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1.سهلة
Which early sign may suggest autism in a toddler?
ABeing shy with strangers at 9 months
BSaying "no" often and having tantrums at 2 years
CPreferring to play next to other toddlers rather than with them
DNot pointing to show interest and little eye contact by about 18 months
2.سهلة
Which pattern is typical of roseola infantum?
AItchy blisters in crops that crust over within days
BA bright red rash on both cheeks, like a slap
CHigh fever for a few days, then a pink rash as the fever settles
DA rash that appears first, followed by a whole week of high fever and cough
3.سهلة
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
ARectal, with a glass mercury thermometer
BOral, under the tongue
CBy touching the forehead with a hand
DAxillary, with an electronic thermometer
4.متوسطة
Which approach best helps a 4-year-old during a vaccination?
APromise a reward only if the child stays completely still and does not cry
BHave staff hold the child flat on the couch so the injection is quick
CTell the child the injection will not hurt at all
DHold the child upright on a parent's lap and use distraction, such as blowing bubbles
5.متوسطة
طفل لديه بول بلون الكولا وعينان منتفختان وضغط دم مرتفع بعد أسبوعين من التهاب الحلق. ما التشخيص المرجح؟
Aالمتلازمة الكلائية
Bالتهاب كبيبات الكلى الحاد التالي للمكورات العقدية
Cورم ويلمز
Dالتهاب المسالك البولية
6.متوسطة
Why is hearing screening done in the newborn period?
ATo check whether the baby will need glasses later in childhood
BBecause hearing loss always causes balance problems
CEarly detection allows support that protects language development
DTo diagnose ear infections before discharge
7.صعبة
A child has suspected septic shock. Which action is the most time-critical?
AGiving IV antibiotics as soon as possible, ideally within the first hour
BStarting antibiotics after the fever has been present for 24 hours
CWaiting for the blood culture results before starting any antibiotic treatment
DGiving oral antibiotics and reviewing the child again in the morning
8.صعبة
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
ANormal transition; no further checks are needed
BAn abnormal screen that must be followed up promptly under the screening protocol
CA faulty probe or a cold foot; repeat the whole test at the 6-week check
DA normal result, because foot readings are always lower
مفتاح الإجابات
1. D · Not pointing to show interest and little eye contact by about 18 months
2. C · High fever for a few days, then a pink rash as the fever settles
3. D · Axillary, with an electronic thermometer
4. D · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
5. B · التهاب كبيبات الكلى الحاد التالي للمكورات العقدية
6. C · Early detection allows support that protects language development
7. A · Giving IV antibiotics as soon as possible, ideally within the first hour
8. B · An abnormal screen that must be followed up promptly under the screening protocol
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