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नाम: ____________________ दिनांक: ____________
1.आसान
How is Duchenne muscular dystrophy inherited?
AIt is not inherited and is caused by an infection
BX-linked recessive, so it mainly affects boys
CAutosomal recessive, mainly affecting girls
DAutosomal dominant, affecting both sexes equally
2.आसान
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
AMost close on their own; do not tape a coin over it
BStrapping it tightly with a binder every day makes it close faster
CIt is caused by the cord being cut too short
DIt needs emergency surgery within a few days
3.आसान
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
AIntravenous indomethacin
BProstaglandin E1
CDigoxin
DFurosemide
4.मध्यम
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
AIt increases fetal haemoglobin, which reduces sickling
BIt replaces the missing clotting factors
CIt kills bacteria in the blood and prevents infections
DIt removes extra iron after blood transfusions
5.मध्यम
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
AEncourage her to finish every meal, even if this takes a long time at the table
BAppetite falls as growth slows; offer small, healthy portions without pressure
CGive extra bottles of milk to make up for the meals she refuses
DThis is a sign of illness and she needs blood tests
6.मध्यम
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?
AA first attack of asthma
BBronchiolitis
CAn inhaled foreign body
DViral croup
7.कठिन
वेंट्रिकुलोपेरिटोनियल शंट वाले बच्चे में कौन-सा निष्कर्ष तत्काल अनुवर्तन माँगता है?
Aसिरदर्द, बार-बार उल्टी और बढ़ती उनींदापन
Bशंट के मार्ग पर भरा हुआ निशान
Cवाल्व के ऊपर एक छोटी, नरम उभार जो बदली नहीं है
Dसामान्य भूख और खेलना
8.कठिन
A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?
ABabies of this age often crawl and fall
BThigh fractures are common in young infants with soft bones
CThe explanation does not fit the baby's stage of development
DThe fracture is too small to need treatment and will heal by itself
उत्तर कुंजी
1. B · X-linked recessive, so it mainly affects boys
2. A · Most close on their own; do not tape a coin over it
3. B · Prostaglandin E1
4. A · It increases fetal haemoglobin, which reduces sickling
5. B · Appetite falls as growth slows; offer small, healthy portions without pressure
6. C · An inhaled foreign body
7. A · सिरदर्द, बार-बार उल्टी और बढ़ती उनींदापन
8. C · The explanation does not fit the baby's stage of development
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