1.やさしい
Which teething remedy is generally recommended for infants?
- AA clean, chilled (not frozen) teething ring
- BA gel containing the local anaesthetic benzocaine
- CAn amber teething necklace worn day and night
- DRubbing honey on the gums before sleep
2.やさしい
Which measure is a mainstay of daily eczema care?
- AApplying emollients generously and often, even when the skin looks clear
- BTaking long, hot baths with bubble bath every evening
- CUsing perfumed soap twice a day to remove bacteria from the skin surface
- DApplying emollients only when the skin is very inflamed
3.やさしい
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ATo stop the testis from producing too much testosterone in puberty
- BBecause an undescended testis leads to kidney failure if left untreated
- CTo protect fertility and allow the testis to be checked for cancer
- DBecause an undescended testis causes severe daily pain in infancy
4.ふつう
急性喉頭蓋炎が疑われる子どもが、よだれを垂らして前かがみに座っています。避けなければならない行為はどれですか?
- A気道管理に熟練したチームを呼ぶこと
- B子どもを親のそばに置いておくこと
- C舌圧子でのどを診察すること
- D子どもが選んだ姿勢で座らせておくこと
5.ふつう
胃腸炎の乳児の水分状態を観察する最も正確な方法はどれですか?
- A頭囲を測定する
- B子どもが喉が渇いているか、疲れているように見えるかを、毎日親に尋ねる
- C髪の質感を調べる
- D同じ秤で行う毎日の体重測定と、濡れたおむつの数の確認
6.ふつう
Which injury in an infant is most suggestive of physical abuse?
- AA scraped knee in a 3-year-old
- BPosterior rib fractures
- CA bruise on the shin of a walking toddler
- DA greenstick fracture of the forearm after a fall from a slide
7.むずかしい
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
- AArm floats whenever the child is near the pool
- BExplaining to the child that the pool is dangerous
- CSwimming lessons from age 2, so that close supervision is no longer needed
- DA four-sided fence with a self-closing, self-latching gate, plus constant supervision
8.むずかしい
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- ANormal findings in a toddler who is upset
- BShock is unlikely while the blood pressure is normal
- CCompensated shock that needs urgent treatment
- DMild dehydration that only needs a drink