1.Dễ
Triệu chứng nào là điển hình của bệnh croup (viêm thanh khí quản)?
- ATiếng rít "hoop" sau những cơn ho
- BHo như tiếng sủa, như hải cẩu
- CChảy dãi và không nuốt được
- DThở khò khè chỉ khi thở ra
2.Dễ
What is Gowers' sign?
- AFanning of the toes when the sole of the foot is stroked
- BFlexing the hips and knees when the neck is bent forward by the examiner
- CA sudden startle with the arms flung outwards
- DUsing the hands to "walk up" the legs to stand up from the floor
3.Dễ
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- AGreen stools after starting iron drops
- BPale, watery urine and frequent wet nappies
- CPale, clay-coloured stools and dark urine
- DBright yellow, seedy stools
4.Trung bình
A child is receiving IV morphine. Which assessments are most important?
- ARespiratory rate and level of sedation
- BBlood glucose and urine ketones
- CPeak flow and inhaler technique
- DHead circumference and fontanelle tension
5.Trung bình
Một em bé sinh lúc 29 tuần nay đã 2 tháng tuổi. Khi nào nên tiêm các vaccine thường quy lúc 2 tháng?
- AChỉ khi em bé đạt 2 tháng tuổi hiệu chỉnh
- BChỉ khi em bé nặng 5 kg
- CChỉ sau sinh nhật đầu tiên
- DNgay bây giờ, theo tuổi theo lịch của em bé
6.Trung bình
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- AHold the child over a bowl of hot, steaming water to loosen the cough
- BGive an over-the-counter cough syrup every hour until the barking cough stops
- CLay the child flat in a cool room so the airway can relax
- DKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
7.Khó
A 5-year-old insists that a tall, thin glass holds more juice than a short, wide glass, although he saw the same amount poured into each. What explains this?
- AIt is a sign of intellectual disability that needs assessment
- BHe has a visual problem and needs an eye examination
- CHe is showing abstract reasoning typical of the formal operational stage
- DHe has not yet developed conservation, which is typical of the preoperational stage
8.Khó
A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?
- AAn urgent full blood count to look for leukaemia
- BIron supplements for 3 months, then review
- CReassurance that these are growing pains that will pass with time
- DA course of antibiotics for a viral infection
Đáp án
- 1. B · Ho như tiếng sủa, như hải cẩu
- 2. D · Using the hands to "walk up" the legs to stand up from the floor
- 3. C · Pale, clay-coloured stools and dark urine
- 4. A · Respiratory rate and level of sedation
- 5. D · Ngay bây giờ, theo tuổi theo lịch của em bé
- 6. D · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 7. D · He has not yet developed conservation, which is typical of the preoperational stage
- 8. A · An urgent full blood count to look for leukaemia
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