1.やさしい
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
- AA strong suck and rapid weight gain
- BCoughing, choking and cyanosis
- CProjectile vomiting that starts at 4 weeks
- DSleeping through feeds and passing pale stools
2.やさしい
嚢胞性線維症の子どもは、膵酵素カプセルをいつ服用すべきですか?
- A朝の空腹時だけ
- Bすべての食事と間食のとき
- C便がゆるいときだけ
- D1 日 1 回、就寝時
3.やさしい
At which times after birth is the Apgar score routinely assessed?
- AAt 10 minutes and at 30 minutes
- BOnly once, at 24 hours of age
- CAt 1 minute and at 5 minutes
- DAt birth and again at 1 hour
4.ふつう
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
- AStay calm, keep the child safe and do not give in to the demand
- BGive the child the sweet he wants so the tantrum stops
- CSmack the child to show that tantrums are not allowed
- DShout loudly at the child to make the tantrum stop sooner
5.ふつう
Which instruction about giving oral liquid iron to a child is correct?
- AGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- BGive it mixed in a full bottle of milk to reduce stomach upset
- CStop the iron straight away if the stools turn dark green or black, as this means bleeding
- DGive it together with an antacid to protect the stomach
6.ふつう
A child with suspected measles is admitted. Which precaution is most important?
- ANo special precautions once the rash appears
- BAirborne precautions, ideally in a negative-pressure room
- CContact precautions only, with gloves
- DDroplet precautions in a shared bay
7.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処方に従い、静脈内輸液で脱水と電解質異常を補正する
- B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
- C赤ちゃんをただちに手術室に連れて行く
- D制酸薬を与える
8.むずかしい
下痢のある乳児の所見のうち、最も重度の脱水を示唆するものはどれですか?
- A嗜眠、毛細血管再充満時間 4 秒、10 時間おむつの濡れなし
- B食欲が軽く低下している
- C唇がやや乾燥し、喉が渇いている
- D大泉門は正常、粘膜は湿っており、今日はこれまでに 4 回おむつが濡れた
解答
- 1. B · Coughing, choking and cyanosis
- 2. B · すべての食事と間食のとき
- 3. C · At 1 minute and at 5 minutes
- 4. A · Stay calm, keep the child safe and do not give in to the demand
- 5. A · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 6. B · Airborne precautions, ideally in a negative-pressure room
- 7. A · 処方に従い、静脈内輸液で脱水と電解質異常を補正する
- 8. A · 嗜眠、毛細血管再充満時間 4 秒、10 時間おむつの濡れなし
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