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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is Gowers' sign?
AA sudden startle with the arms flung outwards
BUsing the hands to "walk up" the legs to stand up from the floor
CFlexing the hips and knees when the neck is bent forward by the examiner
DFanning of the toes when the sole of the foot is stroked
2.سهلة
At about what age can most infants sit steadily without support?
AAbout 2 to 3 months
BAbout 6 to 8 months
CAbout 18 to 24 months
DAbout 12 to 15 months
3.سهلة
Which type of play, with shared goals, rules and roles, is typical of school-age children?
ASolitary play
BParallel play
COnlooker play
DCooperative play
4.متوسطة
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
AThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
BThey should only be given after a skin prick test in every infant
CThey should be given from 6 weeks, mixed into the baby's milk
DThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
5.متوسطة
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
AAn inhaled foreign body
BA first attack of asthma
CViral croup
DBronchiolitis
6.متوسطة
Why do young children with sickle cell disease usually take daily penicillin?
APenicillin stops red cells from changing shape
BPenicillin prevents pain crises in cold weather
CSickle cells make the child allergic to most other antibiotics
DPoor spleen function puts them at high risk of pneumococcal infection
7.صعبة
Which treatment is not routinely recommended for a typical infant with bronchiolitis?
ABronchodilators or corticosteroids
BHelp with feeding or fluids if intake is poor
COxygen if the saturation is persistently low
DGentle nasal suction if the nose is blocked
8.صعبة
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
APhone the uncle straight away to ask for his side of the story before reporting anything
BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
CAsk detailed, leading questions to find out exactly what happened
DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
مفتاح الإجابات
1. B · Using the hands to "walk up" the legs to stand up from the floor
2. B · About 6 to 8 months
3. D · Cooperative play
4. D · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
5. A · An inhaled foreign body
6. D · Poor spleen function puts them at high risk of pneumococcal infection
7. A · Bronchodilators or corticosteroids
8. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
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