1.やさしい
How deep should chest compressions be during CPR on a child?
- AAt least one third of the depth of the chest
- BJust enough to see the chest move slightly
- CAbout one tenth of the depth of the chest
- DAs deep as possible, until the ribs can be felt to give
2.やさしい
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt stops ovulation permanently
- BIt makes contraceptive pills fail
- CIt causes heavy periods
- DIt causes serious birth defects
3.やさしい
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ABecause the spleen stops working
- BBecause the heart makes red blood cells
- CTo compensate for chronic hypoxia
- DBecause of too much iron in the diet
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子どもが選んだ姿勢で座らせておくこと
- B舌圧子でのどを診察すること
- C気道管理に熟練したチームを呼ぶこと
- D子どもを親のそばに置いておくこと
5.ふつう
A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?
- ALactose intolerance
- BVitamin B12 deficiency
- CIron-deficiency anaemia
- DSickle cell disease
6.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髪の質感を調べる
- C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
- 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
7.むずかしい
Two healthcare rescuers are giving CPR to an infant. Which compression technique is recommended?
- ACompressions with one finger over the upper sternum
- BBoth hands placed one on top of the other over the upper abdomen
- CThe two-thumb technique with the hands encircling the chest
- DBoth hands interlocked over the centre of the chest, with arms straight
8.むずかしい
The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?
- AThe baby should sleep through the night without waking for feeds
- BThe baby should feed for exactly 10 minutes on each side at every feed, day and night
- CHer breasts should always feel full and hard between feeds
- DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain
解答
- 1. A · At least one third of the depth of the chest
- 2. D · It causes serious birth defects
- 3. C · To compensate for chronic hypoxia
- 4. B · 舌圧子でのどを診察すること
- 5. C · Iron-deficiency anaemia
- 6. 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
- 7. C · The two-thumb technique with the hands encircling the chest
- 8. D · About 6 or more wet nappies a day, regular yellow stools and steady weight gain
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