1.やさしい
At about what age do most children start combining two words, such as "more milk"?
- AAbout 4 years
- BAbout 2 years
- CAbout 12 months
- DAbout 9 months
2.やさしい
How is congenital hypothyroidism treated?
- ARemoval of the thyroid gland in infancy
- BAn iodine-free diet from birth
- CA single dose of radioactive iodine
- DDaily levothyroxine, usually for life
3.やさしい
At about what age can most children hop on one foot?
- AAbout 18 months
- BAbout 2 years
- CAbout 4 years
- DAbout 8 years
4.ふつう
生後 5 週の赤ちゃんが、授乳のたびに勢いよく(噴水状に)吐き、そのあとお腹をすかせているようです。考えられる原因はどれですか?
- A年齢相応の正常な胃食道逆流
- B腸重積症
- C肥厚性幽門狭窄症
- Dヒルシュスプルング病
5.ふつう
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- AWait until he agrees to take it, even if the dose is hours late
- BOffer a limited choice, such as the cup or the syringe
- CTell him he is a bad boy for refusing
- DAsk him whether he wants to take his medicine or not
6.ふつう
Which signs suggest meningitis in a young infant?
- ANeck stiffness and a positive Kernig's sign, as in older children and adults
- BA sunken fontanelle with heavy wet nappies
- CA bulging fontanelle, a high-pitched cry, poor feeding and irritability
- DA clear runny nose, a mild cough and normal feeding
7.むずかしい
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
- AThis is the temporary "honeymoon" phase; insulin is still needed
- BThe diabetes has turned into type 2 diabetes
- CThe diagnosis was probably wrong, and insulin can be stopped
- DThe child has become insulin resistant and now needs tablets instead of injections
8.むずかしい
An infant with heart failure is breathing fast and working hard. Which position helps most?
- ASemi-upright, with the head and chest raised
- BLying flat on the left side only
- CFlat on the back with the legs raised
- DProne with the head turned to the side
解答
- 1. B · About 2 years
- 2. D · Daily levothyroxine, usually for life
- 3. C · About 4 years
- 4. C · 肥厚性幽門狭窄症
- 5. B · Offer a limited choice, such as the cup or the syringe
- 6. C · A bulging fontanelle, a high-pitched cry, poor feeding and irritability
- 7. A · This is the temporary "honeymoon" phase; insulin is still needed
- 8. A · Semi-upright, with the head and chest raised
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