ملف وتين (الكامل) الملخص لـ EMS

‫‪ You must revise Wateen for Ghaith notes first .
‬‬
‫مصدر امللف ‪ -:‬مذكرة مس اميان ‪ EMS‬مع رشح املذكرة عيل قناة التيلجرام اخلاصة بهيا ‪ ,‬امللف هيكون‬
‫ممكل مللف وتني امللخص ملذكرة غيث ‪ ,‬فاملواضيع املتكررة ىف ملف وتني غيث مش هيمت كتابهتا منع ًا‬
‫للطاةل والتكرار ‪ ,‬الرجاء قراءة املقدمة ىف هذا امللف حيت يمت توضيح كيفية الس تفادة منه ويكون ممكل‬
‫جملهود الزملء وميرس للتجميع واحلفظ بذن هللا ‪.‬‬
‫– ‪Wateen – EMS notes‬‬ ‫‪Mahmoud shalaby‬‬
‫‪ You must revise Wateen for Ghaith notes first .‬‬
‫سبحان اهلل ‪ ...‬الحمد هلل ‪ ...‬اهلل أكبر ‪ ...‬ال إله إال اهلل ‪ ...‬ال حول وال قوة إال باهلل‪...‬‬
‫‪2‬‬
‫دعاء قبل املذاكرة ‪...‬‬

‫اللهم اين أساكل فهم النبيني وحفظ املرسلني وامللئكة املقربني ‪ ,‬اللهم اجعل الس نتنا عامرة بذكرك وقلوبنا خبشيتك وأرساران بطاعتك انك‬
‫عيل لك شئ قدير وحسبنا هللا ونعم الوكيل ‪...‬‬
‫دعاء بعد املذاكرة ‪...‬‬
‫اللهم اين أس تودعك ما قرأت وماحفظت وما تعلمت فرده يل عند حاجيت ولتنس ينيه منه شئ انك عيل ما تشاء قدير وحسبنا هللا ونعم‬
‫الوكيل ‪..‬‬
‫‪‬‬
‫تنبيه ‪ -:‬ل يمت الاعامتد عيل امللف دا لوحده ‪ ,‬لزم نذاكر املذكرة مع الرشح ملس اميان عيل جروب التيلجرام علشان نبقي‬
‫مجمعني أكرب مك وقدر من املعلومات اللزمة للمتحان ‪.‬‬
‫امللف هنا هتلقيه مقسم ان لك ‪ 51‬صفحة من ملف ‪ ems‬ملس اميان ملخص أمه النقاط فيه هنا يف صفحتني أو تلتة وا‬
‫هيسهل عليك تقس مية املذاكرة حبيث لو ذاكرت لك يوم ‪ 51‬صفحة كقراءة وبعدين حفظت امللخص لهيم هنا هتكون يف‬
‫خلل اس بوعني بلكتري حافظ املذكرة ‪...‬‬
‫امللف ممكل مللف وتني امللخص لغيث حبيث املعلومات املذكورة يف ملف غيث ومتكررة يف ملف مس اميان ما ذكرهتاش‬
‫علشان مايبقاش عدد الصفحات كتري ومشتت وهرنجع لها من ملف وتني ‪..‬‬
‫طبع ًا أساس املذاكرة معاان ملف مسرت جهرس حسن اخلتام غيث وملف مس اميان ‪ ems‬علشان امتحان ديب أو السعودية‬
‫فبعد مذاكرة ملف مسرت جهرس حنفظ وتني غيث وبعد مذاكرة ملف ‪ Ems‬حنفظ وتني امللخص هل ‪...‬‬
‫امللف هيكون مقسم جلزئني اجلزء الول ال هو دا هيكون من صفحة ‪ 5‬ايل صفحة ‪ 51‬واجلزء الثاين هيكون بقيت املذكرة‬
‫بذن هللا ‪..‬‬
‫أي سؤال أو اس تفسار هكون متابع معامك عيل جروب وتني تيلجرام ‪ ...‬بلتوفيق ليمك مجيع ًا ولتنسوان من خالص ادلعاء ‪...‬‬
‫اذا اش متلت عيل اليأس القلوب ‪ ...‬وضاق مبا به الصدر الرحيب ‪...‬‬
‫وأوطنت املاكره واس تقرت ‪ ...‬وأرست ىف أماكهنا اخلطوب ‪...‬‬
‫ومل تر لنكشاف الرض وهج ًا ‪ ...‬ول أغين حبيلته الريب ‪...‬‬
‫مين به اللطيف املس تجيب ‪...‬‬
‫قنوط منك غوث ‪َ ...‬‬ ‫أاتك عيل ٍ‬
‫ولك احلاداثت اذا تناهت ‪ ...‬مفوصول هبا فرج قريب ‪...‬‬
‫‪Mahmoud Shalaby .‬‬
‫‪3‬‬
Wateen – EMS notes – Mahmoud shalaby
 Pages 1-20 .
 Mother with hypothyroidism  High risk for preterm labor .
 Mother with hyperthyroidism  High risk for preeclampsia .
 Underweight girl ABG result ( if he mentioned only weight without any signs
and symptoms )  Compensated metabolic acidosis .
 Assessment for postoperative patient Respiration , cardiovascular ,
neurological signs , surgery site .
 Incident rate  All new cases of specific disease during giving time .
 Prevalence rate  All new and old cases of specific disease during giving time .
 Newborn examination after delivery Vital signs , inspection , auscultation ,
percussion , palpation .
 Throbbing pain in casted leg  Assess pedal pulse .
 Case management  Provides coordination of care to ensure continuity .
 Leaving tourniquet for a long time  Hemoconcentration , low blood flow .
 Disequilibrium syndrome caused by  Decrease urea and Na .
 Classical sign of adrenal insufficiency  Hyperpigmentation .
 Simple diffusion  Type of transport that carries oxygen and carbondioxide
from and to placenta during pregnancy .
 Facilitated transport across placenta  Glucose .
 Active transport across placenta  Amino acids , calcium .
 Legitimated power  Come from top management .
 Coercive power  Use of force or threats to prevent behavior or stimulate
outcome .
 Zygotes enter to uterus  3-5 days , implants 7-10 days after fertilization .
 Type of Umbilical cord care for neonate  Infection prevention .
 Elderly immunization  Pneumonia , influenza .
...‫ ال حول وال قوة إال باهلل‬... ‫ ال إله إال اهلل‬... ‫ اهلل أكبر‬... ‫ الحمد هلل‬... ‫سبحان اهلل‬
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 Halo effect  High evaluation or reward .

 Horn effect  Low evaluation or punishment .
 Central tendency  Moderate evaluation or average .
 HIV patient will be at risk for  Tuberculosis .
 Patient with cardiac tamponade nurse should monitor  Paradoxical pulse
in inspiration .
 Treatment of pyloric stenosis  Rehydration and pyloromyotomy .
 How measure orthostatic hypotension The systolic is < 20 , diastolic is < 10 .
 Disferal or orlistat is medication of Beta thalassemia  Take multiple
vitamins and this medicine 2 hr apart .
 Pulmonary artery catheter ( Swan-Ganz )  Provide information about left
ventricular functioning .
 Approximately 21% of ectopic pregnancy  Have a rise in HCG level .
 Pap smear test each  3 years .
 Serum HCG level  Diagnosis of gestational trophoblastic disease .
 If patient has herpes simplex virus  Pap smear every 6 months .
 Watery stool has been leaking from rectum  Fecal impaction .
 Epidural anesthesia site  L3-L4 .
 Ballard score  Used to assess the gestational age of a newborn .
 Cerebral perfusion pressure ( CPP ) = MAP – ICP .
 Gestational diabetes  Diet management .
 Radon cause  Skin , lung or pancreas cancer .
 Mother of nine ( read questions of pages 15 -16 in EMS file ) .
 Stage of dying , Maslow hierarchy , standard precautions , IQ test ,

fundus height , lochia types ( wateen for ghaith file ) .
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 Defense mechanisms .
 Defense mechanism .  Example .
 Compensation .  Blind woman becomes proficient in playing piano .
 The development of
attributes that take the
place of more desirable
ones.
 Conversion reaction .  A person develops chronic abdominal pain after an emotionally
 The development of traumatic event. There was no identifiable cause found for the
physical symptoms in symptoms.
response to emotional
distress.
 Denial .  A 42-year-old client has just been told that the breast biopsy
 The failure to regard an indicates a malignancy. When the spouse visits that evening,
event or a feeling. the client tells the spouse that the physician has not yet
discussed the laboratory results.
 Displacement .  A 4-year-old child is angry because of being punished by a
 The transference of parent for drawing on the bedroom walls. The child begins to
emotions to another other play war with soldier toys and has them fight each other.
than the intended.
 Projection .  A young person who denies sexual feelings about a coworker
 The transferring of accuses the coworker of attempting seductive behavior without
unacceptable feelings to any basis for it.
another person.
 Rationalization .  A student fails an examination and complains that the lectures
 The dismissal of one’s were not well organized or clearly presented.
responsibility by placing
fault on another.
 Reaction formation .  A married person who feels attracted to one of a spouse’s
 The expression of feelings friends treats the friend rudely.
opposite to one’s true feelings.
 Regression .  A 4-year-old child who has been toilet-trained for more than 1
 The returning to a previous year begins to wet pants again when a new baby is brought
state of development in home from the hospital
which one felt secure.
 Repression .  A person does not recall hitting the spouse when told about the
 The unconscious forgetting spouse’s pregnancy.
of unpleasant memories.
 Sublimation .  Person experiencing extreme anger , might take up boxing as a
 The channeling of means of venting frustration .
unacceptable behaviors into
behaviors that are socially
acceptable.
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 Suppression .  Student consciously decides not to think about his insult in

 The conscious forgetting examinations hall so that he can study effectively .
of an undesirable memory.
 Reflexes .
1. Sucking and rooting .  Touch the newborn’s lip, cheek, or corner of the mouth with a
nipple.
 The newborn turns the head toward the nipple, opens the mouth,
takes hold of the nipple, and sucks.
 The rooting reflex usually disappears after 3 to 4 months, but may
persist for 1 year.
2. Swallowing reflex .  Swallowing reflex occurs spontaneously after sucking and

obtaining fluids.
 Newborn swallows in coordination with sucking without gagging,
coughing, or vomiting.
3. Tonic neck or fencing .  While the newborn is falling asleep or sleeping, gently and quickly
turn the head to one side.
 As the newborn faces the left side, the left arm and leg extend
outward while the right arm and leg flex.
 When the head is turned to the right side, the right arm and leg
extend outward while the left arm and leg flex.
 Response usually disappears within 3 to 4 months.
4. Palmar-plantar grasp  Place a finger in the palm of the newborn’s hand and then place a finger
. at the base of the toes.
 The newborn’s fingers curl around the examiner’s fingers, and the
newborn’s toes curl downward.
 Palmar response lessens within 3 to 4 months.
 Plantar response lessens within 8 months.
5. Moro reflex .  Hold the newborn in a semisitting position and then allow the head and
trunk to fall backward to at least a 30-degree angle. The newborn
assumes sharp extension and abduction of the arms with the thumbs
and forefingers in a “C” position; this is followed by flexion and
adduction to an “embrace” position (legs follow a similar pattern).
 The Moro reflex is present at birth and is absent by 6 months of age
if neurological maturation is not delayed.
 A body jerk motion may be the response between 8 and 18 weeks.
 A persistent response lasting more than 6 months may indicate a
neurological abnormality.
6. Startle reflex .  Often considered the same as the Moro reflex, but the response is
different .
 The response is best elicited if the newborn is at least 24 hours old.
 The examiner makes a loud noise or claps hands to elicit the response.
 The newborn’s arms adduct while the elbows flex.
7
 The hands stay clenched.

 The reflex should disappear within 4 months.
7. Pull-to-sit response .  Pull the newborn up by the wrist while the newborn is in the supine
position.
 The head lags until the newborn is in an upright position, and then the
head is level with the chest and shoulders momentarily before falling
forward.
 The head then lifts for a few minutes.
 The response depends on the newborn’s general muscle tone and
condition and on maturity level.
8. Babinski’s sign:  Beginning at the heel of the foot, use a finger to stroke gently upward
Plantar reflex . along the lateral aspect of the sole, and then move the finger along the
ball of the foot.
 The newborn’s toes hyperextend while the big toe dorsiflexes.
 The reflex disappears after the newborn is 1 year old.
 Absence of this reflex indicates the need for a neurological
examination.
9. Stepping or walking .  Hold the newborn in a vertical position, allowing one foot to touch a
table surface.
 The newborn simulates walking, alternately flexing and extending the
feet.
 The reflex is usually present for 3 to 4 months.
10. Crawling .  Place the newborn on the abdomen.

 The newborn begins to make crawling movements with the arms and
legs.
 The reflex usually disappears after about 6 weeks.
8
 Pages 20-35 .
1 Stages of separation anxiety .
 Protest .
 Despair .
 Detachment .
2 IOP  Glaucoma .
3 Treatment of asthma  Corticosteroid , beta agonist .
4 Ant streptolysin test  For Rheumatic fever .
5 People communicate with same culture , goals , values  interpersonal communication .
6 Deviated trachea + gasping in air  Tension pneumothorax .
7 Decreased sound in one lung  Pneumothorax .
8 Pt with heart failure and suddenly with edema , lung sound  Rales .
9 SIDH ( syndrome of inappropriate antidiuretic hormone )  Restrict fluid intake to
less than 1000 ml per day .
10 Immunoglobulin IgG  It provides temporary immunity to bacteria and toxins to
which the mother has developed immunity .
11 Panic attack may cause  Respiratory alkalosis .
12 Rhonchi  Related to low pitched breath sound .
13 Wheezing  Related to high pitched breath sound .
14 Stridor , tracheal  Related to harsh breath sound .
15 Colostomy ( pt transfer )  Belt chest .
16 Penicillin  Prevent recurrence of Rheumatic fever .
 Some points in leadership .
17 Organizational structure .

 A system that outline how certain activities are directed in order to achieve the goals of
an organization .
-: ‫دا بيبقي شامل حاجات كتيره زي‬
 Coordination , goals and vision of organization , channel of communication ,
span of control , lines of communication .
18 Flat organization  same line position .

19 Tall organization  hierarchy ( from top management to down and vise versa ) .
9
20Types of management .
‫هنا بيتكلم عن االهتمام بالموظفين والخدمات ال بنقدمها المرضي أو العمالء‬
1. Country club  Focus on high people . low task .
2. Team management  Focus on high people , high task .
3. Authority  Obedience management  focus on low people , high task .
4. Improvised management  Focus on low people , low task .
21 Solid line  Your basic position in your area .

22 Broken line ( Dotted )  New position beside your basic in another area .
23 Unity of command  Order , command word ( in question ) .
24 Unity of direction  Direct word ( in question ) .
25 Path goal theory  Recognizes staff for going beyond expectations by giving
them citations .
26 Great man theory of leadership  Leaders are born and not made .
27 Collaboration  Between only 2 sides .
28 Cooperation  Between more sides .
29 Pattern of nursing care = System used to deliver care .
30 Informatics nurse  Use design system to deliver care for pt and education for staff
through using technology .
31 Research question and study purpose of research process may be noted in an
article’s abstract .
32 Research process :-
1. Identify health problem .
2. Literature review .
3. Set Research questions , objectives , Hypothesis .
4. Research design .
5. Sample .
6. Data collection .
7. Data analyzing .
8. Report .
‫ احفظ النقطتين دول زي ما هما كدا‬33

 Qualitative research = research question only .
 Quantative research = research questions + hypothesis .
10
 Pages 35-50 .
 Persistent cough adverse reactions of  CAPOTEN .
 Arm circumference most appropriate measure  To assess nutritional status
of baby 9 months .
 Low po2 and high pco2  Indicates signs of severe COPD .
 Multiple myeloma  It is a neoplastic proliferation of plasma cells .
 Total blood volume of adult = 70 ml x body weight , child = 80 ml x weight .
. ‫ امشي بالمعادلة دي وبعد كدا اضرب في النسبة المئوية الموجودة عندك فى السؤال‬
 Testosterone  Detect the gender of the fetus .
 Goal for NGT insertion after cholecystectomy  Compress stomach .
 PKU  Test for metabolism disorders .
 Subinvolution medication  Methergine .
 Positive pressure  Meningitis .
 Vulvectomy position ( post op )  Recumbent .
 Flatulent position  Knee chest .
 Diagnosis of diaphragmatic hernia of neonate  ( Prenatal-ultrasound - ,
Postnatal – radiography - ) .
 Thyroxin side effect  Increase appetite .
 Embryonic  3-8 weeks of fetus .
 SWOT analysis system  ( Strengths , Weaknesses , Opportunities . Threats ) .
 Qualitative research ( small number )  Interview one to one , quantitative
research ( large number )  Questionnaire .
 COPD complication  Cor-pulmonale .
 Cause of hemodilution in pregnancy  Increase plasma .
 Suction of child  5 sec .
 Avoid soft cheese  During pregnancy .
 Pt with ileostomy  High risk for electrolyte imbalance ( due to watery stool ) .
 Brick red stain on diaper is  Expected in newborn female .
 Absent acceleration  Poor oxygenation for fetus .
 Agent-host-environment model  Most useful in examining the cause of infectious
diseases .
 Postural drainage  Before meals or 15mins-2 hrs after to avoid vomiting , each
session last 20-40 mins .
 Renal biopsy  Avoid positioning on affected side .
. ‫ هنا لو قال بعد العملية بفترة أما لو قال لسه طالع من العمليات حاال يبقي على الجنب ال فيه العملية‬
 Braxton hicks ( false labor )  Irregular painless contraction .
 Hegar’s sign  Upper part of uterus is enlarged with growing ovum and lower part is empty .
 Chadwick’s sign  Dusky blue hue of cervix , vagina .
11
 Alkhurma hemorrhagic fever  Flaviviride virus .

 Vitamin b6  Prevent peripheral neuropathy .
 Pursed lip  Relax respiratory muscle .
 Family history  Predisposing factor of child with autism .
 Phases of syphilis .
 Primary phase of syphilis ( 3-4 weeks )  Painless chancre.

 Secondary phase of syphilis ( 4-8 weeks )  Rash ,systemic symptoms common .
 Latent phase of syphilis  Asymptomatic .
 Tertiary phase of syphilis  Benign gummatous lesions , paresis .
 Types of wound drainage .
 Serous  Clear watery plasma .

 Sanguineous  Bright red blood .
 Serosanguineous  Pale , pink watery mixture of clear and red fluid .
 Purulent  Thick , yellowish green foul odor .
 Stages of change .
 Precontemplation  No intention to changing behavior .

 Contemplation  Aware a problem exists but with no commitment to action .
 Preparation  Intent on taking action to address the problem .
 Action  Active modification of behavior .
 Maintenance  Sustained change new behavior replaces old .
 Relapse  Fall back into old pattern of behaviors .
 Type of conflict solution .
 Competing  ( One winner , one loser ) .

 Collaboration  ( 2 sides win ) .
 Compromise  ( Both sides win and give up something – find a middle ground solution -) .
 Avoidance  ( One or both sides seek to suppress the conflict ) .
 Accommodating  ( One side yields the win to the other side ) .
... ‫ ل اهل ال هللا‬...‫ ل حول ول قوة ال بهلل‬... ‫ هللا أكرب‬... ‫ امحلد هلل‬... ‫س بحان هللا‬
12
 PAGES 51-65
 Hearing aid device  Patient can wear it till operation room .
 Decreased genital tissue and subcutaneous fats  Cause of decreased natural
immunity of reproductive system .
 Position to avoid sudden infant death syndrome ( SIDS )  Back or supine .
 Position that Cause SIDS  Prone position .
 Narcotic group arranged to C1-C5 according to  Abuse .
 Extrapyramidal adverse effects associated with  Antipsychotics .
 Agent-Host- environment model classified as  Risk factors .
 Purpose of a late vaginal-rectal culture during antenatal screening  To screen for
group B streptococci .
 Iron deficiency anemia  Decreased ability of blood to transport oxygen to the tissues .
 If pregnant didn’t take vaccine against Rubella before  She should be vaccinated
after delivery of the baby .
 Focus on the need to work together for quality client care .
. ‫دا لو اس تاف قدمي بيقول لس تاف جديد اان الفرق بيين وبينك هنا املرتب واخلربة‬
 Medication compliance  First priority of patient with schizophrenia .
 Vitamin K  Converting prothrombin to thrombin .
 Postpartum used IUD as a contraceptive method  She should check for strips every month
follow up .
 Benefit of skin to skin after delivery  Initiate early breast-feeding .
 Child 2 years have otitis media  Roll head side to side confirm the diagnosis .
 Child with type 1 DM  Extra snacks are needed before exercise .
 Peritoneal dialysis warming dialyzing solution before using to  Dilate the peritoneal
blood vessels , encourage the removal of serum urea .
 Early signof increased intracranial pressure ( after craniotomy of child )  Excessive
vomiting .
 Tracheoesophageal fistula ( TOF )  Elevating the head but keep the child NPO .
 Pneumonia in child  Perform postural drainage .
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 Serotonin receptor  Mood + memory functions .

 Dopamine  Motor functions .
 Cleft lip left side position  Right lateral ( unaffected side ) .
. Left lateral ‫لو قال ىف السؤال و ماحددش اي جزء الشفاه يبقي خنتار‬
 Heart failure patient with jugular vein distention position  Raised 30 degree semi
fowler .
 Cohort study  Compare risk factors between groups ( exposed and unexposed ) .
 Case study  Compare diseases between groups ( affectd and un affected ) .
 Side effect of baclofen with DM  Increase of insulin demand .
 Size of ( weight ) uterus at the end of pregnancy  900 g .
 Size of ( weight ) uterus after delivery  1000 g .
 WBC most affected in  leukemia .
 Eupnea  Normal respiratory rhythm and depth .
 Tight blood pressure cuff  False high reading .
 Large blood pressure cuff  False low reading .
 Semen analysis  First investigation for infertility .
 Extravasations ( Iv chemotherapy reaction sign )  Stop the infusion immediately .
 Urine specimen from catheter  From the aspiration port of catheter .
 Self-concept  Know the weakness and strengths points in personality .
 VSD in child ( ventricular septal defect )  Increase pulmonary blood flow .
 Types of fever .
 Intermittent .  Temperature returns to normal at least once every 24 hrs .
 Remittent .  Temperature does not return to normal and varies a few degrees in either
direction .
 Sustained or  Temperature remains above normal with minimal variations .
continuous .
 Relapsing .  There is one or more episodes of fever ( several days ) with one or more days of
normal temperature between episodes .
14
 PAGES 66-80 .
 BUN considered as  Liver function test .
 Battery  Touch patient without permission from the patient ( physical ) .
 Abuse  If mentioned wound or bruise on patient .
 Position of thyroidectomy after surgery  Semi fowler with slight neck flexed .
 Position during thyroidectomy  Supine with hyperextended neck .
 Normal CTG  ( Fetal heart rate accelerate above baseline ) .
 Early deceleration  Drop fetal heart rate with contraction then back to baseline
between contractions . ( category one ) .
 Variable deceleration  Drop fetal heart rate between contraction irregularly .
(category 2 ) .
 Late deceleration  Drop fetal heart rate between contractions in all CTG
interpretation paper . ( category 3 = fetal distress = cord prolapse ) .
 If fetal heart rate below 100  Choose category 3 .
. ‫الزم تسمع الشرح ضرورى عشان تجمع الكالم المكتوب هنا‬
 Oral rehydration therapy for all ages .
 Age  Under 4  4-11  1-2 yrs .  2-4 yrs .  5-14 yrs .  15 yrs or
month . months . Over .
 Weight (  Under 5  5-7.9  8-10.9  11-15.9  16-29.9  30 or over
kg )
 Oral  200-400  400-600  600-800  800-1200  1200-2200  2200-4000
solution in
ml .
 Amount of oral rehydration solution = weight of child X 75 ml .
 Gastric lavage can be performed within 60 mins from the time of ingestion .
‫دا فى حالة لو حد بلع حبوب وقالك المدة مثال اكتر من ساعتين او حسب سياق السؤال فنستبعد ال غسيل المعدة ويبقى‬
. 056 ‫ النقطة دى حسب سياق السؤال‬. ‫بديلة مثال اننا نديه حبوب الفحم‬
 Neonate fontanel shape  Soft and flat .
 Plasma  For stability .
 FSH hormone  Causes the release of the follicle from the ovary .
 Maslow hierarchy for nursing  Set priority .
 After umbilical hernia  Avoid coughing , straining , heavy weight .
 Malfeasance  Intentional to do harm to patient .
 Misfeasance  Unintentional action .
15
 Pyloric stenosis  Metabolic alkalosis .

 Nephrotic syndrome  Brown or dark urine color .
 Nephritic  Bright red urine color .
 Chest tube or CVP removal  Valsalva maneuver .
 Tocolytics drug  Medications used to suppress premature labor .
 Oxytocin drug  Used to cause contraction of the uterus to start labor .
 Fusion process  Sperm starting penetrates the ovum .
 Noninvasive test of Hirsch rung disease  Anorectal mammography .
 Contraindication of baby vaccine  Steroids .
 Difference between measles and German measles  Koplik spot and high fever .
 Esophageal atresia ( sign and symptoms ) Excessive frothy salivation from nose and
mouth .
 Spina bifida occulta  A small hairy patch on back or a soft skin colored mass called
lipoma .
 Maslow Hierarchy and Erikson’s theory ( wateen for Ghaith file ) .

 Early sign of portal hypertension  Hypotension .
 Atypical antipsychotic side effect  Granulocytosis .
 In burn  Hyponatremia and hyperkalemia occur , increase hematocrit level due to
plasma loss .
 Difference between hypovolemic shock and postpartum hemorrhage  Increase
pulse .
 Dissociative disorder treated by  Psychotherapy .
 Position of patient with endoscopy on distal part of intestine  Left lateral
recumbent .
 First thing after needle stick injury to nurse Write incident report (as in question
735 ) .
 For new antibiotics to patient u should obtain  Blood culture before
administration .
16
 Pages 81-95 .
 Side effects of BCG vaccination  Cold and small scar .

 Retinal detachment  Black dots flying
 H5N1 influenza virus  Considered as The greatest risk to human health
 Decreased pulse rate  Signs of early fluid volume deficit
 Child has intussusception  Baby pull knee to chest .

 Adrenal insufficiency ( pt taking corticoseriods )  Patientt will have pigment skin and dry .
 Types of wound healing .
 Primary intention .  Incision edges of a clean surgical incision remain close , tissue loss is minimal
and skin quickly regenerates .
 Secondary intention .  Open wound with tissue loss and jagged edges , there is a gap between the
edges , granulation tissue gradually fills in the area of defect with scar tissue .
 Tertiary intention .  Sometimes called delayed intention or closure .
 Surgical wounds are left open 3-5 days and then stapled or sutured closed
 Categories of patient classification systems .
 Category 1 .  Self-care requiring from 1-2 hrs per day .

 Patient is ambulatory and can do activities of daily living without the help
of the nurse .
 Category 2 .  Minimal care requiring from 3-4 hrs .
 Patient is ambulatory but by reason of disability or therapeutic management
he may need assistance of the nurse ( e.g patient with IV infusion , post
dilatation and curettage ) .
 Category 3 .  Intermediate care requiring from 5 to 6 hrs .
 Patient who have disturbance level of consciousness or debilitating conditions
may need complete care for the performance of some daily activities of living
( e.g post partum profuse bleeding , patients on chemotherapy ) .
 Category 4 .  Modified intensive care requiring from 7 to 8 hrs .

 Patient need close monitoring , complete assistance in most activities .
 Category 5 .  Intensive care requiring from 10 to 14 hrs .
 Complete assistance in all activities .
17
 Lung surfactant will be mature  28 weeks .
 Lung surfactant will be produced  24 weeks .
 Cause of meningitis in children  Streptococcal pneumonia .
 Best management for fracture  Immobilization .
 Suction periodically preoperative for child with  Tracheoesophageal fistula .

 Assess patient’s heart rate with asthma  Before giving albuterol .
 Steal syndrome on hemodialysis symptoms  Pain and coldness of skin due to ischemia .
 Sputum expectorant Bronchitis .
 Patient with burn  Reverse isolation .
 Position that increases heart Murmur  Trendelenburg .
 Definition of effacement  Thinning of cervix .
 Preeclampsia triage level  Emergency .
 Weight loss , diminished mid-arm circumference and red hair  Kwashiorkor .

Weight loss , diminished mid-arm circumference and Muscle stick  Marasmus .
 Wrong management of Marasmus may lead to  Diarrhea .
 The immunity system of the child reaches normal full mature level  12 months .
 Infant 1 month with colic  Put infant in prone position .
 Noninvasive test to assess fetus  Non stress test .
 Aspirin should be stopped at least  7-10 days before surgery .
 Heparin should be held  6 hrs before surgery .

 Warfarin should be stopped at least 2-3 days before operation .
 Stress incontinence  Kegel exercise .
 Purpose of Adam’s forward bend test  Detecting structural or functional scoliosis .

 Incubation period  Person is most infectious and nonspecific signs and symptoms .
 Placenta previa  Abnormal planting of placenta in lower segment of uterus instead of
attaching to fundus .
18
 Abruption placenta  Premature separation of a normally implanted placenta before the

fetus is born .
 OVR  Incident reports write on clear legible handwriting .

 Nosocomial infection  Hospital acquired infection .
 Blood pressure  Force of blood against arterial wall .
 Blood deficits  The difference between apical pulse and peripheral pulse .
 Pulse pressure  The difference between systolic and diastolic blood pressure .
 Pneumothorax  Collection of air in pleural sac .
 Hemiparesis  Weakness of one entire side of the body .
 Osteoma  To remove waste from body .
 Full term baby weigh  2.5-4 kg .
 Common hazards in hospital  physical .
 Head nurse need to increase staff next year  Rightsizing or organizing .
 Colistridium difficile  Cause colitis and severe diarrhea .
 Confidentiality  Information of patient like diagnosis , procedures .
 Anonymity  Unknown identity .
 Cranial nerves .thyroidectomy , dysplasia of the hips ( Wateen for ghaith
file notes ) .
 Pyloric stenosis ( wateen for ghaith file ) .
 Recommended weight gain during pregnancy ( wateen for ghaith file ) .
. ‫منعا للتكرار املواضيع دي موجوده ىف ملف وتني امللخص مللف غيث‬
19
‫‪ heart block stages or AV block .‬‬
‫العاملني "‬ ‫" وأخردعوامه أن امحلد هلل رب‬

‫‪20‬‬
‫‪ You must revise Wateen for Ghaith notes first .‬‬
‫‪21‬‬
‫دعاء قبل املذاكرة ‪...‬‬

‫اللهم اين أساكل فهم النبيني وحفظ املرسلني وامللئكة املقربني ‪ ,‬اللهم اجعل الس نتنا عامرة بذكرك وقلوبنا خبشيتك وأرساران بطاعتك انك‬
‫عيل لك شئ قدير وحسبنا هللا ونعم الوكيل ‪...‬‬
‫دعاء بعد املذاكرة ‪...‬‬
‫اللهم اين أس تودعك ما قرأت وماحفظت وما تعلمت فرده يل عند حاجيت ولتنس ينيه منه شئ انك عيل ما تشاء قدير وحسبنا هللا ونعم‬
‫الوكيل ‪..‬‬
‫‪‬‬
‫تنبيه ‪ -:‬ل يمت الاعامتد عيل امللف دا لوحده ‪ ,‬لزم نذاكر املذكرة مع الرشح ملس اميان عيل جروب التيلجرام علشان نبقي‬
‫مجمعني أكرب مك وقدر من املعلومات اللزمة للمتحان ‪.‬‬
‫اجلزء الثاين من امللف ‪ -:‬ملخص صفحات مذكرة ‪ ems‬من الصفحة ‪ 59‬ايل الصفحة ‪. 551‬‬
‫بأكد اتين علشان تمت الاس تفادة من امللف دا لزم نكون قارئني ملف وتني امللخص لغيث ‪.‬‬
‫امللف ممكل مللف وتني امللخص لغيث حبيث املعلومات املذكورة يف ملف غيث ومتكررة يف ملف مس اميان ما ذكرهتاش‬
‫علشان مايبقاش عدد الصفحات كتري ومشتت وهرنجع لها من ملف وتني ‪..‬‬
‫طبع ًا أساس املذاكرة معاان ملف مسرت جهرس حسن اخلتام غيث وملف مس اميان ‪ ems‬علشان امتحان ديب أو السعودية‬
‫فبعد مذاكرة ملف مسرت جهرس حنفظ وتني غيث وبعد مذاكرة ملف ‪ Ems‬حنفظ وتني امللخص ل ‪... ems‬‬
‫بعد مذاكرة امللفات املذكورة ‪َ ,‬نطلع عيل جروب جتميعات سعيد قبل المتحان بس بوعني علشان نشوف الس ئةل املتكررة‬
‫ونأكد علهيا قبل ما منتحن ‪..‬‬
‫أي سؤال أو اس تفسار هكون متابع معامك عيل جروب وتني تيلجرام ‪ ...‬بلتوفيق ليمك مجيع ًا ولتنسوان من خالص ادلعاء ‪...‬‬
‫اذا اش متلت عيل اليأس القلوب ‪ ...‬وضاق مبا به الصدر الرحيب ‪...‬‬
‫وأوطنت املاكره واس تقرت ‪ ...‬وأرست ىف أماكهنا اخلطوب ‪...‬‬
‫ومل تر لنكشاف الرض وهج ًا ‪ ...‬ول أغين حبيلته الريب ‪...‬‬
‫مين به اللطيف املس تجيب ‪...‬‬
‫قنوط منك غوث ‪َ ...‬‬ ‫أاتك عيل ٍ‬
‫ولك احلاداثت اذا تناهت ‪ ...‬مفوصول هبا فرج قريب ‪...‬‬
‫‪22‬‬
 Pages 96-120 .
 Intravenous pyelogram ( IVP ) after finishing the test  Encourage oral intake fluids .
 Cervical cord injury  Hemiparesis / hemiplegia .
 Sigmoid diverticulosis ( site )  Left iliac fossa
 Diphenhydramine medication ( antihistamine )  For itching .
 Quinine sulphate side effect  Ringing in air .
 Specific rate  Mentioned age , sex , race .
 Crude rate  Number of events or population count divided by the mid-year total population
and multiplied by a constant which is a multiple of 10 ( per 100 , per1000 etc ) .
23
 Depersonalization  A condition where a person experiences detachment from his

Own self , not a result from physical injury , person avoid socializing .
 Enema contraindicated in  Renal failure .
 Neonate with meningococcal avoid  Back or supine position .
 Complication of hyperthyroidism  Thyrotoxicosis .
 Polycystic ovary syndrome ( PCOS ) complications  Infertility .
 Retrospective  Assessment of data after patient discharge .
 Self-limited crisis ( any disasters ) duration for solving  4-6 weeks ( priority 4 weeks ) .
 Borderline personality disorder  Most psychiatric cases commit suicide .
 Appropriate Pao2 % should be given to COPD pt  55 or below mmhg .
 Patient documentation system  Help nursing in data interpretation for patient care .
 Telecommunication  Using internet to see patient file outside hospital .
 Neologism  New words by patient understood by patient only not others .
 Patent ductus arteriosus expected sign and symptoms in infant  Tachycardia and tachypnea .
 Hydatidiform mole sign  Grapes like clusters shape .
 Bonding  Relationship between parents and child from childbirth to few months after
delivery .
 Back of fingers  Tool for skin assessment temperature .
 Chicken pox rash start from  Trunk .
 Measles rash start from Face .
 Steroids  Contraindicated during pregnancy .
 Pancytopenia  RBCs and platelet deficiency .
 Schizophrenia signs  Hallucination and delusion .
 Prevent infant colic  Put warm water bottle on baby’s belly .
24
 Position for lumbar puncture  Lateral recumbent position .
 Ecology  Relation between organism and environment .
 Endoscopic GIT  May cause sore throat during it ( pass from mouth ) .
 Intentional tort example  Battery .
 Glass thermometer  Accuracy affected by eating , drinking , mouth breathing .
 Antiemetic drugs  Before session of patient receiving chemotherapy .
 Pyloric stenosis  Metabolic alkalosis ( if dehydration or diarrhea mentioned

metabolic acidosis ) .
 Small pox isolation nurse wear  Gloves , gown , N95 mask .
 Escherichia coli enterococci  Causes of urinary tract infection .
 HCG home test  Done if patient experience amenorrhea for 5 weeks and breast tenderness
 First priority guideline for Sigma theory  Patient safety .
 Common complications of varicose vein  Varicose ulcer .
 Amnion  Inner membrane surrounding the fetus , the amniotic fluid , fetus and
umbilical cord are all found within the amnion .
 Chorion  Outermost embryonic membrane and forms part of the placenta .
 Prevent and relieve fetal distress related to maternal hypotension  Left side position .
 Prevent and relieve fetal distress related to cord prolapse  knee chest position .
 Zolpidem  Insomnia drug .
 Organizational structure  Prevent overlapping in duty of work .
 Confirm sign of ectopic pregnancy  Stabbing pain in lower abdomen quadrant .
 Blastocyst  Secret HCG hormones .
 Major complication of full bladder during or after labor  Bleeding .
25
 Brain functions .
 Stages of labor and presentation , abortion types , psychiatric definitions (

wateen for ghaith file ) .
" ‫العاملني‬ ‫" وأخردعوامه أن امحلد هلل رب‬

Mahmoud Shalaby .
26
 Pages 121-135 .
 Risk for tyramin in food  Hypertension .
 Cryosurgery  Freezes the tumor or abnormal or diseased tissue using cold liquids
nitrogen or argon gas .
 Dissection aortic aneurysm surgery  Emergency .
 Barrel chest find in  Emphesema .
 Staffing  Nurse manager plans of assigning competent people to fill the roles
designed in the hierarchy .
 Brain storming  Method of problem solution used to solve several reasons .
 Interdisciplinary = collaboration  More than 2 sides collaborate with each other to

meet a desired goal .
 Patient with somatization , best action  Cognitive development .
 Log rolling  Avoid spinal movement .
 Baby with cephalohematoma  High risk for pathological jaundice .
 Contraindication for oral contraceptive  Hypertension .
 Blood urea nitrogen and serum creatinine  Essential to differentiate between

renal failure and lower renal obstruction .
 High magnesium level  Prolonged QRS .
 German measles isolation period after rash  1 week .
 Position during chemotherapy session  Semi fowler .
 SSRIs  Antidepressant with low side effect .
 Rosary  Chest assessment for patient with vitamin D deficiency .
 Complication during TPN insertion ( CVC )  Pneumothorax .
 Crackle  Patient with yellowish sputum , wheezing ( Dry chough ) .
27
‫‪ Difference between transitional stool and meconium .‬‬
‫‪ CTG .‬‬
‫راجع الجزء األول من المذكرة واربط الكالم بالصورة ‪.‬‬
‫‪28‬‬
 GCS ( Glasgow coma scale ).
 Placenta preveia and abruption.

‫راجع المقارنة من مذكرة وتين الملخصة لغيث الصورة هنا للفهم وربطها بالشرح‬
 Previa  cover part or all cervix still attached to uterus .

 Abruption  partially or completely detached from uterus .
29
‫‪ Abortion type .‬‬

‫راجع المقارنة من مذكرة وتين الملخصة لغيث الصورة هنا للفهم وربطها بالشرح ‪.‬‬
‫‪ POC = production of conception .‬‬
‫‪ Angle of insertion .‬‬
‫‪30‬‬
 PAGES 136-160 .
 Diabetic mother need  Lower insulin after delivery than during pregnancy .
 Randomized control trial  Type of study design provides the strongest evidence .
 Left side heart failure ( respiratory signs are most )  Defect start from left ventricle .
 IM injection in newborn  Best site vastus lateralis , rectus femoris .
 If there is cord prolapse  Place the client in trendelenburg’s position .
 Deformity nose in child affect  Self confidence / self deception ,
 Development of six month infant  Move from prone to supine .
 Head injury after 1 hr may cause intracranial pressure  Causing hypertension and
bradycardia and low respiratory rate .
 Transmission method of Hab virus  Food .
 Orange  Food rich in potassium .
 Impairment  Difficulties in body functioning such as extremity loss .
 Corticosteroids for asthma  Decrease airway swelling .
 Father and mother carrier to sickle cell anemia  Children 25 % affected , 50 %
carrier , 25 % free .
 COPD position  High fowler .
 Action of ringer lactate  Expend extracellular fluids .
 Factor affecting labor process ( 5 ps )  Passenger , passage , powers , placenta ,
psychology .
 Benzodiazepine drug affected by  Alcohol .
 Cortisol hormone  Increase with burn .
 Side effect of isoniazid  Photosensitivity .
 Midazolam antidote  Activated characol .
 Vitro fertilization ( indications )  Blockage of fallobian tube .
 Avoid tighted diaper with  Circumcision in baby .
 Atropine antidote for  Chemical exposure .
 Community organization  Problem solving .
 Community diagnosis  Focus in nursing performance .
 Core group formation  Involves training of potential leaders in the community .
 Glucophage ( metformin )  Stop it 48 hrs before operation .
31
 Hypertonic uterine contraction cause fetal hypoxia  It compress the cord and
prevent exchange of oxygen waste .
 Symptoms of fluid excess  High BP .
 Assumptions that Patient high risk for lack of sleep  Patient taking vitamin E for 2 year .
 Function of patient classification  Grouping patient according to length of care needed .

 Huntington's disease  It is a condition that stops parts of the brain working
properly over time ( CNS depression ) .
 Carbamazepine side effect  Sexual dysfunction .
 Raynaud’s syndrome Yellow ulceration changed from blue to pale due to exposure to cold .
 After retinal detachment surgery  Avoid bowel straining .
 Feed baby with tracheoesophageal fistula before surgery  NG tube .
 Prolactin  Increase after delivery .
 Pregnant with herpes  Cesarean section best method for delivery .
 Objectivity  The quality or character of being objective : lack of favoritism toward
one side or another : freedom from bias ( nurse shouldn’t allowing personal beliefs or
feelings or pressure from others to affect decisions that are made ) .
 Vancomycin  MARSA medication .
 Early morning 7 am  Best time for corticosteroids drug intake .
 Stridor  Abnormal sound lung sound would require immediate intervention .
 Dissociative disorder ( nursing diagnosis )  Self image deficit .
 Adventitious breath  Gurgling breath sound at the end of expiration .
 Times of baby shower  Twice a week with warm water and alkaline soap .
 Iron injection ( dextran )  Z-track technique .
 Hemiparesis  Weakness on one side of the body .
 Weight over 80  Reduce the effect of hormonal patch as contraceptive device .
 Nasogastric tubes  Are typically used for decompression of the stomach to treat or
relief intestinal obstruction or ileus .
 Sputum culture collection  Deep breathing then cough out slowly in cup .
 Family type ( wateen notes for ghaith file ) .
32
 Pages 161-176.
 Health hazard identification  key procedure for occupational health nursing to
protect health and security for working population .
 Directing function  Lead and evaluate subordinates .

 Aspirin  Decreases the formation of platelet plugs .
 RSV vaccine route for premature baby  oral .
 Alpha fetoprpotein screening for  Neural tube defects .
 Vesicular  Lower posterior lung sound .
 Disuse syndrome ( lazy )  Encourage patient to walk every 2 hours in room .
 Symptom of fluid excess  Crackle lung sound .
 Pernicious anemia complications  Prolonged bleeding .
 Advocate nurse  Prevent patient from danger , helping patients exercise their rights .
 Myringotomy  Incision into tympanic membrane to relieve inflammation in the middle ear .
 Myringoplasty  Surgical repair of the eardrum with a tissue graft .
 Fever sustain in rheumatic fever  1 week .
 Autoimmune disorders or more bleeding in patient  Reverse isolation .
 Medical abbreviation ( Hs )  At bedtime .
 Isonized side effect  Prepheral neuritis .
 Woman after Vogotomy ( vagus nerve )  Increase fluid intake after discharge .
 Appropriate action for addison’s  Calm environment .
 Addison's disease body doesn't have enough cortisol (and aldosterone), Cushing's syndrome body has too much cortisol
(hypercortisolism) .
 Addison’s s&s :- Extreme fatigue , Weight loss and loss of appetite , Areas of darkened skin Low blood pressure, even
fainting , Abdominal pain , Muscle and joint pain , Irritability , Depression .
 Cushing's s&s :- weight gain, thin skin ,edema ,CNS irritability,osteoporosis , hyperglycemia .
 Crohn’s disease appropriate diet  High protein , low residue .
 Crohn's disease is a type of inflammatory bowel disease (IBD). It causes swelling of the tissues
(inflammation) in your digestive tract, which can lead to abdominal pain, severe diarrhea, fatigue,
weight loss and malnutrition.
 Pastules  Pimple that has white head on skin .
33
 Vitamin B 12 level , Schilling test ( absorption of vitamin B12 ) , bone marrow

aspiration  For pernicious anemia (numbness and tingling - vitamin B12 deficiency - ) .
 Public health nursing  Focuses on preventive not curative services .
 Spina bifida care  Cover with sterile ointment ( moist ) .
 Patient with high cortisol ( food restriction )  White bread , chicken .
 Patient with heart problem plan for surgery , type of surgery  Elective .
 Wassermann reaction test done before married to identify  Immunosuppressant .
 Narcolepsy ( chronic sleep disorder ) causing fatigue  Advice patient to avoid eating large
meal to avoid fatigue .
 Agoraphobia Fear from crowded area (fearing and avoiding places or situations that
might cause panic and feelings of being trapped, helpless or embarrassed ) .
 When descending the stairs , what crutch leg order should be followed 
affected leg , going up stairs  Unaffected leg .
 Light yellow  Color of urine that indicate well hydration for the patient .
 Plasma function  Increase fluid volume .
 Disintegrative disorder It is a condition in which children develop normally through
age 3 or 4. Then, over a few months, they lose language, motor, social, and other skills
that they already learned( like loss of bladder control ) .
. ‫ لو قال تعرف ازاي انه اتحسن شوف المهارات رجع يتعلمها تاني ول أل‬, ‫هنا نعرف انه بيخسر المهارت ال اتعلمها‬
informatic nurse primary function ( Liaison )  Communication between people or

groups who work with each other .
 Vertical position  Common normal position of the fetus in uterus in 36 weeks .
34
 Case method or study  Gives the researchers the possibility to investigate cases which
couldn’t be set up in research laboratories .
 Iatrogenic  Most common causes of central venous line infection .
 Example :- A healthcare provider didn't wash his or her hands after touching a previous patient , or not
following aseptic technique during withdrawing or administer medication .
 H1N1  Airborne precautions .

 H5N1  Contact precautions .
 Ideas of reference The false belief that irrelevant occurrences or details in the world relate
directly to oneself ( example :- someone watches a movie and believes there is a message in
the movie that is meant specifically for them, and that makes some kind of “sense” )
 Glomerular filtration  Filtration of blood in the kidney .

 Straw colored blood  Should be reported after craniotomy .
 Serum electrolytes  Should be measured in patient taking Mannitol during ICP .
 HPV  Causes cervical cancer .
 Amniocentesis  May cause cord prolapse and infection .
 Patient with chlamydia after delivery baby given erythromycin ointment to prevent
 Ophthalmic neontorum .
 Function of the fibers of endometrial  Help in implantation of the fetus in the
uterus .
 Child came to ER with broken nose ( position )  Flexion head downward and clean
nose .
35
 Fine motor skills vs gross motor skills for children .
 Gestational age chart ( Wateen notes for Ghaith file ) .
 GTPAL ( Wateen notes for Ghaith file ) .
36
 Pages 177-192.
 Breastfeeding  Help in uterine involution for postpartum mother .
 Wrist  Location of rheumatic arthritis .
 Lung sound  Detect the effect of using incentive spirometer .
 Complication of disc  Impaired motor response .
 Side effect of Depakote ( Depakine )  Hair loss .
 Red meat  High in purines .
 Beck’s triad ( cardiac tamponade )  Hypotension , muffled heart sounds , jugular
venous distension .
 Nephritis ( glomerulonephritis )A condition when the nephrons become inflamed .
 People rather than disease  Main meaning for primary health care .
 Coomb’s test  Screening for sickle cell anemia .
 Vitamin D deficiency  Risk factor of osteoporosis , causes sleep disorder .
 Diazepam  Given to pregnant has convulsion associated with eclampsia .
 Hypothalamus  Produce oxytocin .
 Every 2- 4 hrs  Nurse should follow glasgow’s coma scale .
 Right sided hemi paresis  Brain ganglia ( affected part in brain ) .
 Prevent use of powder forchildren after bathing  To prevent respiratory
problems .
 From birth to about age 6 months, babies tend to grow about 1 inch (2.5 centimeters) a month. From ages
7 to 12 months, a baby might grow about half an inch (1.3 centimeters) each month .
‫ لو الطفل عنده قئ واسهال وقالك ايه كمية السوائل المفروض نديها علشان نعوض القئ واالسهال ال حصل وماذكرش‬
-: ) ‫الوزن وذكر العمر بس ( هنا سوائل تعويضية‬
 Nausea , vomiting , diarrhea  ( Age in years X2 + 8 ) X 100 .
 Nausea , vomiting  ( Age in years X2 + 8 ) X 75 .
) ‫اما لو سألك عن السوائل االساسية ال هنحتاجها في اليوم ( هنالقي الجدول والمعادلة فى الجزء األول من المذكرة‬
. 2261 ‫ في المذكرة هنالقيه فى التيلجرام سؤال‬2211 ‫األفضل نسمع الشرح سؤال‬
37
 Placebo effect  when you give normal saline rather than analgesic to relieve patient pain .
. ‫العالج بالوهم‬
 Community health nursing ( a community based practice )  The nurse has to
conduct community diagnosis to determine nursing needs and problems .
 Fatty food  Avoid it with cancer patient .
 Side effect of ant malarial  Tinnitus .
 Sharp/stabbing  Characteristics of renal colic pain .
 Marasmus  Low protein and low calories ( deficiency ) .
 Hypertension  Risk factor for pregnancy above maternal age .
 Cowper’s gland ( inside urethral canal )  Responsible for secretion of
discharge/mucus .
 DAST-10 ( Drug Abuse Screening Test )  Test for misuse .
 Hyperthyroidism test  T4 increased , T 3 decreased , TSH low .
 Hypothyroidism test  T4 decreased , T3 increased , TSH high .
 Weber test for  VIII vestibulico cranial nerve .
 Citrus fruit  Increase absorption of folic acid .
 Anthropometric measurements include  Weight , height , waist , and arm
circumference ( body mass index ) .
 Common cause of CVP infection  Increase administering antibiotics .
 Breastfeeding  Passive immunity .
 Immunoglobulin for hepatitis A  Passive immunity .
 Colored tea urine  Glomerulonephritis .
 Renin release  Helps kidney to control blood pressure and urine output .
 PKU test ( phenylketonuria )  Used to see if a newborn has high level of ph in
the blood ( early diagnosis prevent mental retardation ) .
 Metabolic screening for newborn include  ( IDDM , Homocystinuria , PKU ) .
 Language development of 10 months baby ( 4-5 words ) .
 Moro reflexes in a normal infant  Strongest between 0-4 weeks and fades by
12-16 weeks .
 Respiratory alkalosis treatment  Breath into a paper bag .
38
 location of colostomies .
 A stoma that is purple-black in color indicates compromised circulation, requiring
immediate surgeon notification.
 Ileostomies have a liquid stool because of the location being higher in the GIT tract.
 The ascending colostomy is done for right-sided tumors.
 The descending colostomy is done for left-sided tumors.
 The transverse (double-barrel) colostomy is often used in such emergencies as intestinal

obstruction or perforation because it can be created quickly .
 The sigmoid colostomy is done for rectal tumors.
 Croup (Laryngotracheobronchitis ).
 It’s an infection of upper airway , obstruct breathing and causes barking cough ,
it isn’t serious , can be treated at home , common in children  run a cool mist
vaporizer in his room when he sleeps .
 Elevate the head of the bed and provide rest.
 Provide humidified oxygen via a cool air or mist tent as prescribed for a hospitalized child .
 Instruct the parents to use a cool air vaporizer at home .
 Herpes Zoster (Shingles ) .
 Assessment .
 Unilaterally clustered skin vesicles along peripheral sensory nerves on the trunk, thorax, or face .
 Fever, malaise .  Burning and pain .  Paresthesia .  Pruritus
 Intervention :- Prevent the client from scratching and rubbing the affected area , Isolate the client , Teach
the client about topical treatment and antiviral medications .
39
1 If Dr ordered 30 mg and the available is 15 mg/5ml = 30X5 / 15 .
 Dose =
2 Infusion rate = .
3 Drops per minute = .
4 Heparin dose = .
5 Expected date of delivery = last menstrual period date + 9 months +7 days .
6 Cardiac output = stroke volume X heart rate .
7 MAP ( mean arterial pressure ) :- average pressure in a patient's arteries

during one cardiac cycle .
MAP = .
8 Pulse pressure = systolic – diastolic .
9 Cerebral perfusion pressure ( CPP ) = MAP – ICP ( intra cranial

pressure ) .
10 IQ test in child .
511-511 ‫اختبار لذلاكء وقدرات العقل أعيل سكور بيكون مابني‬
 IQ < 90 mild low IQ .
 IQ < 80 moderate low IQ .
 IQ = 70-80 severe low IQ .
 IQ < 70 mental retardation .
 IQ = 55-69 mild mental retardation .
 IQ = 54-40 moderate mental retardation .
 IQ = 39-25 severe mental retardation .
 IQ < 24 profound mental retardation .
40
12 Parkland formula ( fluid requirement in burn )

= 4 X weight X Total body surface area .
 Head and neck 9 % ( 4.5 % anterior/posterior ) .

 Lt arm 9 % ( 4.5 % anterior/posterior ) .
 Rt arm 9 % ( 4.5% anterior/posterior ) .
 Lt leg 18 % ( 9 % anterior/posterior ) .
 Rt leg 18 % ( 9%anterior/posterior ) .
 Front ( chest and abdomen ) 18 % .
 Back 18 % .
 Perineum 1% .
13  Fluid prescription ( FP ) =
 for calculating fluid intake in 24 hrs .
" ‫" وأخر دعوامه أن امحلد هلل رب العاملني‬

" ‫" ل تنسوان من صاحل دعائمك‬
41

ملف وتين (الكامل) الملخص لـ EMS

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ملف وتين (الكامل) الملخص لـ EMS

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‫‪ You must revise Wateen for Ghaith notes first .

‫دعاء قبل املذاكرة ‪...‬‬

 Halo effect  High evaluation or reward .

 Stage of dying , Maslow hierarchy , standard precautions , IQ test ,

 Suppression .  Student consciously decides not to think about his insult in

2. Swallowing reflex .  Swallowing reflex occurs spontaneously after sucking and

 The hands stay clenched.

10. Crawling .  Place the newborn on the abdomen.

1 Stages of separation anxiety .

 Some points in leadership .

17 Organizational structure .

18 Flat organization  same line position .

21 Solid line  Your basic position in your area .

‫ احفظ النقطتين دول زي ما هما كدا‬33

 Alkhurma hemorrhagic fever  Flaviviride virus .

 Primary phase of syphilis ( 3-4 weeks )  Painless chancre.

 Types of wound drainage .

 Serous  Clear watery plasma .

 Precontemplation  No intention to changing behavior .

 Type of conflict solution .

 Competing  ( One winner , one loser ) .

 Serotonin receptor  Mood + memory functions .

 Pyloric stenosis  Metabolic alkalosis .

 Maslow Hierarchy and Erikson’s theory ( wateen for Ghaith file ) .

 Side effects of BCG vaccination  Cold and small scar .

 Child has intussusception  Baby pull knee to chest .

 Types of wound healing .

 Categories of patient classification systems .

 Category 1 .  Self-care requiring from 1-2 hrs per day .

 Category 4 .  Modified intensive care requiring from 7 to 8 hrs .

 Lung surfactant will be mature  28 weeks .

 Lung surfactant will be produced  24 weeks .

 Cause of meningitis in children  Streptococcal pneumonia .

 Best management for fracture  Immobilization .

 Suction periodically preoperative for child with  Tracheoesophageal fistula .

 Sputum expectorant Bronchitis .

 Patient with burn  Reverse isolation .

 Position that increases heart Murmur  Trendelenburg .

 Definition of effacement  Thinning of cervix .

 Preeclampsia triage level  Emergency .

 Weight loss , diminished mid-arm circumference and red hair  Kwashiorkor .

 Infant 1 month with colic  Put infant in prone position .

 Noninvasive test to assess fetus  Non stress test .

 Aspirin should be stopped at least  7-10 days before surgery .

 Heparin should be held  6 hrs before surgery .

 Purpose of Adam’s forward bend test  Detecting structural or functional scoliosis .

 Abruption placenta  Premature separation of a normally implanted placenta before the

 OVR  Incident reports write on clear legible handwriting .

‫‪ heart block stages or AV block .‬‬

‫العاملني "‬ ‫" وأخردعوامه أن امحلد هلل رب‬

‫دعاء قبل املذاكرة ‪...‬‬

 Cervical cord injury  Hemiparesis / hemiplegia .

 Sigmoid diverticulosis ( site )  Left iliac fossa

 Diphenhydramine medication ( antihistamine )  For itching .

 Quinine sulphate side effect  Ringing in air .

 Specific rate  Mentioned age , sex , race .

 Depersonalization  A condition where a person experiences detachment from his

 Enema contraindicated in  Renal failure .

 Neonate with meningococcal avoid  Back or supine position .

 Complication of hyperthyroidism  Thyrotoxicosis .

 Polycystic ovary syndrome ( PCOS ) complications  Infertility .

 Retrospective  Assessment of data after patient discharge .

 Borderline personality disorder  Most psychiatric cases commit suicide .