1.やさしい
What is Gowers' sign?
- AA sudden startle with the arms flung outwards
- BUsing the hands to "walk up" the legs to stand up from the floor
- CFlexing the hips and knees when the neck is bent forward by the examiner
- DFanning of the toes when the sole of the foot is stroked
2.やさしい
How deep should chest compressions be during CPR on a child?
- AJust enough to see the chest move slightly
- BAbout one tenth of the depth of the chest
- CAs deep as possible, until the ribs can be felt to give
- DAt least one third of the depth of the chest
3.やさしい
乳児の筋肉内ワクチン接種で通常推奨される部位はどれですか?
- A前腕の筋肉
- B大腿前外側の外側広筋
- Cすべての年齢で三角筋
- D臀部の背側殿筋
4.ふつう
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
- AKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
- BGive insulin only if the child is vomiting
- CStop all insulin until the child is eating normally again, then restart at the usual dose
- DGive double the usual insulin to prevent ketones
5.ふつう
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
- AUse it only after an antihistamine has failed to work
- BInject into the outer thigh, through clothing if needed, and call emergency services
- CInject into the upper arm muscle, but only after removing all the clothing first
- DInject it into the buttock muscle and then let the child walk it off at home
6.ふつう
Which advice best prevents dog bites in young children?
- ANever leave a young child alone with a dog, even the family pet
- BLet the child hug the dog while it eats so it gets used to children
- CTeach the child to stare into the dog's eyes to show who is in charge
- DChoose a small breed, as small dogs never bite
7.むずかしい
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
- AItching under the cast; give an antihistamine
- BCompartment syndrome; report it at once
- CNormal pain after a fracture; give more time
- DAnxiety; distract the child with play
8.むずかしい
肥厚性幽門狭窄症の生後 5 週の乳児が手術を予定されています。血液検査では、塩化物の低値と代謝性アルカローシスがみられます。手術前の優先事項は何ですか?
- A制酸薬を与える
- B赤ちゃんをただちに手術室に連れて行く
- C体力と体重をつけるため、手術前に多量のミルクを与える
- D処方に従い、静脈内輸液で脱水と電解質異常を補正する
解答
- 1. B · Using the hands to "walk up" the legs to stand up from the floor
- 2. D · At least one third of the depth of the chest
- 3. B · 大腿前外側の外側広筋
- 4. A · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
- 5. B · Inject into the outer thigh, through clothing if needed, and call emergency services
- 6. A · Never leave a young child alone with a dog, even the family pet
- 7. B · Compartment syndrome; report it at once
- 8. D · 処方に従い、静脈内輸液で脱水と電解質異常を補正する
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