1.ง่าย
What is the usual normal range for the platelet count?
- AAbout 15 to 40 × 109/L
- BAbout 1,500 to 4,000 × 109/L
- CAbout 4 to 11 × 109/L
- DAbout 150 to 400 × 109/L
2.ง่าย
Which feature is typical of whooping cough (pertussis) in an older child?
- ABouts of coughing that end with a "whoop" on breathing in
- BDrooling, a high fever and difficulty swallowing saliva
- CA barking cough and a hoarse voice that are worse at night
- DA wheeze heard only on breathing out, with a runny nose
3.ง่าย
What causes scarlet fever?
- AStaphylococcus epidermidis
- BVaricella-zoster virus
- CHuman herpesvirus 6
- DGroup A streptococcus
4.ปานกลาง
When is the risk of bleeding after a tonsillectomy highest?
- AIn the first 24 hours and again about 5 to 10 days later
- BThe risk stays exactly the same on every day for the first month
- COnly during the first 2 hours after surgery
- DOnly after 3 weeks, when the throat is fully healed
5.ปานกลาง
What is the main purpose of medical play with a doll and real equipment before surgery?
- ATo test the child's intelligence
- BTo keep the child busy so the nurse can do other work
- CTo let the child express fears and gain a sense of control
- DTo teach the child how the surgeons will do the operation
6.ปานกลาง
ข้อสังเกตใดในการตรวจเมื่ออายุ 18 เดือนที่ต้องส่งต่อเพื่อประเมินพัฒนาการ?
- Aเด็กยังเดินเองไม่ได้
- Bเด็กเล่นอยู่ข้าง ๆ เด็กอื่นแทนที่จะเล่นด้วยกัน
- Cเด็กกลัวคนแปลกหน้า
- Dเด็กพูดได้เพียงไม่กี่คำ
7.ยาก
A 15-year-old boy with mumps develops a painful, swollen testis. What is the most likely explanation?
- AAn inguinal hernia caused by coughing
- BTesticular cancer unrelated to the infection
- CMumps orchitis, a known complication after puberty
- DA late side effect of the MMR vaccine given in childhood
8.ยาก
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- AAn abnormal screen that must be followed up promptly under the screening protocol
- BNormal transition; no further checks are needed
- CA faulty probe or a cold foot; repeat the whole test at the 6-week check
- DA normal result, because foot readings are always lower
เฉลย
- 1. D · About 150 to 400 × 109/L
- 2. A · Bouts of coughing that end with a "whoop" on breathing in
- 3. D · Group A streptococcus
- 4. A · In the first 24 hours and again about 5 to 10 days later
- 5. C · To let the child express fears and gain a sense of control
- 6. A · เด็กยังเดินเองไม่ได้
- 7. C · Mumps orchitis, a known complication after puberty
- 8. A · An abnormal screen that must be followed up promptly under the screening protocol
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