1.やさしい
At about what age do most children start combining two words, such as "more milk"?
- AAbout 2 years
- BAbout 4 years
- CAbout 12 months
- DAbout 9 months
2.やさしい
Which finding on examination is typical of pyloric stenosis?
- AA tender mass in the left lower abdomen
- BA swollen abdomen with no bowel sounds at all
- CA soft bulge at the belly button when crying
- DAn olive-shaped mass in the upper abdomen
3.やさしい
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
- ABy touching the forehead with a hand
- BOral, under the tongue
- CAxillary, with an electronic thermometer
- DRectal, with a glass mercury thermometer
4.ふつう
A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?
- ASickle cell disease
- BIron-deficiency anaemia
- CLactose intolerance
- DVitamin B12 deficiency
5.ふつう
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- BGive nothing by mouth for 24 hours
- CContinue breastfeeding, and give oral rehydration solution as advised
- DGive diluted fruit juice instead of breast milk
6.ふつう
Which signs suggest meningitis in a young infant?
- AA sunken fontanelle with heavy wet nappies
- BNeck stiffness and a positive Kernig's sign, as in older children and adults
- CA bulging fontanelle, a high-pitched cry, poor feeding and irritability
- DA clear runny nose, a mild cough and normal feeding
7.むずかしい
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
- ADespair
- BProtest
- CDetachment
- DNormal adjustment with no distress
8.むずかしい
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
- AAsk them to leave, because their presence always harms the team's work
- BAllow them to stay only if they help with the compressions
- CTell them to wait outside in the corridor until the resuscitation is over
- DAllow them to stay if they wish, with a staff member to support and explain
解答
- 1. A · About 2 years
- 2. D · An olive-shaped mass in the upper abdomen
- 3. C · Axillary, with an electronic thermometer
- 4. B · Iron-deficiency anaemia
- 5. C · Continue breastfeeding, and give oral rehydration solution as advised
- 6. C · A bulging fontanelle, a high-pitched cry, poor feeding and irritability
- 7. C · Detachment
- 8. D · Allow them to stay if they wish, with a staff member to support and explain
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。