1.やさしい
What is the Ortolani test used to detect in a newborn?
- ACongenital heart disease
- BHearing loss
- CClubfoot (talipes)
- DDevelopmental dysplasia of the hip
2.やさしい
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt makes contraceptive pills fail
- BIt causes heavy periods
- CIt causes serious birth defects
- DIt stops ovulation permanently
3.やさしい
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 12 to 15 months
- BAbout 4 to 6 months
- CAbout 2 to 4 weeks
- DAbout 2 to 3 years
4.ふつう
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
- AStop all insulin until the child is eating normally again, then restart at the usual dose
- BKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
- CGive insulin only if the child is vomiting
- DGive double the usual insulin to prevent ketones
5.ふつう
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
- ANo; only a psychiatrist is allowed to ask this question
- BOnly if the parents give written permission first
- CYes; asking directly does not increase the risk and helps find those who need help
- DNo; asking about suicide may put the idea into the young person's head and raise the risk
6.ふつう
嘔吐のある軽度から中等度の脱水の子どもに、経口補水液をどのように与えますか?
- A味をよくするために果汁と混ぜる
- Bスプーンやシリンジなどで、少量ずつ頻繁に
- C数時間おきに一度に多量を飲ませる
- Dさらなる喪失を避けるため、嘔吐が 24 時間止まってから
7.むずかしい
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
- AThe baby will develop diabetes if the thyroid is not treated now
- BThe baby could pass the condition to other children in the family
- CTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
- DWithout early treatment it can cause lasting learning disability and poor growth
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 104 mL per hour
- BAbout 50 mL per hour
- CAbout 25 mL per hour
- DAbout 67 mL per hour
解答
- 1. D · Developmental dysplasia of the hip
- 2. C · It causes serious birth defects
- 3. B · About 4 to 6 months
- 4. B · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
- 5. C · Yes; asking directly does not increase the risk and helps find those who need help
- 6. B · スプーンやシリンジなどで、少量ずつ頻繁に
- 7. D · Without early treatment it can cause lasting learning disability and poor growth
- 8. D · About 67 mL per hour
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