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Which four features make up tetralogy of Fallot?

1. AVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
2. BPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
3. CVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
4. DASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy

In an asthma action plan based on peak flow, what does the green zone mean?

1. AAsthma is under control; continue usual treatment
2. BUse the reliever more often and contact the doctor today
3. CStop the preventer because it is no longer needed
4. DThis is an emergency; call for help at once

How deep should chest compressions be during CPR on a child?

1. AAt least one third of the depth of the chest
2. BAbout one tenth of the depth of the chest
3. CJust enough to see the chest move slightly
4. DAs deep as possible, until the ribs can be felt to give

Which finding is expected in a healthy 4-month-old?

1. ASits steadily without support for several minutes while playing with toys
2. BHolds the head steady when held upright, with little or no head lag
3. CPulls to stand while holding on to furniture
4. DSays two or three clear words with meaning

Which early sign may tell a child with haemophilia that a joint bleed is starting?

1. AA cold, pale hand or foot
2. BTingling or warmth in the joint
3. CA sudden fever with a rash
4. DAn itchy feeling on the skin over the elbow

After a cardiac catheterisation through the femoral artery, which assessment is essential?

1. AUrine specific gravity at every void
2. BPulse, colour, warmth and sensation of the leg below the puncture site
3. CBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
4. DPupil size and reaction every 15 minutes

A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?

1. AVesicoureteral reflux
2. BTesticular torsion on both sides
3. CNephrotic syndrome
4. DHypospadias

The mother of a 6-week-old says the baby cries for hours and she fears she might lose control. What is the best advice?

1. AHold the baby face down on her lap until he falls asleep, however long it takes
2. BPut the baby safely in the cot, take a few minutes' break and ask for support
3. CShake the baby gently for a few seconds to stop the crying and calm him
4. DGive the baby a little honey on a dummy to settle him at night