1.简单
Which finding on examination is typical of pyloric stenosis?
- AA swollen abdomen with no bowel sounds at all
- BA tender mass in the left lower abdomen
- CAn olive-shaped mass in the upper abdomen
- DA soft bulge at the belly button when crying
2.简单
哪种症状是哮吼(喉气管支气管炎)的典型表现?
- A咳嗽发作后出现鸡鸣样吸气声
- B仅在呼气时出现喘鸣
- C犬吠样、海豹叫样的咳嗽
- D流口水并无法吞咽
3.简单
Which chromosome pattern causes Turner syndrome?
- AA single X chromosome (45,X) in a girl
- BAn extra X chromosome (47,XXY) in a boy
- CAn extra copy of chromosome 21
- DAn extra copy of chromosome 18
4.中等
What is "assent" in children's care?
- AThe legal consent signed by the parent for surgery
- BThe child's agreement to care, sought alongside the parents' consent
- CA form that lets the hospital treat any child without parental consent
- DThe doctor's decision about which treatment is best
5.中等
Which advice is best for a baby with mild nappy rash?
- AUse tighter nappies so that less urine reaches the skin
- BApply talcum powder thickly at every nappy change
- CWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- DChange nappies often, clean gently, use a barrier cream and allow nappy-free time
6.中等
Until when is a child with chickenpox usually considered infectious?
- AUntil the fever has gone for 24 hours
- BFor 6 weeks after the rash appears
- COnly during the day before the rash appears
- DUntil all the blisters have crusted over
7.困难
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- ANormal transition; no further checks are needed
- BA normal result, because foot readings are always lower
- CA faulty probe or a cold foot; repeat the whole test at the 6-week check
- DAn abnormal screen that must be followed up promptly under the screening protocol
8.困难
A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?
- AIron supplements for 3 months, then review
- BReassurance that these are growing pains that will pass with time
- CA course of antibiotics for a viral infection
- DAn urgent full blood count to look for leukaemia
答案
- 1. C · An olive-shaped mass in the upper abdomen
- 2. C · 犬吠样、海豹叫样的咳嗽
- 3. A · A single X chromosome (45,X) in a girl
- 4. B · The child's agreement to care, sought alongside the parents' consent
- 5. D · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 6. D · Until all the blisters have crusted over
- 7. D · An abnormal screen that must be followed up promptly under the screening protocol
- 8. D · An urgent full blood count to look for leukaemia
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