1.やさしい
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- APale, clay-coloured stools and dark urine
- BBright yellow, seedy stools
- CGreen stools after starting iron drops
- DPale, watery urine and frequent wet nappies
2.やさしい
Which feature is typical of whooping cough (pertussis) in an older child?
- AA barking cough and a hoarse voice that are worse at night
- BDrooling, a high fever and difficulty swallowing saliva
- CA wheeze heard only on breathing out, with a runny nose
- DBouts of coughing that end with a "whoop" on breathing in
3.やさしい
Which symptom is typical of scabies?
- AIntense itching, worse at night, with burrows between the fingers
- BPainless red patches that slowly spread outward over months
- CLarge blisters on the soles of the feet after walking
- DDry, flaky scalp with dandruff but no itching
4.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
- B頭囲を測定する
- C髪の質感を調べる
- 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
5.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?
- ALactose intolerance
- BIron-deficiency anaemia
- CSickle cell disease
- DVitamin B12 deficiency
6.ふつう
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- AHold the child over a bowl of hot, steaming water to loosen the cough
- BKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
- CGive an over-the-counter cough syrup every hour until the barking cough stops
- DLay the child flat in a cool room so the airway can relax
7.むずかしい
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
- AAn accidental spill from a cup of tea
- BPossible deliberate immersion; follow the safeguarding procedure
- CA skin infection that looks like a burn
- DSunburn from playing outside in a paddling pool on a hot day
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?
- ANo action is needed, because head bleeds are rare in haemophilia
- BGive aspirin for the pain and apply ice to the bump
- CSeek urgent care, as factor replacement may be needed before symptoms appear
- DWatch him at home for a week and bring him in only if he vomits or has a headache
解答
- 1. A · Pale, clay-coloured stools and dark urine
- 2. D · Bouts of coughing that end with a "whoop" on breathing in
- 3. A · Intense itching, worse at night, with burrows between the fingers
- 4. 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
- 5. B · Iron-deficiency anaemia
- 6. B · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 7. B · Possible deliberate immersion; follow the safeguarding procedure
- 8. C · Seek urgent care, as factor replacement may be needed before symptoms appear
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