Exam ”
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2026 Version
*Note: This book for (Nurse, Doctor, Dentist, Pharmacist
and Physiotherapist).
, ● Reading part A:
Text A – Iron-Rich Food Sources
Iron can be found in both animal and plant-based foods. Red meat,
especially liver, is one of the richest sources of iron. Plant foods like
spinach, lentils, and tofu also contain iron, though it is less easily
absorbed. Vitamin C-rich foods like oranges can improve iron absorption
when eaten together.
Text B – Symptoms of Iron Deficiency
Common signs of iron deficiency include fatigue, shortness of breath,
and pale skin. In some cases, patients may experience headaches,
dizziness, or brittle nails. If left untreated, it can lead to iron deficiency
anemia, which may require iron supplementation.
Text C – Iron Supplementation Guidelines
Oral iron tablets are usually the first treatment for iron deficiency.
Patients are advised to take them on an empty stomach to improve
absorption, but if stomach upset occurs, taking them with food is
acceptable. Side effects may include constipation or nausea. Iron
supplements should not be taken with calcium or dairy products.
Text D – Blood Test Interpretation
A complete blood count (CBC) test can detect low hemoglobin levels,
indicating anemia. Ferritin levels below 30 ng/mL suggest iron stores are
depleted. Additional tests like serum iron and transferrin saturation help
confirm iron deficiency.
- Questions:
1. Which text would you consult to find how to correctly take
iron tablets?
A. Text A
B. Text B
,C. Text C
D. Text D
✅ Correct Answer: C
2. In which text would you find symptoms a patient with low
iron might report?
A. Text A
B. Text B
C. Text C
D. Text D
✅ Correct Answer: B
3. Where would you look to understand how lab results are used
to confirm iron deficiency?
A. Text A
B. Text B
C. Text C
D. Text D
✅ Correct Answer: D
4. Which text advises combining iron sources with another
nutrient for better absorption?
A. Text A
B. Text B
C. Text C
D. Text D
✅ Correct Answer: A
5. Which text mentions that iron from plants is harder for the
body to use?
A. Text A
B. Text B
C. Text C
D. Text D
✅ Correct Answer: A
, ● Reading part B:
1. Hand Hygiene Protocol
Staff must wash their hands thoroughly before and after
any interaction with patients. Alcohol-based hand rubs are
effective unless hands are visibly dirty, in which case soap
and water should be used. Hand hygiene is essential to
prevent infections in the healthcare setting.
Question:
When should soap and water be used instead of hand rubs?
A. Only at the start of a shift
B. When hands are obviously unclean
C. After every third patient
Correct Answer: B.
2. Patient Identification Policy
Before carrying out any medical task, healthcare workers
must confirm the patient's identity using at least two
identifiers, such as name and date of birth. This is to
prevent medical errors and ensure patient safety.
Question:
What is the purpose of checking two forms of patient ID?
A. To help patients remember their own names
B. To avoid confusing staff
C. To reduce mistakes in patient care
Correct Answer: C.
3. Reporting Medication Errors
If a healthcare worker realizes a medication has been
given incorrectly, they must report it immediately, even if
the patient shows no adverse effects. Transparency in
such incidents helps improve systems and protect patients.
,Question:
Why must staff report medication errors even if no harm occurred?
A. To ensure the patient is billed correctly
B. To improve safety and procedures
C. To avoid punishment
Correct Answer: B.
● Speaking test:
Setting: Hospital ward
Patient: 54-year-old woman, recently diagnosed with high blood
pressure (hypertension)
Your Role:
You are a nurse on the medical ward. The patient has just been informed
of her high blood pressure diagnosis and is anxious. She doesn’t
understand the condition well and is worried about needing medication
forever.
Your Tasks:
🔹 Explain what high blood pressure means in simple terms
🔹 Reassure her—many people manage it successfully
🔹 Explain the role of lifestyle changes (diet, exercise, stress
reduction)
🔹 Mention medications may help, but aren’t always permanent
🔹 Encourage her to ask questions and offer to follow up later
- Tips for Speaking:
● Use simple, reassuring language
● Show empathy (e.g., “I understand this is a lot to take in.”)
● Check for understanding: “Does that make sense so far?”
● Use examples: “Cutting down on salt and walking daily can make a
big difference.”
, Sample Dialogue (optional)
(You):
Hello Mrs. Patel, I understand you’ve just been told about your high
blood pressure. That can feel overwhelming, but I’m here to talk it
through with you. Would that be okay?
Patient:
Yes... I’m really worried. Do I have to take pills forever?
You:
That’s a very common concern. Let me explain a bit. High blood pressure
means the force of your blood against your artery walls is too strong. If it
stays that way over time, it can strain your heart and cause problems.
But the good news is, it’s manageable.
Patient:
But I don’t want to be on medicine forever...
You:
I understand. Many people feel that way. In some cases, with changes
like eating less salt, regular walking, and lowering stress, blood pressure
can improve enough to reduce or even stop medication. But it depends
on your body and how your pressure responds.
Patient:
Oh... I didn’t know that.
You:
That’s okay, it’s all new. What questions do you have so far? I’m happy
to go over anything again or write things down for you.
❖ Writing Task: