1.简单
How deep should chest compressions be during CPR on a child?
- AAs deep as possible, until the ribs can be felt to give
- BAbout one tenth of the depth of the chest
- CJust enough to see the chest move slightly
- DAt least one third of the depth of the chest
2.简单
Which symptom is typical of scabies?
- APainless red patches that slowly spread outward over months
- BLarge blisters on the soles of the feet after walking
- CIntense itching, worse at night, with burrows between the fingers
- DDry, flaky scalp with dandruff but no itching
3.简单
Which finding on examination is typical of pyloric stenosis?
- AA soft bulge at the belly button when crying
- BAn olive-shaped mass in the upper abdomen
- CA tender mass in the left lower abdomen
- DA swollen abdomen with no bowel sounds at all
4.中等
Which stool pattern is typical of Hirschsprung disease in an older child?
- AFrequent bloody diarrhoea with fever after eating chicken
- BNormal stools with occasional itching around the anus at night
- CPale, bulky, fatty stools that float and are hard to flush, with a large appetite
- DChronic constipation with thin, ribbon-like, foul-smelling stools and distension
5.中等
Which activity best supports a 9-year-old during a long hospital stay?
- AStaying in bed with no visitors to rest
- BSchoolwork and contact with classmates, plus games or hobbies
- CWatching television alone for most of the day
- DPlaying with baby toys in the toddler playroom with younger children
6.中等
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- ATell him he is a bad boy for refusing
- BWait until he agrees to take it, even if the dose is hours late
- CAsk him whether he wants to take his medicine or not
- DOffer a limited choice, such as the cup or the syringe
7.困难
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
- AItching under the cast; give an antihistamine
- BCompartment syndrome; report it at once
- CAnxiety; distract the child with play
- DNormal pain after a fracture; give more time
8.困难
一名意识清醒的 10 岁 1 型糖尿病儿童发抖、出汗,血糖 3.2 mmol/L。首要措施是什么?
- A让孩子睡一觉就好
- B给予下一剂胰岛素
- C给予只含蛋白质和脂肪的大餐,下一餐时再复测血糖
- D口服速效碳水化合物,约 15 分钟后复测血糖
答案
- 1. D · At least one third of the depth of the chest
- 2. C · Intense itching, worse at night, with burrows between the fingers
- 3. B · An olive-shaped mass in the upper abdomen
- 4. D · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
- 5. B · Schoolwork and contact with classmates, plus games or hobbies
- 6. D · Offer a limited choice, such as the cup or the syringe
- 7. B · Compartment syndrome; report it at once
- 8. D · 口服速效碳水化合物,约 15 分钟后复测血糖
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