1.やさしい
ピアジェの発達段階のうち、対象の永続性が発達するのはどの段階ですか?
- A形式的操作期
- B具体的操作期
- C前操作期
- D感覚運動期
2.やさしい
How much fluoride toothpaste is usually advised for a child under 3 years?
- AA smear about the size of a grain of rice
- BNone until all the baby teeth have come through
- CA pea-sized amount on a soft brush
- DA full strip along the length of the brush
3.やさしい
Which type of play, with shared goals, rules and roles, is typical of school-age children?
- ASolitary play
- BCooperative play
- COnlooker play
- DParallel play
4.ふつう
コデインとトラマドールが 12 歳未満の子どもに推奨されないのはなぜですか?
- A静脈内にしか投与できないため
- B非常に速く代謝する子どもがおり、危険な呼吸抑制を起こすため
- C必ずアレルギーを起こすため
- D中等度の痛みには効果が弱すぎ、常により強いオピオイドが望ましいため
5.ふつう
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AA family history of diabetes
- BA viral infection in early childhood
- CObesity with low physical activity
- DBeing of a particular ethnic background
6.ふつう
Which stool pattern is typical of Hirschsprung disease in an older child?
- AFrequent bloody diarrhoea with fever after eating chicken
- BPale, bulky, fatty stools that float and are hard to flush, with a large appetite
- CNormal stools with occasional itching around the anus at night
- DChronic constipation with thin, ribbon-like, foul-smelling stools and distension
7.むずかしい
脳室腹腔シャントのある子どもの所見のうち、直ちにフォローアップが必要なものはどれですか?
- A弁の上の小さく柔らかい、変化のないふくらみ
- B頭痛、繰り返す嘔吐、増していく傾眠
- C食欲と遊びが正常
- Dシャントの走行に沿った治癒した傷跡
8.むずかしい
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- AA plaster cast and discharge home the same day
- BRest, ice and an elastic bandage for a sprained ankle, with review in a week
- CBlood cultures and prompt IV antibiotics for possible osteomyelitis
- DMassage and physiotherapy to loosen the muscle
解答
- 1. D · 感覚運動期
- 2. A · A smear about the size of a grain of rice
- 3. B · Cooperative play
- 4. B · 非常に速く代謝する子どもがおり、危険な呼吸抑制を起こすため
- 5. C · Obesity with low physical activity
- 6. D · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
- 7. B · 頭痛、繰り返す嘔吐、増していく傾眠
- 8. C · Blood cultures and prompt IV antibiotics for possible osteomyelitis
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