1.やさしい
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
- AVitamin B12 deficiency
- BLow blood calcium
- CIron overload
- DLow platelet count
2.やさしい
Which four features make up tetralogy of Fallot?
- APatent ductus arteriosus, VSD, ASD and transposition of the great arteries
- BVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- CVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
- DASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
3.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親との分離
- B死への恐れ
- C学校を休むこと
- D外見の変化
4.ふつう
Which advice is best for a baby with mild nappy rash?
- AChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- BApply talcum powder thickly at every nappy change
- CWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- DUse tighter nappies so that less urine reaches the skin
5.ふつう
Which finding suggests repeated self-induced vomiting?
- AYellow skin, itching and dark urine
- BCalluses on the knuckles and loss of tooth enamel
- CSwelling of the ankles and puffy eyes
- DA butterfly rash on the cheeks and patchy hair loss
6.ふつう
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AUrine colour, because the swelling causes kidney damage
- BJaundice, because the breakdown of the trapped blood adds to bilirubin
- CHead circumference twice daily, because it signals hydrocephalus
- DBlood pressure, because the swelling causes hypertension
7.むずかしい
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
- AKeep them apart, not sharing rooms, equipment or play areas
- BLet them share airway clearance equipment to save resources
- CPut them in the same room so they can support each other
- DAsk them to do their daily physiotherapy sessions together in the playroom
8.むずかしい
発熱、項部硬直、圧迫しても消えない発疹で入院した子どもがいます。優先すべき行動はどれですか?
- A飛沫予防策を開始し、抗菌薬が遅れないよう至急医師の診察を受ける
- B解熱薬を与え、4 時間後に再確認する
- C他の子どもたちと同じ大部屋に入れ、4 時間後に発疹と体温を再確認する
- D腰椎穿刺をするまでは、どんな治療も待つ
解答
- 1. C · Iron overload
- 2. B · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- 3. A · 親との分離
- 4. A · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 5. B · Calluses on the knuckles and loss of tooth enamel
- 6. B · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 7. A · Keep them apart, not sharing rooms, equipment or play areas
- 8. A · 飛沫予防策を開始し、抗菌薬が遅れないよう至急医師の診察を受ける
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