1.やさしい
FLACC スケールが最も適切なのは、どの子どもですか?
- A痛みを 0~10 で評価できる 14 歳
- B手術後の成人
- Cまだ痛みを言葉で説明できない 2 歳児
- D数値評価スケールを使える 9 歳
2.やさしい
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BAn extra copy of chromosome 21 (trisomy 21)
- CA missing X chromosome in a girl
- DInfection with rubella in early pregnancy
3.やさしい
How does respiratory syncytial virus (RSV) mainly spread?
- AOnly through the air over long distances, like measles
- BThrough contaminated food and drinking water
- CThrough droplets and contaminated hands and surfaces
- DThrough the bites of insects such as mosquitoes
4.ふつう
Which signs suggest digoxin toxicity in a child?
- AFast heart rate with high blood pressure
- BNausea, vomiting, poor feeding and a slow heart rate
- CIncreased appetite, extra energy and rapid weight gain over a few days
- DHigh fever with a spreading red rash
5.ふつう
コデインとトラマドールが 12 歳未満の子どもに推奨されないのはなぜですか?
- A非常に速く代謝する子どもがおり、危険な呼吸抑制を起こすため
- B静脈内にしか投与できないため
- C中等度の痛みには効果が弱すぎ、常により強いオピオイドが望ましいため
- D必ずアレルギーを起こすため
6.ふつう
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- ARadiation; move the cot close to an outside window
- BEvaporation; dry the baby straight away, including the head
- CConduction; place the baby on a cold firm surface
- DConvection; leave the baby uncovered in a draught
7.むずかしい
虫垂炎が疑われる 10 歳児に強い腹痛がありましたが、突然ずっと楽になりました。これは何を意味しますか?
- A鎮痛薬が問題を治した
- B正常な変化で、フォローアップは不要
- C虫垂が穿孔した可能性があり、直ちに報告する
- D虫垂炎が治ったので、子どもは帰宅できる
8.むずかしい
A child develops the "slapped cheek" rash of fifth disease. The parent asks whether the child is still infectious. What is the best answer?
- AYes, for 6 weeks after the rash appears
- BYes, until every trace of the rash has faded from the cheeks and limbs
- CThe illness is not infectious at any stage
- DUsually not; the child was most infectious before the rash appeared
解答
- 1. C · まだ痛みを言葉で説明できない 2 歳児
- 2. B · An extra copy of chromosome 21 (trisomy 21)
- 3. C · Through droplets and contaminated hands and surfaces
- 4. B · Nausea, vomiting, poor feeding and a slow heart rate
- 5. A · 非常に速く代謝する子どもがおり、危険な呼吸抑制を起こすため
- 6. B · Evaporation; dry the baby straight away, including the head
- 7. C · 虫垂が穿孔した可能性があり、直ちに報告する
- 8. D · Usually not; the child was most infectious before the rash appeared
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