1.やさしい
How is congenital hypothyroidism treated?
- AA single dose of radioactive iodine
- BRemoval of the thyroid gland in infancy
- CAn iodine-free diet from birth
- DDaily levothyroxine, usually for life
2.やさしい
Which clotting factor is missing or low in haemophilia A?
- AFactor IX
- BFactor XIII
- CFactor VIII
- DFactor VII
3.やさしい
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACongenital heart defects
- BCataract only in old age
- CCleft lip and palate
- DClubfoot on both sides
4.ふつう
同じ受診で、子どもが複数の異なるワクチンの接種予定です。一般原則はどれですか?
- A1 か月に 1 種類のワクチンしか接種できない
- Bすべてのワクチンを 1 本の注射器で混ぜるべきである
- C同じ受診で、別々の接種部位に接種できる
- Dそれぞれ半量を数週間に分けて接種すべきである
5.ふつう
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
- AAny amount, as long as the child is drinking
- BAbout 5 mL per hour
- CAbout 20 mL per hour
- DAbout 2 mL per hour
6.ふつう
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt kills bacteria in the blood and prevents infections
- BIt removes extra iron after blood transfusions
- CIt replaces the missing clotting factors
- DIt increases fetal haemoglobin, which reduces sickling
7.むずかしい
意識のある 3 歳児が食べ物で窒息し、咳も、泣くことも、話すこともできません。看護師はどうすべきですか?
- A咳で出てくるかどうか様子を見る
- B飲み込ませるために水を与える
- C背部叩打法に続いて腹部突き上げ法を行い、応援を呼ぶ
- D食べ物を引っかけて取り出すために、口の中を指で盲目的にかき出す
8.むずかしい
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- AGive the live varicella vaccine to the child that same day to boost immunity
- BReassure the family, as chickenpox is mild in all children
- CWait to see whether a rash develops before acting
- DTell the oncology team at once, as preventive treatment may be needed
解答
- 1. D · Daily levothyroxine, usually for life
- 2. C · Factor VIII
- 3. A · Congenital heart defects
- 4. C · 同じ受診で、別々の接種部位に接種できる
- 5. C · About 20 mL per hour
- 6. D · It increases fetal haemoglobin, which reduces sickling
- 7. C · 背部叩打法に続いて腹部突き上げ法を行い、応援を呼ぶ
- 8. D · Tell the oncology team at once, as preventive treatment may be needed
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