1.ง่าย
How is Duchenne muscular dystrophy inherited?
- AIt is not inherited and is caused by an infection
- BAutosomal dominant, affecting both sexes equally
- CAutosomal recessive, mainly affecting girls
- DX-linked recessive, so it mainly affects boys
2.ง่าย
Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?
- AScarlet fever (group A streptococcus)
- BFifth disease (parvovirus B19)
- CMeasles (rubeola virus)
- DImpetigo (staphylococcus)
3.ง่าย
At which times after birth is the Apgar score routinely assessed?
- AOnly once, at 24 hours of age
- BAt 1 minute and at 5 minutes
- CAt birth and again at 1 hour
- DAt 10 minutes and at 30 minutes
4.ปานกลาง
เด็กที่สงสัยว่าเป็นฝาปิดกล่องเสียงอักเสบ (epiglottitis) น้ำลายไหลและนั่งโน้มตัวไปข้างหน้า ต้องหลีกเลี่ยงการกระทำใด?
- Aให้เด็กอยู่กับพ่อแม่
- Bให้เด็กนั่งในท่าที่เด็กเลือกเอง
- Cการตรวจคอด้วยไม้กดลิ้น
- Dเรียกทีมที่ชำนาญด้านการจัดการทางเดินหายใจ
5.ปานกลาง
At about what age do most children understand that death is permanent and happens to everyone?
- AAbout 9 to 10 years
- BNot until about 18 years
- CAbout 2 years
- DAbout 4 years
6.ปานกลาง
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
- ALeave her alone in a dark room to sleep it off
- BWake her fully every few minutes and ask her to stand up and walk around
- CGive her a drink straight away to prevent dehydration
- DPlace her in the recovery position and monitor airway and breathing
7.ยาก
A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?
- AViral gastroenteritis
- BMigraine caused by stress at school
- CA need for new glasses because of eye strain
- DA brain tumour with raised intracranial pressure
8.ยาก
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
- AWorsening heart failure with fluid retention
- BAn allergic reaction to the new high-energy formula started yesterday
- CDehydration due to sweating during feeds
- DGood growth thanks to improved feeding
เฉลย
- 1. D · X-linked recessive, so it mainly affects boys
- 2. B · Fifth disease (parvovirus B19)
- 3. B · At 1 minute and at 5 minutes
- 4. C · การตรวจคอด้วยไม้กดลิ้น
- 5. A · About 9 to 10 years
- 6. D · Place her in the recovery position and monitor airway and breathing
- 7. D · A brain tumour with raised intracranial pressure
- 8. A · Worsening heart failure with fluid retention
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