1.ง่าย
Which is the most common congenital heart defect?
- ACoarctation of the aorta
- BVentricular septal defect
- CTetralogy of Fallot
- DTransposition of the great arteries
2.ง่าย
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe temporal artery
- BThe radial artery
- CThe brachial artery
- DThe carotid artery
3.ง่าย
How does respiratory syncytial virus (RSV) mainly spread?
- AThrough the bites of insects such as mosquitoes
- BThrough contaminated food and drinking water
- CThrough droplets and contaminated hands and surfaces
- DOnly through the air over long distances, like measles
4.ปานกลาง
A child has scabies. Which plan is correct?
- ATreat only the child, as family members without itching are not infected
- BTreat the child and all close contacts at the same time, and wash bedding and clothes
- CStop treatment as soon as the itch improves on the first day
- DTreat only the itchy areas of skin, not the whole body
5.ปานกลาง
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
- BThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- CThey should only be given after a skin prick test in every infant
- DThey should be given from 6 weeks, mixed into the baby's milk
6.ปานกลาง
Which advice is first-line for a school-age child with functional constipation?
- AAvoiding the toilet at school until the problem has settled
- BDaily enemas given at home by the parents for several months, without other changes
- CCutting out all fruit and vegetables to soften the stools
- DMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
7.ยาก
เด็กที่ได้รับการผ่าตัดทอนซิลเมื่อเช้านี้กลืนบ่อยและบ้วนเลือดสีแดงสดออกมา พยาบาลควรทำอะไรก่อน?
- Aแนะนำให้เด็กกลั้วคอ
- Bให้เครื่องดื่มอุ่นเพื่อบรรเทาอาการเจ็บคอ
- Cบันทึกในเวชระเบียนและประเมินซ้ำในรอบการตรวจวัดตามปกติครั้งถัดไป
- Dประเมินลำคอและสัญญาณชีพ และแจ้งศัลยแพทย์โดยด่วน
8.ยาก
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with suspected measles
- BA child with impetigo
- CA child with norovirus gastroenteritis and vomiting
- DA child with RSV bronchiolitis
เฉลย
- 1. B · Ventricular septal defect
- 2. C · The brachial artery
- 3. C · Through droplets and contaminated hands and surfaces
- 4. B · Treat the child and all close contacts at the same time, and wash bedding and clothes
- 5. B · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 6. D · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- 7. D · ประเมินลำคอและสัญญาณชีพ และแจ้งศัลยแพทย์โดยด่วน
- 8. A · A child with suspected measles
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