1.やさしい
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt makes contraceptive pills fail
- BIt causes heavy periods
- CIt stops ovulation permanently
- DIt causes serious birth defects
2.やさしい
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ABecause an undescended testis leads to kidney failure if left untreated
- BTo stop the testis from producing too much testosterone in puberty
- CBecause an undescended testis causes severe daily pain in infancy
- DTo protect fertility and allow the testis to be checked for cancer
3.やさしい
Which is the most common congenital heart defect?
- ACoarctation of the aorta
- BVentricular septal defect
- CTransposition of the great arteries
- DTetralogy of Fallot
4.ふつう
How can acute rheumatic fever be prevented?
- ABy avoiding dairy products and cold drinks during every cold or cough
- BBy giving aspirin for every fever
- CBy prompt antibiotic treatment of streptococcal sore throat
- DBy routine MMR vaccination in infancy
5.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子どもを親のそばに置いておくこと
- B子どもが選んだ姿勢で座らせておくこと
- C舌圧子でのどを診察すること
- D気道管理に熟練したチームを呼ぶこと
6.ふつう
A child with ITP has a low platelet count. Which advice is correct?
- AUse a hard toothbrush and floss firmly to keep the gums healthy
- BPlay rugby and football as normal to stay active
- CAvoid contact sports and medicines such as ibuprofen and aspirin
- DTake aspirin for any pain to thin the blood
7.むずかしい
A toddler with sickle cell disease suddenly becomes pale and lethargic, with a fast heart rate and an enlarging left upper abdomen. What should the nurse suspect?
- ASplenic sequestration crisis, an emergency
- BA pain crisis in the abdominal muscles
- CConstipation causing abdominal swelling and discomfort
- DA simple viral infection with mild anaemia
8.むずかしい
After surgery for a perforated appendix, why is a child often nursed in a semi-upright position?
- ATo help infected fluid collect in the pelvis rather than spread upwards
- BTo make it easier for the child to watch television
- CTo prevent the child from sleeping too deeply
- DTo stop the wound drain from removing fluid too fast during the first day
解答
- 1. D · It causes serious birth defects
- 2. D · To protect fertility and allow the testis to be checked for cancer
- 3. B · Ventricular septal defect
- 4. C · By prompt antibiotic treatment of streptococcal sore throat
- 5. C · 舌圧子でのどを診察すること
- 6. C · Avoid contact sports and medicines such as ibuprofen and aspirin
- 7. A · Splenic sequestration crisis, an emergency
- 8. A · To help infected fluid collect in the pelvis rather than spread upwards
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