1.やさしい
Which vaccine has made acute epiglottitis much less common in children?
- AHaemophilus influenzae type b (Hib) vaccine
- BPneumococcal conjugate vaccine
- CMeasles–mumps–rubella (MMR) vaccine
- DRotavirus vaccine given by mouth
2.やさしい
入院中の幼児にとって、通常最も大きなストレス因子は何ですか?
- A外見の変化
- B死への恐れ
- C学校を休むこと
- D親との分離
3.やさしい
How is cystic fibrosis inherited?
- AX-linked recessive
- BThrough mitochondrial DNA from the mother
- CAutosomal recessive
- DAutosomal dominant
4.ふつう
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- BGive diluted fruit juice instead of breast milk
- CContinue breastfeeding, and give oral rehydration solution as advised
- DGive nothing by mouth for 24 hours
5.ふつう
新生児のどの所見がヒルシュスプルング病を示唆しますか?
- A生後 48 時間以内に胎便が出ない
- B鮮やかな黄色のゆるい便
- C犬が吠えるような咳
- D4 週での噴水状の嘔吐
6.ふつう
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AWorsening mood or new suicidal thoughts
- BWeight gain of more than 10 kg in the first month
- CA sudden rise in blood glucose
- DA drop in the platelet count
7.むずかしい
4 歳児が高熱を出し、よだれを垂らし、首を伸ばして前かがみに座り、不安そうにしています。看護師が最初にすべきことは何ですか?
- A子どもを親のそばで落ち着かせて座位に保ち、気道管理に熟練したチームを呼ぶ
- B応援を呼ぶ前に静脈留置針を挿入する
- C原因菌を特定するため、咽頭ぬぐい液を採取する
- D子どもを寝かせ、舌圧子でのどを見て腫れを確認する
8.むずかしい
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
- AThe baby could pass the condition to other children in the family
- BThe baby will develop diabetes if the thyroid is not treated now
- CTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
- DWithout early treatment it can cause lasting learning disability and poor growth
解答
- 1. A · Haemophilus influenzae type b (Hib) vaccine
- 2. D · 親との分離
- 3. C · Autosomal recessive
- 4. C · Continue breastfeeding, and give oral rehydration solution as advised
- 5. A · 生後 48 時間以内に胎便が出ない
- 6. A · Worsening mood or new suicidal thoughts
- 7. A · 子どもを親のそばで落ち着かせて座位に保ち、気道管理に熟練したチームを呼ぶ
- 8. D · Without early treatment it can cause lasting learning disability and poor growth
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