1.ง่าย
How should liquid medicine be given to an infant?
- AQuickly with a syringe aimed at the back of the throat
- BWith a household teaspoon from the kitchen drawer
- CSlowly, by oral syringe, into the cheek
- DMixed into a full bottle of milk
2.ง่าย
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- APale, watery urine and frequent wet nappies
- BGreen stools after starting iron drops
- CBright yellow, seedy stools
- DPale, clay-coloured stools and dark urine
3.ง่าย
Why is circumcision avoided in a baby boy with hypospadias?
- AThe foreskin may be needed for the repair
- BThe urethral opening moves to the tip by itself if the foreskin is left
- CIt greatly increases the risk of urine infection in the first month
- DBabies with hypospadias usually have a bleeding disorder
4.ปานกลาง
เด็กอายุ 9 เดือนมีอาการร้องไห้รุนแรงเป็นพัก ๆ ร่วมกับงอเข่าขึ้น และถ่ายอุจจาระที่เหมือนเยลลี่ลูกเกดแดง สาเหตุที่น่าจะเป็นคืออะไร?
- Aลำไส้กลืนกัน (intussusception)
- Bpyloric stenosis
- Cท้องผูก
- Dโรคเซลิแอค (coeliac disease)
5.ปานกลาง
A family has a 2-year-old. Which advice about medicines at home is best?
- ARely on child-resistant caps alone, since toddlers are not strong enough to open them
- BKeep daily medicines in a handbag so they are always at hand
- CLock all medicines away, out of reach and sight, in child-resistant containers
- DCall medicines "sweets" so the child is happy to take them
6.ปานกลาง
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
- ASkip the meal before the match to avoid high glucose
- BAvoid sport, because exercise is unsafe with diabetes
- CInject an extra dose of insulin into the thigh just before he starts running
- DCheck glucose before playing and keep fast-acting carbohydrate at hand
7.ยาก
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
- A"I use my spacer with my inhaler, even at school."
- B"I carry my reliever inhaler with me everywhere I go."
- C"I rinse my mouth after using my preventer inhaler."
- D"I stop taking my preventer inhaler whenever I've had a few good days."
8.ยาก
How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?
- AWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
- BOnly by checking whether the heart rate is above normal
- CPain cannot be assessed, so analgesia is given only on request
- DWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
เฉลย
- 1. C · Slowly, by oral syringe, into the cheek
- 2. D · Pale, clay-coloured stools and dark urine
- 3. A · The foreskin may be needed for the repair
- 4. A · ลำไส้กลืนกัน (intussusception)
- 5. C · Lock all medicines away, out of reach and sight, in child-resistant containers
- 6. D · Check glucose before playing and keep fast-acting carbohydrate at hand
- 7. D · "I stop taking my preventer inhaler whenever I've had a few good days."
- 8. A · With a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
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