1.ง่าย
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt causes serious birth defects
- BIt causes heavy periods
- CIt makes contraceptive pills fail
- DIt stops ovulation permanently
2.ง่าย
Which sign may be the first clue to retinoblastoma in a young child?
- AA white pupil in photos instead of the usual red reflex
- BA droopy upper eyelid that appears after a cold
- CRed, itchy eyes with a sticky yellow discharge
- DTears running down the cheek on one side
3.ง่าย
Which hygiene advice helps prevent urinary tract infections in girls?
- AHold urine in for as long as possible
- BTake a long bubble bath every evening before bed
- CWear tight nylon underwear and leggings
- DWipe from front to back after using the toilet
4.ปานกลาง
ควรให้สารละลายเกลือแร่ทางปาก (ORS) แก่เด็กที่ขาดน้ำเล็กน้อยถึงปานกลางที่กำลังอาเจียนอย่างไร?
- Aดื่มครั้งละมาก ๆ ทุกสองสามชั่วโมง
- Bผสมกับน้ำผลไม้เพื่อให้รสชาติดีขึ้น
- Cหลังจากหยุดอาเจียนครบ 24 ชั่วโมงเท่านั้น เพื่อไม่ให้สูญเสียเพิ่ม
- Dครั้งละน้อย ๆ บ่อย ๆ เช่น ด้วยช้อนหรือหลอดฉีดยา
5.ปานกลาง
Which diet is usually recommended for a child with cystic fibrosis?
- AA high-energy, high-fat diet with fat-soluble vitamin supplements
- BA low-fat diet to reduce greasy stools and abdominal pain
- CA low-salt diet to protect the heart and kidneys from damage later in life
- DA low-protein diet to reduce the work of the pancreas
6.ปานกลาง
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- ARadiation; move the cot close to an outside window
- BConvection; leave the baby uncovered in a draught
- CConduction; place the baby on a cold firm surface
- DEvaporation; dry the baby straight away, including the head
7.ยาก
Which child should the nurse see first?
- AA 4-year-old with asthma who can say only one or two words between breaths
- BA 2-year-old with croup who has a barking cough but no stridor at rest
- CA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
- DA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
8.ยาก
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- ATell the oncology team at once, as preventive treatment may be needed
- BGive the live varicella vaccine to the child that same day to boost immunity
- CWait to see whether a rash develops before acting
- DReassure the family, as chickenpox is mild in all children
เฉลย
- 1. A · It causes serious birth defects
- 2. A · A white pupil in photos instead of the usual red reflex
- 3. D · Wipe from front to back after using the toilet
- 4. D · ครั้งละน้อย ๆ บ่อย ๆ เช่น ด้วยช้อนหรือหลอดฉีดยา
- 5. A · A high-energy, high-fat diet with fat-soluble vitamin supplements
- 6. D · Evaporation; dry the baby straight away, including the head
- 7. A · A 4-year-old with asthma who can say only one or two words between breaths
- 8. A · Tell the oncology team at once, as preventive treatment may be needed
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