1.やさしい
FLACC 疼痛スケールの各文字は何を表しますか?
- A発熱(Fever)、嗜眠(Lethargy)、食欲(Appetite)、顔色(Colour)、啼泣(Crying)
- B屈曲(Flexion)、四肢の緊張(Limb tone)、活動性(Activity)、循環(Circulation)、啼泣(Cry)
- C表情(Face)、脚(Legs)、活動性(Activity)、啼泣(Cry)、なだめやすさ(Consolability)
- D顔の表情(Facial expression)、言葉(Language)、覚醒度(Alertness)、安楽(Comfort)、落ち着き(Calmness)
2.やさしい
小泉門(後頭泉門)が通常閉鎖するのは、何か月ごろですか?
- A約 18 か月まで
- B約 2 か月まで
- C約 12 か月まで
- D約 3 歳まで
3.やさしい
インフルエンザや水痘などのウイルス性疾患の子どもに、アスピリンを一般に避けるのはなぜですか?
- A直ちに腎不全を起こすため
- Bワクチンの効果をなくすため
- Cライ症候群との関連があるため
- D必ずアレルギー反応を起こすため
4.ふつう
Why do young children with sickle cell disease usually take daily penicillin?
- APoor spleen function puts them at high risk of pneumococcal infection
- BSickle cells make the child allergic to most other antibiotics
- CPenicillin prevents pain crises in cold weather
- DPenicillin stops red cells from changing shape
5.ふつう
How should a 3-year-old use a metered-dose inhaler?
- AWith a spacer and mask, holding the breath for 10 seconds after each puff
- BDirectly into the mouth without a spacer, while breathing in as fast as possible
- CWith a spacer and face mask, taking several normal breaths after each puff
- DWith a spacer, giving all the prescribed puffs into it at the same time
6.ふつう
Which group of findings suggests Kawasaki disease?
- AHigh fever for 3 days, then a pink rash as the fever settles
- BFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
- CFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- DLow-grade fever, a barking cough and stridor that are worse at night
7.むずかしい
生後 3 週の赤ちゃんの直腸温が 38.3 °C です。哺乳はいつもよりやや少なめですが、元気そうに見えます。看護師は何を助言すべきですか?
- A解熱薬を与え、3 日後に再診する
- Bこの年齢の発熱は通常、歯の萌出や着せすぎが原因なので、緊急の対応は不要
- C赤ちゃんを薄着にして、様子を見る
- D乳児の発熱は重篤な感染症のサインのことがあるため、緊急に医師の診察を受ける
8.むずかしい
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- ANormal findings in a toddler who is upset
- BShock is unlikely while the blood pressure is normal
- CMild dehydration that only needs a drink
- DCompensated shock that needs urgent treatment
解答
- 1. C · 表情(Face)、脚(Legs)、活動性(Activity)、啼泣(Cry)、なだめやすさ(Consolability)
- 2. B · 約 2 か月まで
- 3. C · ライ症候群との関連があるため
- 4. A · Poor spleen function puts them at high risk of pneumococcal infection
- 5. C · With a spacer and face mask, taking several normal breaths after each puff
- 6. C · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 7. D · 乳児の発熱は重篤な感染症のサインのことがあるため、緊急に医師の診察を受ける
- 8. D · Compensated shock that needs urgent treatment
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。