1.简单
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 2 years
- BAbout 5 years
- CAbout 10 years
- DAbout 14 years
2.简单
Which chromosome pattern causes Turner syndrome?
- AA single X chromosome (45,X) in a girl
- BAn extra copy of chromosome 18
- CAn extra copy of chromosome 21
- DAn extra X chromosome (47,XXY) in a boy
3.简单
哪项检查用于诊断囊性纤维化?
- A仅做胸部 X 线
- B汗液氯化物试验
- C尿糖试验
- D咽拭子培养
4.中等
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AObesity with low physical activity
- BBeing of a particular ethnic background
- CA viral infection in early childhood
- DA family history of diabetes
5.中等
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
- AGive double the usual insulin to prevent ketones
- BKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
- CGive insulin only if the child is vomiting
- DStop all insulin until the child is eating normally again, then restart at the usual dose
6.中等
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
- A750 mL per day
- B1250 mL per day
- C1000 mL per day
- D1500 mL per day
7.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?
- ANo, because paracetamol can cause febrile seizures
- BYes; giving it every 4 hours during a fever will always prevent seizures
- CYes, but only if a cold bath is given at the same time
- DNo; it may ease discomfort but does not prevent febrile seizures
8.困难
A 5-year-old insists that a tall, thin glass holds more juice than a short, wide glass, although he saw the same amount poured into each. What explains this?
- AHe is showing abstract reasoning typical of the formal operational stage
- BHe has not yet developed conservation, which is typical of the preoperational stage
- CIt is a sign of intellectual disability that needs assessment
- DHe has a visual problem and needs an eye examination
答案
- 1. B · About 5 years
- 2. A · A single X chromosome (45,X) in a girl
- 3. B · 汗液氯化物试验
- 4. A · Obesity with low physical activity
- 5. B · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
- 6. B · 1250 mL per day
- 7. D · No; it may ease discomfort but does not prevent febrile seizures
- 8. B · He has not yet developed conservation, which is typical of the preoperational stage
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