1.ง่าย
Why are infants and young children more likely than adults to get middle ear infections (otitis media)?
- AThey make more earwax, which traps bacteria in the middle ear
- BTheir Eustachian tubes are shorter, wider and more horizontal
- CTheir eardrums are thicker and cannot move with pressure changes
- DTheir ear canals are longer and narrower than those of adults
2.ง่าย
How does respiratory syncytial virus (RSV) mainly spread?
- AThrough the bites of insects such as mosquitoes
- BThrough contaminated food and drinking water
- COnly through the air over long distances, like measles
- DThrough droplets and contaminated hands and surfaces
3.ง่าย
ฟันซี่แรกของทารกมักขึ้นเมื่ออายุประมาณเท่าใด?
- Aประมาณ 3 ปี
- Bเมื่อแรกเกิดในทารกส่วนใหญ่
- Cประมาณ 6 เดือน
- Dประมาณ 18 เดือน
4.ปานกลาง
What is the main purpose of medical play with a doll and real equipment before surgery?
- ATo keep the child busy so the nurse can do other work
- BTo teach the child how the surgeons will do the operation
- CTo let the child express fears and gain a sense of control
- DTo test the child's intelligence
5.ปานกลาง
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt removes extra iron after blood transfusions
- BIt kills bacteria in the blood and prevents infections
- CIt increases fetal haemoglobin, which reduces sickling
- DIt replaces the missing clotting factors
6.ปานกลาง
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AUrine colour, because the swelling causes kidney damage
- BJaundice, because the breakdown of the trapped blood adds to bilirubin
- CBlood pressure, because the swelling causes hypertension
- DHead circumference twice daily, because it signals hydrocephalus
7.ยาก
A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9.5 kg. How much has he lost?
- A50 g, about 0.5% of his body weight
- B500 g, about 5% of his body weight, mostly fluid
- C1 kg, about 10% of his body weight
- D500 g, about 50% of his body weight
8.ยาก
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
- AThis is the temporary "honeymoon" phase; insulin is still needed
- BThe child has become insulin resistant and now needs tablets instead of injections
- CThe diabetes has turned into type 2 diabetes
- DThe diagnosis was probably wrong, and insulin can be stopped
เฉลย
- 1. B · Their Eustachian tubes are shorter, wider and more horizontal
- 2. D · Through droplets and contaminated hands and surfaces
- 3. C · ประมาณ 6 เดือน
- 4. C · To let the child express fears and gain a sense of control
- 5. C · It increases fetal haemoglobin, which reduces sickling
- 6. B · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 7. B · 500 g, about 5% of his body weight, mostly fluid
- 8. A · This is the temporary "honeymoon" phase; insulin is still needed
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