1.やさしい
What is the most serious complication of Kawasaki disease?
- APermanent hearing loss
- BKidney failure needing dialysis
- CCoronary artery aneurysms
- DDiabetes mellitus
2.やさしい
Which measure is a mainstay of daily eczema care?
- AUsing perfumed soap twice a day to remove bacteria from the skin surface
- BApplying emollients generously and often, even when the skin looks clear
- CApplying emollients only when the skin is very inflamed
- DTaking long, hot baths with bubble bath every evening
3.やさしい
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 12 to 15 months
- BAbout 2 to 4 weeks
- CAbout 4 to 6 months
- DAbout 2 to 3 years
4.ふつう
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AShaving the head, with no medicine
- BAn oral antifungal medicine
- CA topical antifungal cream alone
- DOral antibiotics such as amoxicillin
5.ふつう
A child's asthma action plan shows he is in the yellow zone. What should he do?
- AStop all medicines and wait to see if the symptoms pass
- BUse the reliever as the plan says and contact the doctor if it does not help
- CGo straight to the emergency department without using any medicine first
- DDouble the preventer dose and do nothing else
6.ふつう
以前は短い文で話していた 3 歳の女児が、話さなくなり、名前を呼んでも反応しなくなりました。最も重要な点はどれですか?
- A疲れているだけで、1 年後に診察すればよいということである
- Bどの年齢でも、すでに獲得した技能の喪失は、速やかなアセスメントが必要である
- Cこの年齢での正常な退行である
- D言語は急に伸びる時期があるので、予想される変化である
7.むずかしい
A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?
- AHypospadias
- BNephrotic syndrome
- CTesticular torsion on both sides
- DVesicoureteral reflux
8.むずかしい
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with suspected measles
- BA child with impetigo
- CA child with norovirus gastroenteritis and vomiting
- DA child with RSV bronchiolitis
解答
- 1. C · Coronary artery aneurysms
- 2. B · Applying emollients generously and often, even when the skin looks clear
- 3. C · About 4 to 6 months
- 4. B · An oral antifungal medicine
- 5. B · Use the reliever as the plan says and contact the doctor if it does not help
- 6. B · どの年齢でも、すでに獲得した技能の喪失は、速やかなアセスメントが必要である
- 7. D · Vesicoureteral reflux
- 8. A · A child with suspected measles
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