1.ง่าย
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
- A1000 mL per day
- B500 mL per day
- C1500 mL per day
- D2000 mL per day
2.ง่าย
What is the main feature of mumps?
- AA high-pitched whoop after coughing fits
- BA spreading rash that starts behind the ears
- CPainful ulcers on the hands, feet and mouth
- DSwelling of the parotid salivary glands
3.ง่าย
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- APale, clay-coloured stools and dark urine
- BPale, watery urine and frequent wet nappies
- CGreen stools after starting iron drops
- DBright yellow, seedy stools
4.ปานกลาง
Which instruction about giving oral liquid iron to a child is correct?
- AGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- BGive it together with an antacid to protect the stomach
- CStop the iron straight away if the stools turn dark green or black, as this means bleeding
- DGive it mixed in a full bottle of milk to reduce stomach upset
5.ปานกลาง
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- AConvection; leave the baby uncovered in a draught
- BRadiation; move the cot close to an outside window
- CConduction; place the baby on a cold firm surface
- DEvaporation; dry the baby straight away, including the head
6.ปานกลาง
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly if the child asks for it
- BBefore the chemotherapy starts and then regularly
- COnly after the child has already vomited at least twice
- DOnly at night, when the child is asleep
7.ยาก
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
- ACheck that aspirate from the tube is acidic, using the pH limit in local policy
- BPlace the end of the tube in water and look for bubbles
- CInject air and listen over the stomach for a "whoosh"
- DAsk the child whether the tube feels comfortable and check the length mark only
8.ยาก
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
- ASwimming lessons from age 2, so that close supervision is no longer needed
- BArm floats whenever the child is near the pool
- CExplaining to the child that the pool is dangerous
- DA four-sided fence with a self-closing, self-latching gate, plus constant supervision
เฉลย
- 1. A · 1000 mL per day
- 2. D · Swelling of the parotid salivary glands
- 3. A · Pale, clay-coloured stools and dark urine
- 4. A · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 5. D · Evaporation; dry the baby straight away, including the head
- 6. B · Before the chemotherapy starts and then regularly
- 7. A · Check that aspirate from the tube is acidic, using the pH limit in local policy
- 8. D · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
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