1.やさしい
安静時の健康な幼児(約 1~3 歳)の呼吸数の範囲として典型的なのはどれですか?
- A約 24~40 回/分
- B約 6~10 回/分
- C約 60~80 回/分
- D約 12~16 回/分
2.やさしい
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- APale, watery urine and frequent wet nappies
- BBright yellow, seedy stools
- CGreen stools after starting iron drops
- DPale, clay-coloured stools and dark urine
3.やさしい
What is the cause of Hirschsprung disease?
- AOne part of the bowel telescoping into the next part
- BThickening of the muscle at the outlet of the stomach
- CInflammation of the bowel lining after a viral infection
- DMissing nerve (ganglion) cells in part of the bowel
4.ふつう
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
- ASkip the meal before the match to avoid high glucose
- BInject an extra dose of insulin into the thigh just before he starts running
- CCheck glucose before playing and keep fast-acting carbohydrate at hand
- DAvoid sport, because exercise is unsafe with diabetes
5.ふつう
血友病の子どもに適用される注意はどれですか?
- A可能な限り、筋肉内注射と直腸温の測定を避ける
- B出血している関節を温める
- C痛みにアスピリンを与える
- D関節と筋肉を鍛えるために、ラグビーなどの接触スポーツを勧める
6.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
7.むずかしい
A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?
- AIt works best before any exposure to the virus, and young adolescents respond strongly
- BIt is given at this age because it prevents chickenpox in adolescence
- CChildren of this age are already likely to have the virus, so it treats the infection
- DIt is only effective if given in the first year of secondary school, before exams start
8.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 shows breastfeeding has failed, so formula should replace breast milk from now on
- CThis weight loss is only normal in formula-fed babies
- DThis is severe dehydration and needs immediate IV fluids
解答
- 1. A · 約 24~40 回/分
- 2. D · Pale, clay-coloured stools and dark urine
- 3. D · Missing nerve (ganglion) cells in part of the bowel
- 4. C · Check glucose before playing and keep fast-acting carbohydrate at hand
- 5. A · 可能な限り、筋肉内注射と直腸温の測定を避ける
- 6. D · 約 9~10 か月
- 7. A · It works best before any exposure to the virus, and young adolescents respond strongly
- 8. A · This is within the usual range; observe a feed and follow the weight
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