1.ง่าย
How is Duchenne muscular dystrophy inherited?
- AX-linked recessive, so it mainly affects boys
- BAutosomal dominant, affecting both sexes equally
- CIt is not inherited and is caused by an infection
- DAutosomal recessive, mainly affecting girls
2.ง่าย
Where does neuroblastoma most often start?
- AIn the adrenal gland
- BIn the lining of the bladder
- CIn the white matter of the brain
- DIn the bone marrow of the pelvis
3.ง่าย
Which finding is typical of impetigo?
- AHoney-coloured crusts, often around the nose and mouth
- BA target-shaped rash with a dusky, pale centre on the palms
- CTiny burrows between the fingers
- DSilvery scales on the elbows and knees
4.ปานกลาง
Why do young children with sickle cell disease usually take daily penicillin?
- APenicillin prevents pain crises in cold weather
- BPoor spleen function puts them at high risk of pneumococcal infection
- CPenicillin stops red cells from changing shape
- DSickle cells make the child allergic to most other antibiotics
5.ปานกลาง
Which finding at a 2-year check most needs a speech and language referral?
- AThe child uses about 50 words or more
- BThe child is not yet combining any two words
- CThe child says "no" to most suggestions
- DThe child prefers to play beside other toddlers
6.ปานกลาง
Which instruction about preparing powdered infant formula is correct?
- AFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- BWarm bottles in the microwave, as long as they are shaken first
- CAdd extra water in hot weather so the baby gets more fluid
- DAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
7.ยาก
The nurse has taught the parents of a newborn about safe sleep. Which statement shows a need for further teaching?
- A"We will keep her cot in our bedroom for the first months."
- B"We will put a soft bumper and a pillow in the cot so she is comfortable."
- C"We will put her on her back for every sleep, including naps."
- D"Nobody will smoke in the house or in the car."
8.ยาก
A large baby born to a mother with diabetes becomes jittery at 1 hour of age. What should the nurse check first?
- AThe baby's blood group
- BThe baby's haemoglobin
- CThe baby's blood glucose
- DThe baby's serum bilirubin
เฉลย
- 1. A · X-linked recessive, so it mainly affects boys
- 2. A · In the adrenal gland
- 3. A · Honey-coloured crusts, often around the nose and mouth
- 4. B · Poor spleen function puts them at high risk of pneumococcal infection
- 5. B · The child is not yet combining any two words
- 6. A · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- 7. B · "We will put a soft bumper and a pillow in the cot so she is comfortable."
- 8. C · The baby's blood glucose
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