1.やさしい
Which transmission-based precautions are used for a hospitalised child with chickenpox?
- AAirborne and contact precautions
- BContact precautions only
- CDroplet precautions only, in a shared bay
- DStandard precautions only
2.やさしい
Which is the most common type of cancer in children?
- AOsteosarcoma of the long bones
- BRetinoblastoma of the eye
- CWilms tumour of the kidney
- DAcute lymphoblastic leukaemia
3.やさしい
フェニルケトン尿症などの新生児マススクリーニング(ろ紙血検査)の目的は何ですか?
- A輸血のために赤ちゃんの血液型を調べるため
- B治療可能な疾患を、症状が出る前に早期に発見するため
- C赤ちゃんの鉄の貯蔵量を測るため
- D出生時にかかった感染症を調べるため
4.ふつう
ピンセット把持(親指と人差し指で小さな物をつまむこと)が通常発達するのは、何か月ごろですか?
- A約 3 か月
- B約 2 歳
- C約 18 か月
- D約 9~10 か月
5.ふつう
A child's asthma action plan shows he is in the yellow zone. What should he do?
- ADouble the preventer dose and do nothing else
- BStop all medicines and wait to see if the symptoms pass
- CGo straight to the emergency department without using any medicine first
- DUse the reliever as the plan says and contact the doctor if it does not help
6.ふつう
嘔吐のある軽度から中等度の脱水の子どもに、経口補水液をどのように与えますか?
- A数時間おきに一度に多量を飲ませる
- Bスプーンやシリンジなどで、少量ずつ頻繁に
- C味をよくするために果汁と混ぜる
- Dさらなる喪失を避けるため、嘔吐が 24 時間止まってから
7.むずかしい
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
- ACompartment syndrome; report it at once
- BItching under the cast; give an antihistamine
- CNormal pain after a fracture; give more time
- DAnxiety; distract the child with play
8.むずかしい
A 10-year-old has vomiting, abdominal pain, deep rapid breathing and a fruity smell on the breath. His blood glucose is very high. What is the most likely diagnosis?
- AGastroenteritis
- BDiabetic ketoacidosis
- CAcute asthma attack with hyperventilation
- DAppendicitis
解答
- 1. A · Airborne and contact precautions
- 2. D · Acute lymphoblastic leukaemia
- 3. B · 治療可能な疾患を、症状が出る前に早期に発見するため
- 4. D · 約 9~10 か月
- 5. D · Use the reliever as the plan says and contact the doctor if it does not help
- 6. B · スプーンやシリンジなどで、少量ずつ頻繁に
- 7. A · Compartment syndrome; report it at once
- 8. B · Diabetic ketoacidosis
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