1.やさしい
Which of these is one of the most common causes of food allergy in infants?
- ARice
- BCarrot
- CCow's milk protein
- DApple purée
2.やさしい
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
- AProstaglandin E1
- BIntravenous indomethacin
- CDigoxin
- DFurosemide
3.やさしい
Why are infants and young children more likely than adults to get middle ear infections (otitis media)?
- ATheir ear canals are longer and narrower than those of adults
- BTheir eardrums are thicker and cannot move with pressure changes
- CThey make more earwax, which traps bacteria in the middle ear
- DTheir Eustachian tubes are shorter, wider and more horizontal
4.ふつう
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- AChange the subject quickly so the child is not upset
- BFind out what prompted the question, then answer honestly and simply, with the family
- CTell the child that only the doctor is allowed to talk about this subject with children
- DTell the child firmly that this will not happen
5.ふつう
血友病の子どもに適用される注意はどれですか?
- A出血している関節を温める
- B痛みにアスピリンを与える
- C可能な限り、筋肉内注射と直腸温の測定を避ける
- D関節と筋肉を鍛えるために、ラグビーなどの接触スポーツを勧める
6.ふつう
大動脈縮窄症を示唆する所見はどれですか?
- A大腿動脈の脈拍が強く、腕の脈拍が弱くて腕の血圧が低い
- Bすべての四肢で血圧が等しい
- C犬が吠えるような咳
- D脚より腕の血圧が高く、大腿動脈の脈拍が弱い
7.むずかしい
In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?
- AShe may consent herself if judged competent (Gillick and Fraser)
- BContraception may only be given once she reaches the age of 18
- CThe nurse must inform her parents and her school straight away
- DShe can never receive contraception without written consent from a parent
8.むずかしい
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
- AAbout 25 mL per hour
- BAbout 67 mL per hour
- CAbout 50 mL per hour
- DAbout 104 mL per hour
解答
- 1. C · Cow's milk protein
- 2. A · Prostaglandin E1
- 3. D · Their Eustachian tubes are shorter, wider and more horizontal
- 4. B · Find out what prompted the question, then answer honestly and simply, with the family
- 5. C · 可能な限り、筋肉内注射と直腸温の測定を避ける
- 6. D · 脚より腕の血圧が高く、大腿動脈の脈拍が弱い
- 7. A · She may consent herself if judged competent (Gillick and Fraser)
- 8. B · About 67 mL per hour
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