1.쉬움
The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?
- AIt shows brain damage and needs a scan
- BIt is a sign of spinal cord compression
- CIt is a normal finding at this age
- DIt shows the baby is in pain
2.쉬움
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- APale, clay-coloured stools and dark urine
- BPale, watery urine and frequent wet nappies
- CBright yellow, seedy stools
- DGreen stools after starting iron drops
3.쉬움
Which vaccine has made acute epiglottitis much less common in children?
- ARotavirus vaccine given by mouth
- BMeasles–mumps–rubella (MMR) vaccine
- CHaemophilus influenzae type b (Hib) vaccine
- DPneumococcal conjugate vaccine
4.보통
Which sign shows that a baby is ready to start solid foods?
- AHas reached 6 weeks of age
- BStarts waking more often during the night and seems hungry after milk feeds
- CSits with support, holds the head steady and shows interest in food
- DHas cut a first tooth
5.보통
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AThe nurse should press it every 5 minutes, day and night, to keep the pain away
- BOnly the child presses the button, unless a protocol says otherwise
- CParents should press the button whenever the child is asleep
- DAny visitor may press it if the child seems uncomfortable
6.보통
Why do young children with sickle cell disease usually take daily penicillin?
- ASickle cells make the child allergic to most other antibiotics
- BPenicillin prevents pain crises in cold weather
- CPoor spleen function puts them at high risk of pneumococcal infection
- DPenicillin stops red cells from changing shape
7.어려움
세기관지염이 있는 3개월 영아에서 즉각적인 추적 관찰이 필요한 소견은 무엇인가요?
- A호흡 멈춤(무호흡)과 88%의 산소포화도
- B평소보다 조금 덜 먹지만 젖은 기저귀는 여전히 있음
- C청진에서 들리는 천명
- D콧물과 가벼운 기침
8.어려움
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with suspected measles
- BA child with norovirus gastroenteritis and vomiting
- CA child with RSV bronchiolitis
- DA child with impetigo
정답표
- 1. C · It is a normal finding at this age
- 2. A · Pale, clay-coloured stools and dark urine
- 3. C · Haemophilus influenzae type b (Hib) vaccine
- 4. C · Sits with support, holds the head steady and shows interest in food
- 5. B · Only the child presses the button, unless a protocol says otherwise
- 6. C · Poor spleen function puts them at high risk of pneumococcal infection
- 7. A · 호흡 멈춤(무호흡)과 88%의 산소포화도
- 8. A · A child with suspected measles
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