Urinary incontinence | 123 |
| 15 | A breast-feeding mother came to a family planning unit to use contraceptive. She does not want to be pregnant for four years. She has no history of ectopic pregnancy, genital tract bleeding and pelvic infection. Her blood pressure is 120/70 mmHg, pulse rate is 87/min, and her body mass index is 26.8.
What is the priority contraceptive option to be recommended for this woman?
A. Implant
B. IUCD
C. COC
D. Injectable | 123 |
| 16 | A 35-year-old woman at 8 weeks gestation presents with vaginal bleeding, excessive vomiting, and a uterus larger than dates. What is the most likely diagnosis?
A. Cervical polyp
B. Ectopic pregnancy
C. Incomplete abortion
D. Molar pregnancy | 183 |
| 17 | A mother who delivered an alive neonate vaginally before one hour develops active vaginal bleeding, BP 60/40 mmHg, PR 120/min, and a soft uterus. What is the most appropriate first step in management?
A. Administer crystalloids
B. Administer intranasal oxygen
C. Blood transfusion
D. Call for help | 184 |
| 18 | A 35-year-old man with chronic peptic ulcer disease presents with features of acute abdomen, and chest X-ray reveals pneumoperitoneum. Symptoms have lasted 6 hours, and vital signs became stable after infusion of 1 liter of normal saline. What is the next step in management?
Options: A. Barium meal study
B. Endoscopy
C. Triple therapy
D. Laparotomy | 197 |
| 19 | A 45-year-old man presents with jaundice, fatigue, and tea-colored urine. Laboratory tests show AST 2200 U/L and ALT 2500 U/L. Which diagnosis is least likely?
A. Acute viral hepatitis
B. Acetaminophen toxicity
C. Alcoholic liver disease
D. Ischemic hepatitis | 211 |
| 20 | A mother brought her seven-day-old female newborn to a pediatric under-five unit with a
complaint that her baby is unable to suck breast for the last 16 hours. He has no danger signs. Physical
examination showed red, swelling, and pus discharging from the umbilicus. Her body temperature is 37.9
degrees centigrade, and her respiratory rate is 65 breaths per minute.
What is the most appropriate treatment for the neonate according to IMNCI?
A. Give amoxicillin for five days
B. Apply Chlorohexidine on the cord
C. Advice mother on home care treatment
D. Refer immediately after first dose of antibiotics | 214 |
