1.やさしい
Which sign suggests heart failure in an infant?
- AA slow heart rate at rest
- BFeeding eagerly and finishing every bottle quickly
- CSlow breathing with long pauses
- DSweating and tiring during feeds
2.やさしい
ほとんどの子どもが支えなしで歩き始めるのは、何か月ごろですか?
- A約 3 歳
- Bほとんどの子どもで約 2 歳(典型的な範囲は 18~30 か月)
- C約 12 か月(典型的な範囲は約 9~15 か月)
- D約 6 か月
3.やさしい
Which symptom is typical of scabies?
- ALarge blisters on the soles of the feet after walking
- BPainless red patches that slowly spread outward over months
- CIntense itching, worse at night, with burrows between the fingers
- DDry, flaky scalp with dandruff but no itching
4.ふつう
子どもがトイレトレーニングを始める準備ができていることを示すサインはどれですか?
- A歩けること
- B最初の言葉を話すこと
- C関心を示すかどうかにかかわらず、1 歳の誕生日を迎えて歩けること
- D約 2 時間乾いた状態でいられる、関心を示す、簡単な指示に従える
5.ふつう
Which approach best helps a 4-year-old during a vaccination?
- AHave staff hold the child flat on the couch so the injection is quick
- BHold the child upright on a parent's lap and use distraction, such as blowing bubbles
- CTell the child the injection will not hurt at all
- DPromise a reward only if the child stays completely still and does not cry
6.ふつう
大動脈縮窄症を示唆する所見はどれですか?
- A脚より腕の血圧が高く、大腿動脈の脈拍が弱い
- Bすべての四肢で血圧が等しい
- C犬が吠えるような咳
- D大腿動脈の脈拍が強く、腕の脈拍が弱くて腕の血圧が低い
7.むずかしい
A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?
- AReassurance that these are growing pains that will pass with time
- BIron supplements for 3 months, then review
- CA course of antibiotics for a viral infection
- DAn urgent full blood count to look for leukaemia
8.むずかしい
A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?
- APhosphate
- BCholesterol
- CBilirubin
- DAmylase
解答
- 1. D · Sweating and tiring during feeds
- 2. C · 約 12 か月(典型的な範囲は約 9~15 か月)
- 3. C · Intense itching, worse at night, with burrows between the fingers
- 4. D · 約 2 時間乾いた状態でいられる、関心を示す、簡単な指示に従える
- 5. B · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
- 6. A · 脚より腕の血圧が高く、大腿動脈の脈拍が弱い
- 7. D · An urgent full blood count to look for leukaemia
- 8. A · Phosphate
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