1.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 in which the bone shatters into many pieces
- DA fracture that passes through a joint surface only
2.简单
How is congenital hypothyroidism treated?
- ADaily levothyroxine, usually for life
- BA single dose of radioactive iodine
- CAn iodine-free diet from birth
- DRemoval of the thyroid gland in infancy
3.简单
Which sign may be the first clue to retinoblastoma in a young child?
- AA droopy upper eyelid that appears after a cold
- BTears running down the cheek on one side
- CRed, itchy eyes with a sticky yellow discharge
- DA white pupil in photos instead of the usual red reflex
4.中等
脊髓脊膜膨出手术前,应如何保护新生儿的囊袋?
- A让婴儿仰卧,在囊袋周围放一个软垫圈以将其支撑在床垫上
- B用无菌、湿润、不粘连的敷料覆盖,并让婴儿俯卧
- C暴露不盖,使其干燥
- D用紧而干燥的绷带包扎
5.中等
How can the nurse best support a child with autism on a children's ward?
- AKeep routines predictable, reduce noise and use visual schedules
- BExplain all procedures only at the very last minute to avoid days of worry
- CChange the nurse each shift so the child meets more people
- DPlace the child in the busiest bay near the nurses' station
6.中等
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- AMouthwash containing alcohol several times a day
- BA soft toothbrush or sponge, bland rinses and soft, cool foods
- CA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- DSpicy and acidic foods to stimulate saliva flow
7.困难
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- AMassage and physiotherapy to loosen the muscle
- BRest, ice and an elastic bandage for a sprained ankle, with review in a week
- CBlood cultures and prompt IV antibiotics for possible osteomyelitis
- DA plaster cast and discharge home the same day
8.困难
A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?
- AYes, but only if a cold bath is given at the same time
- BYes; giving it every 4 hours during a fever will always prevent seizures
- CNo, because paracetamol can cause febrile seizures
- DNo; it may ease discomfort but does not prevent febrile seizures
答案
- 1. A · An incomplete fracture in which the bone bends and cracks on one side
- 2. A · Daily levothyroxine, usually for life
- 3. D · A white pupil in photos instead of the usual red reflex
- 4. B · 用无菌、湿润、不粘连的敷料覆盖,并让婴儿俯卧
- 5. A · Keep routines predictable, reduce noise and use visual schedules
- 6. B · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 7. C · Blood cultures and prompt IV antibiotics for possible osteomyelitis
- 8. D · No; it may ease discomfort but does not prevent febrile seizures
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