1.やさしい
Which finding is typical of impetigo?
- ASilvery scales on the elbows and knees
- BTiny burrows between the fingers
- CHoney-coloured crusts, often around the nose and mouth
- DA target-shaped rash with a dusky, pale centre on the palms
2.やさしい
Which sweetener must children with phenylketonuria (PKU) avoid?
- AGlucose
- BAspartame
- CSucrose
- DFructose
3.やさしい
入院中の幼い子どもの分離不安の、古典的な 3 つの段階はどれですか?
- A否認、怒り、受容
- B泣く、眠る、食べる
- C恐れ、信頼、自立
- D抗議、絶望、脱愛着
4.ふつう
A 13-year-old has a concussion during a football match. What is the correct advice?
- AContinue training as usual unless there was a loss of consciousness
- BAvoid all mental and physical activity, including school, for at least 2 months
- CNo sport that day; return step by step once symptoms have gone
- DReturn to the match as soon as the headache improves
5.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
6.ふつう
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AA first attack of asthma
- BAn inhaled foreign body
- CBronchiolitis
- DViral croup
7.むずかしい
The nurse has taught the parents of a newborn about safe sleep. Which statement shows a need for further teaching?
- A"Nobody will smoke in the house or in the car."
- B"We will put her on her back for every sleep, including naps."
- C"We will put a soft bumper and a pillow in the cot so she is comfortable."
- D"We will keep her cot in our bedroom for the first months."
8.むずかしい
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
- AInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
- BInsulin moves potassium into the cells, so blood potassium can fall sharply
- CPotassium is needed to dissolve the insulin in the drip
- DPotassium has no role in DKA; it is a routine test only
解答
- 1. C · Honey-coloured crusts, often around the nose and mouth
- 2. B · Aspartame
- 3. D · 抗議、絶望、脱愛着
- 4. C · No sport that day; return step by step once symptoms have gone
- 5. 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
- 6. B · An inhaled foreign body
- 7. C · "We will put a soft bumper and a pillow in the cot so she is comfortable."
- 8. B · Insulin moves potassium into the cells, so blood potassium can fall sharply
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。