1.やさしい
How is cystic fibrosis inherited?
- AAutosomal dominant
- BAutosomal recessive
- CX-linked recessive
- DThrough mitochondrial DNA from the mother
2.やさしい
Why is circumcision avoided in a baby boy with hypospadias?
- AThe urethral opening moves to the tip by itself if the foreskin is left
- BIt greatly increases the risk of urine infection in the first month
- CBabies with hypospadias usually have a bleeding disorder
- DThe foreskin may be needed for the repair
3.やさしい
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
- ARectal, with a glass mercury thermometer
- BBy touching the forehead with a hand
- COral, under the tongue
- DAxillary, with an electronic thermometer
4.ふつう
Which early sign may tell a child with haemophilia that a joint bleed is starting?
- AAn itchy feeling on the skin over the elbow
- BA sudden fever with a rash
- CTingling or warmth in the joint
- DA cold, pale hand or foot
5.ふつう
急性喉頭蓋炎が疑われる子どもが、よだれを垂らして前かがみに座っています。避けなければならない行為はどれですか?
- A子どもを親のそばに置いておくこと
- B舌圧子でのどを診察すること
- C気道管理に熟練したチームを呼ぶこと
- D子どもが選んだ姿勢で座らせておくこと
6.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
- CNo; asking about suicide may put the idea into the young person's head and raise the risk
- DYes; asking directly does not increase the risk and helps find those who need help
7.むずかしい
Which finding at a 6-month check most needs referral?
- AThe baby is not crawling yet
- BThe baby puts every toy and object into the mouth
- CThe baby does not turn towards sounds or voices
- DThe baby is wary of a stranger
8.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?
- ANormal adjustment with no distress
- BDetachment
- CDespair
- DProtest
解答
- 1. B · Autosomal recessive
- 2. D · The foreskin may be needed for the repair
- 3. D · Axillary, with an electronic thermometer
- 4. C · Tingling or warmth in the joint
- 5. B · 舌圧子でのどを診察すること
- 6. D · Yes; asking directly does not increase the risk and helps find those who need help
- 7. C · The baby does not turn towards sounds or voices
- 8. B · Detachment
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