1.ง่าย
How deep should chest compressions be during CPR on a child?
- AAs deep as possible, until the ribs can be felt to give
- BAt least one third of the depth of the chest
- CJust enough to see the chest move slightly
- DAbout one tenth of the depth of the chest
2.ง่าย
How is sickle cell disease inherited?
- ANot inherited; it is acquired
- BAutosomal recessive
- CAutosomal dominant
- DX-linked recessive
3.ง่าย
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BAn extra copy of chromosome 21 (trisomy 21)
- CA missing X chromosome in a girl
- DInfection with rubella in early pregnancy
4.ปานกลาง
Which signs suggest hypoglycaemia in a young child with diabetes?
- AShakiness, sweating, pallor and a sudden change in behaviour
- BDeep, rapid breathing with abdominal pain and vomiting
- CA slow onset of dry skin and flushed cheeks over several days
- DThirst, passing large amounts of urine and a fruity breath smell
5.ปานกลาง
A child has impetigo. Which advice helps to stop it spreading?
- AUse separate towels, wash hands often and keep nails short
- BCover the crusts with a thick layer of petroleum jelly and leave them
- CShare flannels and towels so the whole family is treated
- DPick the crusts off daily so the skin heals faster
6.ปานกลาง
Why is hearing screening done in the newborn period?
- ATo check whether the baby will need glasses later in childhood
- BTo diagnose ear infections before discharge
- CEarly detection allows support that protects language development
- DBecause hearing loss always causes balance problems
7.ยาก
A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?
- AOral glucose gel rubbed into the gums
- BSurfactant given into the trachea
- CPhototherapy
- DIV antibiotics for 7 days
8.ยาก
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
- ATo strengthen heart muscle contraction and raise blood pressure
- BTo close the ductus arteriosus and send all blood through the lungs
- CTo dilate the airways so that oxygen can reach the alveoli
- DTo keep the ductus arteriosus open so that the two circulations can mix
เฉลย
- 1. B · At least one third of the depth of the chest
- 2. B · Autosomal recessive
- 3. B · An extra copy of chromosome 21 (trisomy 21)
- 4. A · Shakiness, sweating, pallor and a sudden change in behaviour
- 5. A · Use separate towels, wash hands often and keep nails short
- 6. C · Early detection allows support that protects language development
- 7. B · Surfactant given into the trachea
- 8. D · To keep the ductus arteriosus open so that the two circulations can mix
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