1.やさしい
Which pattern is typical of roseola infantum?
- AA bright red rash on both cheeks, like a slap
- BA rash that appears first, followed by a whole week of high fever and cough
- CHigh fever for a few days, then a pink rash as the fever settles
- DItchy blisters in crops that crust over within days
2.やさしい
Which finding in the fingers is typical of long-standing cyanotic heart disease?
- AClubbing of the fingertips
- BSpoon-shaped, thin nails
- CSwan-neck deformity of the fingers
- DWebbing between the fingers
3.やさしい
At about what age do most children say their first meaningful words?
- AAbout 2 years
- BAbout 6 months
- CAbout 12 months
- DAbout 4 months
4.ふつう
Which finding suggests repeated self-induced vomiting?
- AA butterfly rash on the cheeks and patchy hair loss
- BYellow skin, itching and dark urine
- CCalluses on the knuckles and loss of tooth enamel
- DSwelling of the ankles and puffy eyes
5.ふつう
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
- AThe reading will be falsely high
- BThe reading will be accurate but slower to obtain
- CThe reading will be falsely low
- DThe cuff will not inflate at all
6.ふつう
A child has impetigo. Which advice helps to stop it spreading?
- AShare flannels and towels so the whole family is treated
- BCover the crusts with a thick layer of petroleum jelly and leave them
- CPick the crusts off daily so the skin heals faster
- DUse separate towels, wash hands often and keep nails short
7.むずかしい
A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?
- AThis is within the usual range; observe a feed and follow the weight
- BThis weight loss is only normal in formula-fed babies
- CThis shows breastfeeding has failed, so formula should replace breast milk from now on
- DThis is severe dehydration and needs immediate IV fluids
8.むずかしい
鎌状赤血球症の 6 歳児の体温が 39.0 °C です。これが緊急として扱われるのはなぜですか?
- A緊急ではなく、すべての子どもで発熱はよくあるため
- B発熱は鎌状化発作が始まったことを意味し、損傷した赤血球を補うため、ただちに輸血が必要なため
- C発熱は、すべての疼痛発作の正常な始まりであるため
- D鎌状赤血球症の子どもは脾機能が低下しており、重篤な細菌感染症のリスクが高いため
解答
- 1. C · High fever for a few days, then a pink rash as the fever settles
- 2. A · Clubbing of the fingertips
- 3. C · About 12 months
- 4. C · Calluses on the knuckles and loss of tooth enamel
- 5. A · The reading will be falsely high
- 6. D · Use separate towels, wash hands often and keep nails short
- 7. A · This is within the usual range; observe a feed and follow the weight
- 8. D · 鎌状赤血球症の子どもは脾機能が低下しており、重篤な細菌感染症のリスクが高いため
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