1.ง่าย
A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?
- AAs a sports strain that will heal with rest
- BAs a surgical emergency
- CAs normal growing pains of puberty
- DAs a urine infection to be treated at home
2.ง่าย
Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?
- AInsulin and fluids
- BIntravenous immunoglobulin (IVIG)
- CAntiviral medicine such as aciclovir
- DOral antibiotics for 10 days
3.ง่าย
Which side effects are common after a dose of salbutamol?
- ADrowsiness and slow breathing
- BOral thrush and a hoarse voice
- CWeight gain and high blood sugar
- DTremor and a fast heart rate
4.ปานกลาง
Which advice is best for a baby with mild nappy rash?
- AWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- BChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- CUse tighter nappies so that less urine reaches the skin
- DApply talcum powder thickly at every nappy change
5.ปานกลาง
Which signs suggest hypoglycaemia in a young child with diabetes?
- AShakiness, sweating, pallor and a sudden change in behaviour
- BA slow onset of dry skin and flushed cheeks over several days
- CThirst, passing large amounts of urine and a fruity breath smell
- DDeep, rapid breathing with abdominal pain and vomiting
6.ปานกลาง
Which group of findings is typical in a teenager with severe anorexia nervosa?
- AFast heart rate, high blood pressure and a high fever
- BSlow heart rate, low blood pressure and low body temperature
- CRapid growth, acne and an increased appetite
- DWeight gain, oedema and high blood pressure
7.ยาก
A 4-year-old chokes on a sweet but is coughing forcefully and can speak. What should the nurse do?
- AEncourage her to keep coughing and stay with her, watching closely
- BDo a finger sweep of the mouth to find the sweet
- CGive her a large drink of water to try to wash the sweet down
- DGive back blows straight away to dislodge the sweet
8.ยาก
Two weeks after a ventriculoperitoneal shunt was inserted, an infant has a fever, irritability and redness along the shunt tract. What should the nurse suspect?
- AAn allergy to the hospital soap
- BNormal healing; no action needed
- CTeething, which explains the fever and the irritability
- DShunt infection; report it urgently
เฉลย
- 1. B · As a surgical emergency
- 2. B · Intravenous immunoglobulin (IVIG)
- 3. D · Tremor and a fast heart rate
- 4. B · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 5. A · Shakiness, sweating, pallor and a sudden change in behaviour
- 6. B · Slow heart rate, low blood pressure and low body temperature
- 7. A · Encourage her to keep coughing and stay with her, watching closely
- 8. D · Shunt infection; report it urgently
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