1.ง่าย
Why is circumcision avoided in a baby boy with hypospadias?
- AThe urethral opening moves to the tip by itself if the foreskin is left
- BThe foreskin may be needed for the repair
- CBabies with hypospadias usually have a bleeding disorder
- DIt greatly increases the risk of urine infection in the first month
2.ง่าย
A 14-year-old is convinced that everyone at school notices her small pimple. Which concept describes this?
- AThe imaginary audience
- BSeparation anxiety
- CObject permanence
- DParallel play
3.ง่าย
มาตรา FLACC เหมาะสมที่สุดกับเด็กคนใด?
- Aเด็กอายุ 9 ปีที่ใช้มาตราให้คะแนนเชิงตัวเลขได้
- Bเด็กอายุ 14 ปีที่ให้คะแนนความปวดจาก 0 ถึง 10 ได้
- Cผู้ใหญ่หลังผ่าตัด
- Dเด็กอายุ 2 ปีที่ยังอธิบายความปวดไม่ได้
4.ปานกลาง
A child with a known peanut allergy is starting school. What is the most important step?
- AAllowing the child to eat only foods brought by classmates
- BKeeping the auto-injector at home, so that it cannot be lost or misused by other children
- CA written allergy action plan, with in-date auto-injectors and trained staff
- DAsking the child to tell the teachers if she feels unwell
5.ปานกลาง
Which defect classically causes a continuous "machinery" murmur?
- AAtrial septal defect
- BIsolated pulmonary stenosis with an intact ventricular septum
- CPatent ductus arteriosus
- DTetralogy of Fallot
6.ปานกลาง
Which newborn problem may be the first sign of cystic fibrosis?
- APhysiological jaundice
- BErythema toxicum
- CMeconium ileus
- DUmbilical hernia
7.ยาก
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AChickenpox, which is mild and needs no specific treatment
- BAn allergic reaction to the emollient
- CA normal eczema flare that needs more emollient
- DEczema herpeticum, which needs urgent antiviral treatment
8.ยาก
A child has suspected septic shock. Which action is the most time-critical?
- AWaiting for the blood culture results before starting any antibiotic treatment
- BGiving oral antibiotics and reviewing the child again in the morning
- CStarting antibiotics after the fever has been present for 24 hours
- DGiving IV antibiotics as soon as possible, ideally within the first hour
เฉลย
- 1. B · The foreskin may be needed for the repair
- 2. A · The imaginary audience
- 3. D · เด็กอายุ 2 ปีที่ยังอธิบายความปวดไม่ได้
- 4. C · A written allergy action plan, with in-date auto-injectors and trained staff
- 5. C · Patent ductus arteriosus
- 6. C · Meconium ileus
- 7. D · Eczema herpeticum, which needs urgent antiviral treatment
- 8. D · Giving IV antibiotics as soon as possible, ideally within the first hour
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