1.やさしい
What is the HEADSS (or HEEADSSS) assessment used for?
- AA screening test for newborn hearing before discharge
- BA structured psychosocial interview with adolescents
- CA pain score for children who cannot speak
- DA scale for scoring dehydration in infants
2.やさしい
What is the main feature of mumps?
- AA high-pitched whoop after coughing fits
- BPainful ulcers on the hands, feet and mouth
- CSwelling of the parotid salivary glands
- DA spreading rash that starts behind the ears
3.やさしい
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
- ALow platelet count
- BIron overload
- CVitamin B12 deficiency
- DLow blood calcium
4.ふつう
Which finding is expected in a healthy 4-month-old?
- AHolds the head steady when held upright, with little or no head lag
- BPulls to stand while holding on to furniture
- CSays two or three clear words with meaning
- DSits steadily without support for several minutes while playing with toys
5.ふつう
胃腸炎の乳児の水分状態を観察する最も正確な方法はどれですか?
- A髪の質感を調べる
- B子どもが喉が渇いているか、疲れているように見えるかを、毎日親に尋ねる
- C頭囲を測定する
- D同じ秤で行う毎日の体重測定と、濡れたおむつの数の確認
6.ふつう
Which daily monitoring is most useful for a child with nephrotic syndrome?
- ABlood glucose before and after every meal
- BHead circumference and fontanelle tension
- CPeak flow and oxygen saturation every morning
- DWeight and urine dipstick for protein
7.むずかしい
Which finding in a teenager with anorexia nervosa most clearly suggests the need for hospital admission?
- AMissing one menstrual period after starting a new diet
- BWeighing 2 kg less than at last month's clinic visit
- CWanting to exercise every day
- DFainting episodes with a very slow heart rate and low potassium
8.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
解答
- 1. B · A structured psychosocial interview with adolescents
- 2. C · Swelling of the parotid salivary glands
- 3. B · Iron overload
- 4. A · Holds the head steady when held upright, with little or no head lag
- 5. D · 同じ秤で行う毎日の体重測定と、濡れたおむつの数の確認
- 6. D · Weight and urine dipstick for protein
- 7. D · Fainting episodes with a very slow heart rate and low potassium
- 8. C · Bronchodilators or corticosteroids
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