1.ง่าย
What is the usual normal range for the platelet count?
- AAbout 1,500 to 4,000 × 109/L
- BAbout 15 to 40 × 109/L
- CAbout 150 to 400 × 109/L
- DAbout 4 to 11 × 109/L
2.ง่าย
Which finding inside the mouth is typical of early measles?
- AA thick white coating on the tongue and cheeks that can be wiped off
- BKoplik spots: small white spots on the inside of the cheeks
- CA bright red "strawberry" tongue with large papillae
- DPainful blisters on the tongue, gums and palate
3.ง่าย
Which finding in the fingers is typical of long-standing cyanotic heart disease?
- ASpoon-shaped, thin nails
- BSwan-neck deformity of the fingers
- CClubbing of the fingertips
- DWebbing between the fingers
4.ปานกลาง
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AA drop in the platelet count
- BWeight gain of more than 10 kg in the first month
- CA sudden rise in blood glucose
- DWorsening mood or new suicidal thoughts
5.ปานกลาง
A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?
- AWear it only when the back hurts, then take it off
- BWear it for the prescribed hours each day, with a thin cotton shirt underneath
- CWear it only at weekends and in the holidays, when it does not interfere with school
- DWear it over thick clothing to make it more comfortable
6.ปานกลาง
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
- ANever give both vaccines in the same year
- BSeparate them by at least 1 week
- CGive the second within 24 hours of the first
- DSeparate them by at least 4 weeks
7.ยาก
ระหว่างการรักษาภาวะคีโตแอซิโดซิสจากเบาหวาน เด็กอายุ 9 ปีหงุดหงิด บ่นปวดศีรษะ แล้วซึมลง พยาบาลควรสงสัยอะไร?
- Aสมองบวม (cerebral oedema) ซึ่งเป็นภาวะฉุกเฉิน
- Bอาการเหนื่อยปกติหลังการรักษา
- Cเด็กหิว
- Dน้ำตาลในเลือดต่ำจากสารน้ำ
8.ยาก
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- AReassure the family, as chickenpox is mild in all children
- BGive the live varicella vaccine to the child that same day to boost immunity
- CWait to see whether a rash develops before acting
- DTell the oncology team at once, as preventive treatment may be needed
เฉลย
- 1. C · About 150 to 400 × 109/L
- 2. B · Koplik spots: small white spots on the inside of the cheeks
- 3. C · Clubbing of the fingertips
- 4. D · Worsening mood or new suicidal thoughts
- 5. B · Wear it for the prescribed hours each day, with a thin cotton shirt underneath
- 6. D · Separate them by at least 4 weeks
- 7. A · สมองบวม (cerebral oedema) ซึ่งเป็นภาวะฉุกเฉิน
- 8. D · Tell the oncology team at once, as preventive treatment may be needed
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