1.やさしい
Which chromosome pattern causes Turner syndrome?
- AAn extra copy of chromosome 18
- BAn extra copy of chromosome 21
- CAn extra X chromosome (47,XXY) in a boy
- DA single X chromosome (45,X) in a girl
2.やさしい
What is usually the first sign of puberty in girls?
- ARapid weight loss
- BBreast budding
- CUnderarm hair
- DFirst menstrual period
3.やさしい
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- AGreen stools after starting iron drops
- BBright yellow, seedy stools
- CPale, watery urine and frequent wet nappies
- DPale, clay-coloured stools and dark urine
4.ふつう
What is "assent" in children's care?
- AThe doctor's decision about which treatment is best
- BA form that lets the hospital treat any child without parental consent
- CThe child's agreement to care, sought alongside the parents' consent
- DThe legal consent signed by the parent for surgery
5.ふつう
At about what age do most children understand that death is permanent and happens to everyone?
- AAbout 9 to 10 years
- BAbout 4 years
- CAbout 2 years
- DNot until about 18 years
6.ふつう
Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?
- AGive an antihistamine and continue
- BFinish the unit quickly, then report it
- CStop the transfusion
- DSlow the transfusion and give paracetamol (acetaminophen)
7.むずかしい
喘息発作を起こした 7 歳児が、大きな喘鳴を出していましたが、今は静かで、眠そうで、空気の入りが非常に悪くなっています。これは何を示しますか?
- A子どもが普通に眠りかけている
- B疲弊と非常に不良な換気を伴う、生命を脅かす悪化
- Cリリーバー吸入薬への良好な反応で、気道が再び開いてきている
- D発作がおさまりつつある
8.むずかしい
Why is a pertussis (whooping cough) vaccine recommended during pregnancy?
- AThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
- BIt protects the fetus from developing heart defects
- CIt replaces the need for the baby's own pertussis vaccines
- DIt prevents the mother from passing pertussis to the baby through breast milk
解答
- 1. D · A single X chromosome (45,X) in a girl
- 2. B · Breast budding
- 3. D · Pale, clay-coloured stools and dark urine
- 4. C · The child's agreement to care, sought alongside the parents' consent
- 5. A · About 9 to 10 years
- 6. C · Stop the transfusion
- 7. B · 疲弊と非常に不良な換気を伴う、生命を脅かす悪化
- 8. A · The mother's antibodies cross the placenta and protect the baby in the first weeks of life
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