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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which vaccine has made acute epiglottitis much less common in children?
AMeasles–mumps–rubella (MMR) vaccine
BHaemophilus influenzae type b (Hib) vaccine
CRotavirus vaccine given by mouth
DPneumococcal conjugate vaccine
2.سهلة
Which signs suggest a urinary tract infection in an infant?
AA clear runny nose and a mild cough
BClear complaints of burning and stinging when passing urine
CFever, poor feeding, vomiting and irritability
DPain in the lower back that the baby points to
3.سهلة
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
4.متوسطة
A child has impetigo. Which advice helps to stop it spreading?
APick the crusts off daily so the skin heals faster
BUse separate towels, wash hands often and keep nails short
CShare flannels and towels so the whole family is treated
DCover the crusts with a thick layer of petroleum jelly and leave them
5.متوسطة
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
ABackground TV helps language development
BAvoid screen media, apart from video calls with family
CUp to 2 hours a day of educational TV programmes is beneficial for language
DScreens are fine as long as the volume is low
6.متوسطة
A child with a known peanut allergy is starting school. What is the most important step?
AAsking the child to tell the teachers if she feels unwell
BKeeping the auto-injector at home, so that it cannot be lost or misused by other children
CAllowing the child to eat only foods brought by classmates
DA written allergy action plan, with in-date auto-injectors and trained staff
7.صعبة
أُدخل طفل بحمّى وتيبس في الرقبة وطفح لا يبيضّ بالضغط. ما الإجراء ذو الأولوية؟
Aانتظار البزل القطني قبل أي علاج
Bإعطاء خافض للحرارة وإعادة الفحص بعد 4 ساعات
Cالبدء باحتياطات الرذاذ وطلب مراجعة طبية عاجلة كي لا تتأخر المضادات الحيوية
Dوضع الطفل في حجرة مشتركة مع أطفال آخرين وإعادة فحص الطفح والحرارة بعد 4 ساعات
8.صعبة
How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?
AWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
BPain cannot be assessed, so analgesia is given only on request
COnly by checking whether the heart rate is above normal
DWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
مفتاح الإجابات
1. B · Haemophilus influenzae type b (Hib) vaccine
2. C · Fever, poor feeding, vomiting and irritability
3. A · Daily levothyroxine, usually for life
4. B · Use separate towels, wash hands often and keep nails short
5. B · Avoid screen media, apart from video calls with family
6. D · A written allergy action plan, with in-date auto-injectors and trained staff
7. C · البدء باحتياطات الرذاذ وطلب مراجعة طبية عاجلة كي لا تتأخر المضادات الحيوية
8. D · With a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
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