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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the main cause of type 1 diabetes in children?
AInsulin resistance caused mainly by obesity and inactivity
BAutoimmune destruction of the insulin-producing beta cells
CToo much insulin being produced by an overactive pancreas
DA lack of glucagon from the alpha cells of the pancreas
2.Mudah
Where should a healthcare provider check for a pulse in an unresponsive infant?
AThe carotid artery
BThe brachial artery
CThe radial artery
DThe temporal artery
3.Mudah
Which pattern is typical of roseola infantum?
AA rash that appears first, followed by a whole week of high fever and cough
BA bright red rash on both cheeks, like a slap
CHigh fever for a few days, then a pink rash as the fever settles
DItchy blisters in crops that crust over within days
4.Sedang
How is threadworm (pinworm) infection usually confirmed?
AA tape test on the skin around the anus first thing in the morning
BAn abdominal X-ray to look for the worms in the gut
CA blood test for worm antibodies taken an hour after an evening meal
DA urine sample collected in the evening
5.Sedang
Which finding at a 2-year check most needs a speech and language referral?
AThe child uses about 50 words or more
BThe child prefers to play beside other toddlers
CThe child says "no" to most suggestions
DThe child is not yet combining any two words
6.Sedang
Which group of findings is typical in a teenager with severe anorexia nervosa?
AWeight gain, oedema and high blood pressure
BSlow heart rate, low blood pressure and low body temperature
CRapid growth, acne and an increased appetite
DFast heart rate, high blood pressure and a high fever
7.Sulit
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
AMassage and physiotherapy to loosen the muscle
BRest, ice and an elastic bandage for a sprained ankle, with review in a week
CA plaster cast and discharge home the same day
DBlood cultures and prompt IV antibiotics for possible osteomyelitis
8.Sulit
A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?
AA rare genetic disorder that needs more tests at once
BFabricated or induced illness; follow safeguarding procedures
CThe child is pretending to be ill to avoid school
DThe ward environment or hospital food is causing the symptoms
Kunci jawaban
1. B · Autoimmune destruction of the insulin-producing beta cells
2. B · The brachial artery
3. C · High fever for a few days, then a pink rash as the fever settles
4. A · A tape test on the skin around the anus first thing in the morning
5. D · The child is not yet combining any two words
6. B · Slow heart rate, low blood pressure and low body temperature
7. D · Blood cultures and prompt IV antibiotics for possible osteomyelitis
8. B · Fabricated or induced illness; follow safeguarding procedures
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