1.やさしい
What is the main feature of immune thrombocytopenia (ITP) in a child?
- AA missing clotting factor with bleeding into joints
- BA high red cell count with headache and flushing
- CA low platelet count with bruising and petechiae
- DA low white cell count with repeated infections
2.やさしい
Which symptom is typical of scabies?
- ADry, flaky scalp with dandruff but no itching
- BPainless red patches that slowly spread outward over months
- CIntense itching, worse at night, with burrows between the fingers
- DLarge blisters on the soles of the feet after walking
3.やさしい
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 4 to 6 months
- BAbout 12 to 15 months
- CAbout 2 to 4 weeks
- DAbout 2 to 3 years
4.ふつう
18 か月児の健診で、発達評価のための紹介が必要な所見はどれですか?
- A数個の単語しか話さない
- Bほかの子どもと一緒にではなく、そばで遊んでいる
- C見知らぬ人を怖がる
- Dまだ自力で歩いていない
5.ふつう
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
- APlace her in the recovery position and monitor airway and breathing
- BLeave her alone in a dark room to sleep it off
- CWake her fully every few minutes and ask her to stand up and walk around
- DGive her a drink straight away to prevent dehydration
6.ふつう
A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?
- AWear it for the prescribed hours each day, with a thin cotton shirt underneath
- BWear it only at weekends and in the holidays, when it does not interfere with school
- CWear it only when the back hurts, then take it off
- DWear it over thick clothing to make it more comfortable
7.むずかしい
Which treatment is not routinely recommended for a typical infant with bronchiolitis?
- AOxygen if the saturation is persistently low
- BGentle nasal suction if the nose is blocked
- CBronchodilators or corticosteroids
- DHelp with feeding or fluids if intake is poor
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 50 mL per hour
- CAbout 67 mL per hour
- DAbout 104 mL per hour
解答
- 1. C · A low platelet count with bruising and petechiae
- 2. C · Intense itching, worse at night, with burrows between the fingers
- 3. A · About 4 to 6 months
- 4. D · まだ自力で歩いていない
- 5. A · Place her in the recovery position and monitor airway and breathing
- 6. A · Wear it for the prescribed hours each day, with a thin cotton shirt underneath
- 7. C · Bronchodilators or corticosteroids
- 8. C · About 67 mL per hour
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