1.ง่าย
What is cerebral palsy?
- AAn infection of the spinal cord that causes sudden paralysis of the legs
- BA genetic disorder of collagen that makes the bones break easily
- CA progressive muscle disease in which muscle fibres are slowly replaced by fat
- DA non-progressive disorder of movement and posture from damage to the developing brain
2.ง่าย
At which times after birth is the Apgar score routinely assessed?
- AAt 1 minute and at 5 minutes
- BAt 10 minutes and at 30 minutes
- COnly once, at 24 hours of age
- DAt birth and again at 1 hour
3.ง่าย
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- ATrust versus mistrust
- BInitiative versus guilt
- CIndustry versus inferiority
- DIntimacy versus isolation
4.ปานกลาง
A child is receiving IV morphine. Which assessments are most important?
- ARespiratory rate and level of sedation
- BPeak flow and inhaler technique
- CBlood glucose and urine ketones
- DHead circumference and fontanelle tension
5.ปานกลาง
เด็กที่สงสัยว่าเป็นฝาปิดกล่องเสียงอักเสบ (epiglottitis) น้ำลายไหลและนั่งโน้มตัวไปข้างหน้า ต้องหลีกเลี่ยงการกระทำใด?
- Aเรียกทีมที่ชำนาญด้านการจัดการทางเดินหายใจ
- Bการตรวจคอด้วยไม้กดลิ้น
- Cให้เด็กนั่งในท่าที่เด็กเลือกเอง
- Dให้เด็กอยู่กับพ่อแม่
6.ปานกลาง
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AA sudden rise in blood glucose
- BA drop in the platelet count
- CWeight gain of more than 10 kg in the first month
- DWorsening mood or new suicidal thoughts
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 rinse my mouth after using my preventer inhaler."
- B"I use my spacer with my inhaler, even at school."
- C"I stop taking my preventer inhaler whenever I've had a few good days."
- D"I carry my reliever inhaler with me everywhere I go."
8.ยาก
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- AA plaster cast and discharge home the same day
- BMassage and physiotherapy to loosen the muscle
- CBlood cultures and prompt IV antibiotics for possible osteomyelitis
- DRest, ice and an elastic bandage for a sprained ankle, with review in a week
เฉลย
- 1. D · A non-progressive disorder of movement and posture from damage to the developing brain
- 2. A · At 1 minute and at 5 minutes
- 3. B · Initiative versus guilt
- 4. A · Respiratory rate and level of sedation
- 5. B · การตรวจคอด้วยไม้กดลิ้น
- 6. D · Worsening mood or new suicidal thoughts
- 7. C · "I stop taking my preventer inhaler whenever I've had a few good days."
- 8. C · Blood cultures and prompt IV antibiotics for possible osteomyelitis
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