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Nama: ____________________ Tanggal: ____________
1.Mudah
How is Duchenne muscular dystrophy inherited?
AX-linked recessive, so it mainly affects boys
BAutosomal recessive, mainly affecting girls
CAutosomal dominant, affecting both sexes equally
DIt is not inherited and is caused by an infection
2.Mudah
Which finding is typical of impetigo?
AA target-shaped rash with a dusky, pale centre on the palms
BTiny burrows between the fingers
CHoney-coloured crusts, often around the nose and mouth
DSilvery scales on the elbows and knees
3.Mudah
How should jaundice that first appears within the first 24 hours of life be regarded?
AAs normal physiological jaundice that needs no follow-up
BAs pathological until proven otherwise; it needs prompt evaluation
CAs breast milk jaundice that is best treated by stopping breastfeeding
DAs harmless as long as the baby is feeding well
4.Sedang
Which approach best helps a 4-year-old during a vaccination?
ATell the child the injection will not hurt at all
BHave staff hold the child flat on the couch so the injection is quick
CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
DPromise a reward only if the child stays completely still and does not cry
5.Sedang
Seorang anak dijadwalkan menerima beberapa vaksin berbeda pada kunjungan yang sama. Apa prinsip umumnya?
ASemua vaksin harus dicampur dalam satu semprit
BAnak harus diberi setengah dosis setiap vaksin, tersebar selama beberapa minggu
CVaksin dapat diberikan pada kunjungan yang sama, di lokasi suntikan yang terpisah
DHanya satu vaksin yang boleh diberikan per bulan
6.Sedang
When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?
ABefore meals, or well after eating
BOnly at bedtime, lying flat after the evening meal
COnly on days when the child has a fever
DStraight after a large meal, when the child has more energy
7.Sulit
Anak mana yang harus dikaji perawat lebih dulu pada awal giliran jaga?
AAnak 10 tahun dengan gips di kaki yang mengatakan gatal
BAnak 2 tahun dengan bronkiolitis: frekuensi napas 68/menit dan retraksi dada yang nyata
CAnak 4 tahun dengan gastroenteritis yang sedang minum larutan rehidrasi oral
DAnak 6 tahun setelah apendektomi dengan nyeri bernilai 4 dari 10
8.Sulit
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
AWorsening heart failure with fluid retention
BGood growth thanks to improved feeding
CAn allergic reaction to the new high-energy formula started yesterday
DDehydration due to sweating during feeds
Kunci jawaban
1. A · X-linked recessive, so it mainly affects boys
2. C · Honey-coloured crusts, often around the nose and mouth
3. B · As pathological until proven otherwise; it needs prompt evaluation
4. C · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
5. C · Vaksin dapat diberikan pada kunjungan yang sama, di lokasi suntikan yang terpisah
6. A · Before meals, or well after eating
7. B · Anak 2 tahun dengan bronkiolitis: frekuensi napas 68/menit dan retraksi dada yang nyata
8. A · Worsening heart failure with fluid retention
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