1.ง่าย
เด็กที่เป็นซิสติกไฟโบรซิสควรรับประทานแคปซูลเอนไซม์ตับอ่อนเมื่อใด?
- Aวันละครั้งก่อนนอน
- Bเฉพาะเมื่ออุจจาระเหลว
- Cตอนท้องว่างในตอนเช้าเท่านั้น
- Dทุกมื้ออาหารและของว่าง
2.ง่าย
What is the cause of Hirschsprung disease?
- AMissing nerve (ganglion) cells in part of the bowel
- BThickening of the muscle at the outlet of the stomach
- CInflammation of the bowel lining after a viral infection
- DOne part of the bowel telescoping into the next part
3.ง่าย
How should jaundice that first appears within the first 24 hours of life be regarded?
- AAs normal physiological jaundice that needs no follow-up
- BAs harmless as long as the baby is feeding well
- CAs breast milk jaundice that is best treated by stopping breastfeeding
- DAs pathological until proven otherwise; it needs prompt evaluation
4.ปานกลาง
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AAny visitor may press it if the child seems uncomfortable
- BThe nurse should press it every 5 minutes, day and night, to keep the pain away
- COnly the child presses the button, unless a protocol says otherwise
- DParents should press the button whenever the child is asleep
5.ปานกลาง
How is a child usually positioned for a lumbar puncture?
- AStanding and leaning against the wall
- BOn the side, curled up with knees drawn up and head bent forward
- CFlat on the back with the legs straight and a small pillow under the head
- DProne with a pillow under the chest
6.ปานกลาง
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- ABronchiolitis
- BA first attack of asthma
- CAn inhaled foreign body
- DViral croup
7.ยาก
A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?
- ABilirubin
- BCholesterol
- CAmylase
- DPhosphate
8.ยาก
A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?
- AYes, but only if a cold bath is given at the same time
- BNo; it may ease discomfort but does not prevent febrile seizures
- CNo, because paracetamol can cause febrile seizures
- DYes; giving it every 4 hours during a fever will always prevent seizures
เฉลย
- 1. D · ทุกมื้ออาหารและของว่าง
- 2. A · Missing nerve (ganglion) cells in part of the bowel
- 3. D · As pathological until proven otherwise; it needs prompt evaluation
- 4. C · Only the child presses the button, unless a protocol says otherwise
- 5. B · On the side, curled up with knees drawn up and head bent forward
- 6. C · An inhaled foreign body
- 7. D · Phosphate
- 8. B · No; it may ease discomfort but does not prevent febrile seizures
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