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नाम: ____________________ दिनांक: ____________
1.आसान
What is the main cause of type 1 diabetes in children?
AToo much insulin being produced by an overactive pancreas
BAutoimmune destruction of the insulin-producing beta cells
CA lack of glucagon from the alpha cells of the pancreas
DInsulin resistance caused mainly by obesity and inactivity
2.आसान
Bedwetting at night is usually not considered a problem needing treatment until about what age?
AAbout 2 years
BAbout 10 years
CAbout 14 years
DAbout 5 years
3.आसान
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
ATo compensate for chronic hypoxia
BBecause the heart makes red blood cells
CBecause of too much iron in the diet
DBecause the spleen stops working
4.मध्यम
संदिग्ध एपिग्लॉटाइटिस वाला बच्चा लार टपका रहा है और आगे झुककर बैठा है। किस कार्रवाई से बचना चाहिए?
Aबच्चे को अपनी पसंद की स्थिति में बैठने देना
Bजीभ दबाने वाली पट्टी से गले की जाँच करना
Cवायुमार्ग प्रबंधन में कुशल टीम को बुलाना
Dबच्चे को माता-पिता के साथ रखना
5.मध्यम
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
AOffer a limited choice, such as the cup or the syringe
BTell him he is a bad boy for refusing
CAsk him whether he wants to take his medicine or not
DWait until he agrees to take it, even if the dose is hours late
6.मध्यम
हाइपोवोलीमिक शॉक वाले बच्चे में कौन-सा निष्कर्ष आमतौर पर देर से आने वाला संकेत है?
Aनिम्न रक्तचाप
Bकेशिका पुनर्भरण में देरी
Cठंडे छोर
Dटैकीकार्डिया
7.कठिन
A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?
AHigh sodium, high glucose, low albumin and low urea
BLow potassium, low phosphate, low uric acid and high calcium
CHigh potassium, high phosphate, high uric acid and low calcium
DLow haemoglobin and low platelets with a normal potassium
8.कठिन
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
AArrange a professional interpreter
BAsk another patient's visitor who speaks the language
CLet the 10-year-old translate to save time
DUse simple English and gestures only
उत्तर कुंजी
1. B · Autoimmune destruction of the insulin-producing beta cells
2. D · About 5 years
3. A · To compensate for chronic hypoxia
4. B · जीभ दबाने वाली पट्टी से गले की जाँच करना
5. A · Offer a limited choice, such as the cup or the syringe
6. A · निम्न रक्तचाप
7. C · High potassium, high phosphate, high uric acid and low calcium
8. A · Arrange a professional interpreter
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