1.ง่าย
Which signs suggest a urinary tract infection in an infant?
- APain in the lower back that the baby points to
- BFever, poor feeding, vomiting and irritability
- CClear complaints of burning and stinging when passing urine
- DA clear runny nose and a mild cough
2.ง่าย
What is kangaroo care?
- AA special incubator that copies the mother's heartbeat
- BCarrying the baby in a front sling or carrier while doing the housework each day
- CSkin-to-skin contact between a parent and a baby, often a preterm baby
- DWrapping the baby tightly in a blanket for sleep
3.ง่าย
What is the first-line treatment for anaphylaxis in a child?
- AIM adrenaline (epinephrine)
- BOral paracetamol (acetaminophen)
- CAn inhaled corticosteroid via a spacer
- DAn oral antihistamine
4.ปานกลาง
Which instruction about a child's new plaster cast is correct?
- APush a knitting needle inside the cast to scratch an itch
- BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
- CKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
- DLet the child walk on a leg cast as soon as it is applied
5.ปานกลาง
เด็กมีปัสสาวะสีโคล่า ตาบวม และความดันโลหิตสูงสองสัปดาห์หลังเจ็บคอ การวินิจฉัยที่น่าจะเป็นคืออะไร?
- Aเนื้องอกวิลมส์ (Wilms tumour)
- Bการติดเชื้อทางเดินปัสสาวะ
- Cไตอักเสบเฉียบพลันหลังการติดเชื้อสเตรปโตค็อกคัส (acute post-streptococcal glomerulonephritis)
- Dกลุ่มอาการเนฟโฟรติก
6.ปานกลาง
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly after the child has already vomited at least twice
- BBefore the chemotherapy starts and then regularly
- COnly if the child asks for it
- DOnly at night, when the child is asleep
7.ยาก
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- AMassage and physiotherapy to loosen the muscle
- BBlood cultures and prompt IV antibiotics for possible osteomyelitis
- CRest, ice and an elastic bandage for a sprained ankle, with review in a week
- DA plaster cast and discharge home the same day
8.ยาก
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
- ATo close the ductus arteriosus and send all blood through the lungs
- BTo dilate the airways so that oxygen can reach the alveoli
- CTo keep the ductus arteriosus open so that the two circulations can mix
- DTo strengthen heart muscle contraction and raise blood pressure
เฉลย
- 1. B · Fever, poor feeding, vomiting and irritability
- 2. C · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 3. A · IM adrenaline (epinephrine)
- 4. B · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 5. C · ไตอักเสบเฉียบพลันหลังการติดเชื้อสเตรปโตค็อกคัส (acute post-streptococcal glomerulonephritis)
- 6. B · Before the chemotherapy starts and then regularly
- 7. B · Blood cultures and prompt IV antibiotics for possible osteomyelitis
- 8. C · To keep the ductus arteriosus open so that the two circulations can mix
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