1.やさしい
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
- ADigoxin
- BFurosemide
- CProstaglandin E1
- DIntravenous indomethacin
2.やさしい
How should jaundice that first appears within the first 24 hours of life be regarded?
- AAs breast milk jaundice that is best treated by stopping breastfeeding
- BAs pathological until proven otherwise; it needs prompt evaluation
- CAs normal physiological jaundice that needs no follow-up
- DAs harmless as long as the baby is feeding well
3.やさしい
Which early sign may suggest autism in a toddler?
- ASaying "no" often and having tantrums at 2 years
- BBeing shy with strangers at 9 months
- CPreferring to play next to other toddlers rather than with them
- DNot pointing to show interest and little eye contact by about 18 months
4.ふつう
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
- ASmack the child to show that tantrums are not allowed
- BGive the child the sweet he wants so the tantrum stops
- CStay calm, keep the child safe and do not give in to the demand
- DShout loudly at the child to make the tantrum stop sooner
5.ふつう
Which advice is best for a baby with mild nappy rash?
- AApply talcum powder thickly at every nappy change
- BWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- CChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- DUse tighter nappies so that less urine reaches the skin
6.ふつう
How should an infant with heart failure be fed?
- ASmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
- BStop the feed when the baby tires and wait until the next scheduled feed
- CLying flat on the back so the baby does not need to hold the head up
- DLarge feeds every 6 hours so the baby can rest in between
7.むずかしい
Which complication is a leading cause of death from measles in children?
- AOtitis media
- BConjunctivitis
- CPneumonia
- DDiarrhoea
8.むずかしい
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- ACompensated shock that needs urgent treatment
- BShock is unlikely while the blood pressure is normal
- CNormal findings in a toddler who is upset
- DMild dehydration that only needs a drink
解答
- 1. C · Prostaglandin E1
- 2. B · As pathological until proven otherwise; it needs prompt evaluation
- 3. D · Not pointing to show interest and little eye contact by about 18 months
- 4. C · Stay calm, keep the child safe and do not give in to the demand
- 5. C · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 6. A · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 7. C · Pneumonia
- 8. A · Compensated shock that needs urgent treatment
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