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नाम: ____________________ दिनांक: ____________
1.आसान
What is usually the first sign of puberty in girls?
ARapid weight loss
BBreast budding
CFirst menstrual period
DUnderarm hair
2.आसान
Which pattern is typical of roseola infantum?
AA bright red rash on both cheeks, like a slap
BItchy blisters in crops that crust over within days
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.आसान
When can a child stop using a booster seat in the car?
AAt 4 years of age, whatever the child's height
BAs soon as the child can fasten the seat belt alone
CWhen the adult seat belt fits properly across the shoulder and upper thighs
DWhen the child starts primary school and can sit still for a whole journey
4.मध्यम
Why should a child with diabetes rotate insulin injection sites?
ATo stop the insulin from becoming less effective over the years
BBecause the same site causes an allergy to insulin
CTo make sure each part of the body gets the same amount of insulin
DTo prevent lumpy fatty areas that absorb insulin unpredictably
5.मध्यम
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
AUse it only after an antihistamine has failed to work
BInject it into the buttock muscle and then let the child walk it off at home
CInject into the upper arm muscle, but only after removing all the clothing first
DInject into the outer thigh, through clothing if needed, and call emergency services
6.मध्यम
Which stool pattern is typical of Hirschsprung disease in an older child?
AFrequent bloody diarrhoea with fever after eating chicken
BNormal stools with occasional itching around the anus at night
CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
DPale, bulky, fatty stools that float and are hard to flush, with a large appetite
7.कठिन
सिकल सेल रोग वाले बच्चे को सीने में नया दर्द, खाँसी, बुखार और 90% ऑक्सीजन संतृप्ति है। नर्स को किस पर संदेह करना चाहिए?
Aहल्की सर्दी
Bअस्पताल में होने की चिंता
Cतीव्र छाती सिंड्रोम (एक्यूट चेस्ट सिंड्रोम), एक आपातकाल
Dअंग के संकट का सामान्य दर्द
8.कठिन
A 6-year-old boy has had a limp and mild hip pain for several weeks. Imaging shows avascular necrosis of the femoral head. What is the diagnosis?
ATransient synovitis
BSlipped capital femoral epiphysis
CDevelopmental dysplasia of the hip
DLegg–Calvé–Perthes disease
उत्तर कुंजी
1. B · Breast budding
2. C · High fever for a few days, then a pink rash as the fever settles
3. C · When the adult seat belt fits properly across the shoulder and upper thighs
4. D · To prevent lumpy fatty areas that absorb insulin unpredictably
5. D · Inject into the outer thigh, through clothing if needed, and call emergency services
6. C · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
7. C · तीव्र छाती सिंड्रोम (एक्यूट चेस्ट सिंड्रोम), एक आपातकाल
8. D · Legg–Calvé–Perthes disease
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