Which injury in an infant is most suggestive of physical abuse?
AA scraped knee in a 3-year-old
BPosterior rib fractures
CA bruise on the shin of a walking toddler
DA greenstick fracture of the forearm after a fall from a slide
7.ยาก
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
AArm floats whenever the child is near the pool
BExplaining to the child that the pool is dangerous
CSwimming lessons from age 2, so that close supervision is no longer needed
DA four-sided fence with a self-closing, self-latching gate, plus constant supervision
8.ยาก
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
CCompensated shock that needs urgent treatment
DMild dehydration that only needs a drink
เฉลย
1. A · A clean, chilled (not frozen) teething ring
2. A · Applying emollients generously and often, even when the skin looks clear
3. C · To protect fertility and allow the testis to be checked for cancer
4. C · การตรวจคอด้วยไม้กดลิ้น
5. D · ชั่งน้ำหนักทุกวันด้วยเครื่องชั่งเดิมร่วมกับนับจำนวนผ้าอ้อมเปียก
6. B · Posterior rib fractures
7. D · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
8. C · Compensated shock that needs urgent treatment