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Nama: ____________________ Tanggal: ____________
1.Mudah
Prinsip mana yang menjadi inti perawatan berpusat pada keluarga?
AOrang tua harus keluar selama semua prosedur
BOrang tua dan keluarga adalah mitra dalam perawatan anak
CKunjungan dibatasi agar anak dapat beristirahat
DHanya petugas yang mengambil keputusan tentang perawatan dan pengobatan anak
2.Mudah
What is the first-line treatment for anaphylaxis in a child?
AAn oral antihistamine
BOral paracetamol (acetaminophen)
CAn inhaled corticosteroid via a spacer
DIM adrenaline (epinephrine)
3.Mudah
Where should a healthcare provider check for a pulse in an unresponsive infant?
AThe temporal artery
BThe brachial artery
CThe carotid artery
DThe radial artery
4.Sedang
Which signs suggest digoxin toxicity in a child?
AIncreased appetite, extra energy and rapid weight gain over a few days
BNausea, vomiting, poor feeding and a slow heart rate
CFast heart rate with high blood pressure
DHigh fever with a spreading red rash
5.Sedang
A child with a known peanut allergy is starting school. What is the most important step?
AAllowing the child to eat only foods brought by classmates
BKeeping the auto-injector at home, so that it cannot be lost or misused by other children
CA written allergy action plan, with in-date auto-injectors and trained staff
DAsking the child to tell the teachers if she feels unwell
6.Sedang
After a cardiac catheterisation through the femoral artery, which assessment is essential?
APupil size and reaction every 15 minutes
BBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
CPulse, colour, warmth and sensation of the leg below the puncture site
DUrine specific gravity at every void
7.Sulit
The parent of a child on chemotherapy calls to say the child has a temperature of 38,5 °C (101,3 °F). What is the correct advice?
AWait until the next clinic visit, as fever is common
BGive a cool bath and keep the child at home
CGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
DBring the child to hospital straight away for assessment and IV antibiotics
8.Sulit
After successful treatment of anaphylaxis, why is the child observed for several hours?
AObservation is only needed for legal reasons
BAdrenaline always causes a dangerous rash later
CThe child must stay until antibody tests come back
DSymptoms can return even after recovery
Kunci jawaban
1. B · Orang tua dan keluarga adalah mitra dalam perawatan anak
2. D · IM adrenaline (epinephrine)
3. B · The brachial artery
4. B · Nausea, vomiting, poor feeding and a slow heart rate
5. C · A written allergy action plan, with in-date auto-injectors and trained staff
6. C · Pulse, colour, warmth and sensation of the leg below the puncture site
7. D · Bring the child to hospital straight away for assessment and IV antibiotics
8. D · Symptoms can return even after recovery
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