1.やさしい
Which five signs make up the Apgar score?
- ABreathing rate, blood glucose, length, muscle tone and cry
- BHeart rate, blood pressure, temperature, weight and colour
- CHeart rate, breathing effort, muscle tone, reflex response and colour
- DOxygen saturation, temperature, reflexes, weight and feeding
2.やさしい
Where is the pain of appendicitis typically felt once it has localised?
- AIn the left lower abdomen
- BIn the right lower abdomen
- CAround the left shoulder blade
- DIn the upper middle abdomen only
3.やさしい
Which finding is typical of impetigo?
- ASilvery scales on the elbows and knees
- BHoney-coloured crusts, often around the nose and mouth
- CTiny burrows between the fingers
- DA target-shaped rash with a dusky, pale centre on the palms
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?
- AIron-deficiency anaemia
- BSickle cell disease
- CLactose intolerance
- DVitamin B12 deficiency
5.ふつう
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AGive nothing by mouth for 24 hours
- BGive diluted fruit juice instead of breast milk
- CStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- DContinue breastfeeding, and give oral rehydration solution as advised
6.ふつう
How should a 3-year-old use a metered-dose inhaler?
- AWith a spacer and mask, holding the breath for 10 seconds after each puff
- BWith a spacer, giving all the prescribed puffs into it at the same time
- CWith a spacer and face mask, taking several normal breaths after each puff
- DDirectly into the mouth without a spacer, while breathing in as fast as possible
7.むずかしい
Which finding at a 6-month check most needs referral?
- AThe baby does not turn towards sounds or voices
- BThe baby is wary of a stranger
- CThe baby is not crawling yet
- DThe baby puts every toy and object into the mouth
8.むずかしい
A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?
- AGive aspirin for the pain and apply ice to the bump
- BWatch him at home for a week and bring him in only if he vomits or has a headache
- CSeek urgent care, as factor replacement may be needed before symptoms appear
- DNo action is needed, because head bleeds are rare in haemophilia
解答
- 1. C · Heart rate, breathing effort, muscle tone, reflex response and colour
- 2. B · In the right lower abdomen
- 3. B · Honey-coloured crusts, often around the nose and mouth
- 4. A · Iron-deficiency anaemia
- 5. D · Continue breastfeeding, and give oral rehydration solution as advised
- 6. C · With a spacer and face mask, taking several normal breaths after each puff
- 7. A · The baby does not turn towards sounds or voices
- 8. C · Seek urgent care, as factor replacement may be needed before symptoms appear
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