1.简单
Which feature is typical of whooping cough (pertussis) in an older child?
- ABouts of coughing that end with a "whoop" on breathing in
- BDrooling, a high fever and difficulty swallowing saliva
- CA wheeze heard only on breathing out, with a runny nose
- DA barking cough and a hoarse voice that are worse at night
2.简单
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ABecause of too much iron in the diet
- BBecause the heart makes red blood cells
- CBecause the spleen stops working
- DTo compensate for chronic hypoxia
3.简单
What is a greenstick fracture?
- AAn incomplete fracture in which the bone bends and cracks on one side
- BA fracture in which the broken bone ends push out through the skin
- CA fracture that passes through a joint surface only
- DA fracture in which the bone shatters into many pieces
4.中等
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AJaundice, because the breakdown of the trapped blood adds to bilirubin
- BUrine colour, because the swelling causes kidney damage
- CBlood pressure, because the swelling causes hypertension
- DHead circumference twice daily, because it signals hydrocephalus
5.中等
A 13-year-old has a concussion during a football match. What is the correct advice?
- AAvoid all mental and physical activity, including school, for at least 2 months
- BNo sport that day; return step by step once symptoms have gone
- CContinue training as usual unless there was a loss of consciousness
- DReturn to the match as soon as the headache improves
6.中等
A child with suspected measles is admitted. Which precaution is most important?
- AAirborne precautions, ideally in a negative-pressure room
- BNo special precautions once the rash appears
- CContact precautions only, with gloves
- DDroplet precautions in a shared bay
7.困难
在脑室腹腔分流术后的儿童中,哪项发现需要立即跟进?
- A阀门上方一个没有变化的小而软的隆起
- B食欲和玩耍正常
- C头痛、反复呕吐和嗜睡加重
- D沿分流管走行的已愈合瘢痕
8.困难
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
- AAllow them to stay if they wish, with a staff member to support and explain
- BTell them to wait outside in the corridor until the resuscitation is over
- CAsk them to leave, because their presence always harms the team's work
- DAllow them to stay only if they help with the compressions
答案
- 1. A · Bouts of coughing that end with a "whoop" on breathing in
- 2. D · To compensate for chronic hypoxia
- 3. A · An incomplete fracture in which the bone bends and cracks on one side
- 4. A · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 5. B · No sport that day; return step by step once symptoms have gone
- 6. A · Airborne precautions, ideally in a negative-pressure room
- 7. C · 头痛、反复呕吐和嗜睡加重
- 8. A · Allow them to stay if they wish, with a staff member to support and explain
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