1.やさしい
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AAbout weeks 3 to 8 after conception
- BThe first 3 days after conception
- CAbout weeks 20 to 28 after conception
- DThe last month of pregnancy
2.やさしい
Which component is part of the APGAR score?
- ABirth weight
- BMuscle tone
- CBlood glucose
- DBody temperature
3.やさしい
Which drug class is used to treat uterine atony?
- AUterotonics
- BTocolytics
- CAnticoagulants
- DAntihypertensives
4.ふつう
In fetal circulation, what is the function of the foramen ovale?
- AIt carries blood from the aorta back to the placenta
- BIt lets blood from the umbilical vein bypass the liver
- CIt shunts blood from the right atrium to the left atrium
- DIt carries blood from the pulmonary artery to the aorta
5.ふつう
A woman at 16 weeks has an amniocentesis. Which instruction after the procedure is correct?
- AReport fever, leaking fluid or bleeding
- BBed rest is required for 2 weeks
- CNo follow-up is needed for any symptoms
- DDrink no fluids for 24 hours
6.ふつう
How does a port-wine stain differ from a "stork bite" (salmon patch)?
- AA port-wine stain always disappears within a year
- BA port-wine stain does not fade with time
- CA stork bite only occurs in preterm babies
- DA stork bite is a raised tumour that grows quickly
7.むずかしい
A newborn male has a urethral opening on the underside of the penis. What should the nurse tell the parents?
- AIt is a normal variation that needs no follow-up
- BCircumcision should be done straight away
- CCircumcision should wait for specialist review
- DIt will correct itself by school age
8.むずかしい
A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?
- ATell the parents it will never descend
- BMassage the groin daily to push it down
- CRecord it and arrange follow-up; many descend later
- DArrange emergency surgery on the testis today
解答
- 1. A · About weeks 3 to 8 after conception
- 2. B · Muscle tone
- 3. A · Uterotonics
- 4. C · It shunts blood from the right atrium to the left atrium
- 5. A · Report fever, leaking fluid or bleeding
- 6. B · A port-wine stain does not fade with time
- 7. C · Circumcision should wait for specialist review
- 8. C · Record it and arrange follow-up; many descend later
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