1.简单
What is the recommended chest compression rate during CPR on a child or infant?
- A30 to 40 per minute
- B140 to 160 per minute
- C60 to 80 per minute
- D100 to 120 per minute
2.简单
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BInfection with rubella in early pregnancy
- CA missing X chromosome in a girl
- DAn extra copy of chromosome 21 (trisomy 21)
3.简单
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
- AA conjugate polysaccharide vaccine
- BA live attenuated vaccine
- CAn inactivated toxoid vaccine
- DAn mRNA vaccine
4.中等
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey should only be given after a skin prick test in every infant
- BThey should be given from 6 weeks, mixed into the baby's milk
- CThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- DThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
5.中等
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- AMouthwash containing alcohol several times a day
- BA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- CSpicy and acidic foods to stimulate saliva flow
- DA soft toothbrush or sponge, bland rinses and soft, cool foods
6.中等
Which diet is usually advised for a child with nephrotic syndrome while there is oedema?
- AA carbohydrate-free diet to reduce fluid retention
- BNo added salt
- CA high-salt diet to replace losses in the urine
- DA protein-free diet to rest the kidneys completely
7.困难
A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?
- ASurfactant given into the trachea
- BOral glucose gel rubbed into the gums
- CPhototherapy
- DIV antibiotics for 7 days
8.困难
A child has suspected septic shock. Which action is the most time-critical?
- AGiving oral antibiotics and reviewing the child again in the morning
- BGiving IV antibiotics as soon as possible, ideally within the first hour
- CStarting antibiotics after the fever has been present for 24 hours
- DWaiting for the blood culture results before starting any antibiotic treatment
答案
- 1. D · 100 to 120 per minute
- 2. D · An extra copy of chromosome 21 (trisomy 21)
- 3. B · A live attenuated vaccine
- 4. C · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 5. D · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 6. B · No added salt
- 7. A · Surfactant given into the trachea
- 8. B · Giving IV antibiotics as soon as possible, ideally within the first hour
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