1.ง่าย
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- AGreen stools after starting iron drops
- BPale, clay-coloured stools and dark urine
- CBright yellow, seedy stools
- DPale, watery urine and frequent wet nappies
2.ง่าย
Which simple test is used to screen for scoliosis?
- ABabinski test
- BRomberg test with the eyes closed
- CAdams forward bend test
- DOrtolani test
3.ง่าย
How should liquid medicine be given to an infant?
- ASlowly, by oral syringe, into the cheek
- BWith a household teaspoon from the kitchen drawer
- CQuickly with a syringe aimed at the back of the throat
- DMixed into a full bottle of milk
4.ปานกลาง
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
- AUp to 2 hours a day of educational TV programmes is beneficial for language
- BAvoid screen media, apart from video calls with family
- CBackground TV helps language development
- DScreens are fine as long as the volume is low
5.ปานกลาง
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
- AThe reading will be falsely low
- BThe cuff will not inflate at all
- CThe reading will be accurate but slower to obtain
- DThe reading will be falsely high
6.ปานกลาง
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AA family history of diabetes
- BBeing of a particular ethnic background
- CA viral infection in early childhood
- DObesity with low physical activity
7.ยาก
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AAn allergic reaction to the emollient
- BEczema herpeticum, which needs urgent antiviral treatment
- CA normal eczema flare that needs more emollient
- DChickenpox, which is mild and needs no specific treatment
8.ยาก
A 6-month-old has just learned to roll over. Which safety advice is most urgent now?
- ANever leave her alone on a changing table, bed or sofa
- BTurn pan handles towards the back of the stove and fit a guard around the cooker
- CTeach her not to touch the hot oven door
- DInstall locks on all kitchen cupboards and drawers
เฉลย
- 1. B · Pale, clay-coloured stools and dark urine
- 2. C · Adams forward bend test
- 3. A · Slowly, by oral syringe, into the cheek
- 4. B · Avoid screen media, apart from video calls with family
- 5. D · The reading will be falsely high
- 6. D · Obesity with low physical activity
- 7. B · Eczema herpeticum, which needs urgent antiviral treatment
- 8. A · Never leave her alone on a changing table, bed or sofa
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