1.ง่าย
Which finding is typical of impetigo?
- ASilvery scales on the elbows and knees
- BTiny burrows between the fingers
- CHoney-coloured crusts, often around the nose and mouth
- DA target-shaped rash with a dusky, pale centre on the palms
2.ง่าย
What is the HEADSS (or HEEADSSS) assessment used for?
- AA scale for scoring dehydration in infants
- BA pain score for children who cannot speak
- CA screening test for newborn hearing before discharge
- DA structured psychosocial interview with adolescents
3.ง่าย
What is the main feature of mumps?
- AA high-pitched whoop after coughing fits
- BPainful ulcers on the hands, feet and mouth
- CA spreading rash that starts behind the ears
- DSwelling of the parotid salivary glands
4.ปานกลาง
Why should a child with diabetes rotate insulin injection sites?
- ATo prevent lumpy fatty areas that absorb insulin unpredictably
- BTo make sure each part of the body gets the same amount of insulin
- CTo stop the insulin from becoming less effective over the years
- DBecause the same site causes an allergy to insulin
5.ปานกลาง
Until when is a child with chickenpox usually considered infectious?
- AOnly during the day before the rash appears
- BUntil the fever has gone for 24 hours
- CUntil all the blisters have crusted over
- DFor 6 weeks after the rash appears
6.ปานกลาง
A child has scabies. Which plan is correct?
- AStop treatment as soon as the itch improves on the first day
- BTreat only the itchy areas of skin, not the whole body
- CTreat the child and all close contacts at the same time, and wash bedding and clothes
- DTreat only the child, as family members without itching are not infected
7.ยาก
ข้อสังเกตใดในเด็กที่ใส่ท่อระบายน้ำไขสันหลังจากโพรงสมองไปช่องท้อง (ventriculoperitoneal shunt) ต้องติดตามทันที?
- Aปวดศีรษะ อาเจียนซ้ำ ๆ และซึมมากขึ้น
- Bความอยากอาหารและการเล่นปกติ
- Cแผลเป็นที่หายแล้วตามแนวท่อ
- Dตุ่มนุ่มเล็ก ๆ เหนือวาล์วที่ไม่เปลี่ยนแปลง
8.ยาก
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
- AHe is clearly delayed and needs urgent neurological referral
- BPreterm babies never reach normal milestones, so no follow-up is needed
- CMilestones are always judged by chronological age, so he is 3 months behind
- DMilestones are judged by corrected age, here about 3 months, so this is expected
เฉลย
- 1. C · Honey-coloured crusts, often around the nose and mouth
- 2. D · A structured psychosocial interview with adolescents
- 3. D · Swelling of the parotid salivary glands
- 4. A · To prevent lumpy fatty areas that absorb insulin unpredictably
- 5. C · Until all the blisters have crusted over
- 6. C · Treat the child and all close contacts at the same time, and wash bedding and clothes
- 7. A · ปวดศีรษะ อาเจียนซ้ำ ๆ และซึมมากขึ้น
- 8. D · Milestones are judged by corrected age, here about 3 months, so this is expected
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