1.简单
Where is the pain of appendicitis typically felt once it has localised?
- AAround the left shoulder blade
- BIn the right lower abdomen
- CIn the left lower abdomen
- DIn the upper middle abdomen only
2.简单
一名到期接种疫苗的儿童患轻度感冒,体温 37.8 °C。一般原则是什么?
- A轻微疾病不是推迟接种的理由
- B孩子只能接种半剂
- C孩子必须先服用抗生素
- D疫苗必须推迟 4 周,等孩子痊愈
3.简单
Which pattern is typical of roseola infantum?
- AA bright red rash on both cheeks, like a slap
- BItchy blisters in crops that crust over within days
- CA rash that appears first, followed by a whole week of high fever and cough
- DHigh fever for a few days, then a pink rash as the fever settles
4.中等
对细支气管炎的婴儿,哪项护理措施最有帮助?
- A让婴儿俯卧睡觉,使分泌物从气道排出
- B喂奶前轻柔吸鼻,并监测水合状态和血氧饱和度
- C在婴儿好转之前禁止所有喂养
- D常规使用抗生素
5.中等
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
- ASerum amylase and lipase
- BSerum potassium
- CSerum bilirubin
- DPlatelet count
6.中等
Which finding may suggest that a school-age child is being bullied?
- ANot wanting to go to school, lost belongings and frequent stomach aches
- BArguing with a sibling about the TV remote
- CWanting to collect trading cards and play team games with classmates
- DEnjoying school clubs and inviting friends home
7.困难
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
- APotassium is needed to dissolve the insulin in the drip
- BInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
- CPotassium has no role in DKA; it is a routine test only
- DInsulin moves potassium into the cells, so blood potassium can fall sharply
8.困难
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
- ATreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
- BThe baby will develop diabetes if the thyroid is not treated now
- CThe baby could pass the condition to other children in the family
- DWithout early treatment it can cause lasting learning disability and poor growth
答案
- 1. B · In the right lower abdomen
- 2. A · 轻微疾病不是推迟接种的理由
- 3. D · High fever for a few days, then a pink rash as the fever settles
- 4. B · 喂奶前轻柔吸鼻,并监测水合状态和血氧饱和度
- 5. B · Serum potassium
- 6. A · Not wanting to go to school, lost belongings and frequent stomach aches
- 7. D · Insulin moves potassium into the cells, so blood potassium can fall sharply
- 8. D · Without early treatment it can cause lasting learning disability and poor growth
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