1.ง่าย
The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?
- AIt shows the baby is in pain
- BIt is a sign of spinal cord compression
- CIt shows brain damage and needs a scan
- DIt is a normal finding at this age
2.ง่าย
What is the most serious complication of Kawasaki disease?
- ACoronary artery aneurysms
- BDiabetes mellitus
- CPermanent hearing loss
- DKidney failure needing dialysis
3.ง่าย
What is cerebral palsy?
- AA genetic disorder of collagen that makes the bones break easily
- BAn infection of the spinal cord that causes sudden paralysis of the legs
- CA non-progressive disorder of movement and posture from damage to the developing brain
- DA progressive muscle disease in which muscle fibres are slowly replaced by fat
4.ปานกลาง
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AOral antibiotics such as amoxicillin
- BShaving the head, with no medicine
- CAn oral antifungal medicine
- DA topical antifungal cream alone
5.ปานกลาง
หลังฉีดยา เด็กอายุ 4 ปีรบเร้าให้ปิดพลาสเตอร์ที่ตำแหน่งฉีด สิ่งใดอธิบายเรื่องนี้ได้?
- Aเด็กก่อนวัยเรียนเข้าใจกายวิภาคดีและอยากให้ตำแหน่งนั้นสะอาด
- Bเด็กดื้อและควรเพิกเฉย
- Cเด็กแพ้ยาที่ฉีด
- Dเด็กก่อนวัยเรียนกลัวร่างกายได้รับบาดเจ็บและอาจคิดว่าสิ่งที่อยู่ข้างในไหลออกมาได้
6.ปานกลาง
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- AAsk him whether he wants to take his medicine or not
- BOffer a limited choice, such as the cup or the syringe
- CWait until he agrees to take it, even if the dose is hours late
- DTell him he is a bad boy for refusing
7.ยาก
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- ANormal findings in a toddler who is upset
- BMild dehydration that only needs a drink
- CShock is unlikely while the blood pressure is normal
- DCompensated shock that needs urgent treatment
8.ยาก
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
- AIt makes the child immune to all future crises
- BIt triggers a severe allergic reaction to the virus
- CIt causes the sickle gene to become active in the child
- DIt can stop red cell production for days and cause severe anaemia
เฉลย
- 1. D · It is a normal finding at this age
- 2. A · Coronary artery aneurysms
- 3. C · A non-progressive disorder of movement and posture from damage to the developing brain
- 4. C · An oral antifungal medicine
- 5. D · เด็กก่อนวัยเรียนกลัวร่างกายได้รับบาดเจ็บและอาจคิดว่าสิ่งที่อยู่ข้างในไหลออกมาได้
- 6. B · Offer a limited choice, such as the cup or the syringe
- 7. D · Compensated shock that needs urgent treatment
- 8. D · It can stop red cell production for days and cause severe anaemia
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com