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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the most common cause of Down syndrome?
AA missing X chromosome in a girl
BInfection with rubella in early pregnancy
CA single gene inherited from both carrier parents
DAn extra copy of chromosome 21 (trisomy 21)
2.Mudah
Why must a toddler never be left alone in the bath, even for a moment?
AThe bath water cools quickly and causes hypothermia
BA young child can drown silently in a few centimetres of water
CSoap left on the skin irritates a toddler's skin
DA toddler left alone gets bored, cries and tries to climb out of the bath
3.Mudah
Which congenital heart defect causes cyanosis?
ASmall ventricular septal defect with a left-to-right shunt
BAtrial septal defect
CTransposition of the great arteries
DPatent ductus arteriosus
4.Sedang
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
AIt kills bacteria in the blood and prevents infections
BIt increases fetal haemoglobin, which reduces sickling
CIt replaces the missing clotting factors
DIt removes extra iron after blood transfusions
5.Sedang
Which advice is first-line for a school-age child with functional constipation?
ADaily enemas given at home by the parents for several months, without other changes
BMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
CCutting out all fruit and vegetables to soften the stools
DAvoiding the toilet at school until the problem has settled
6.Sedang
Tindakan mana yang menjadi inti penatalaksanaan krisis vaso-oklusif (nyeri) pada penyakit sel sabit?
ASuplemen zat besi
BPembatasan cairan untuk melindungi ginjal dan kompres dingin pada area yang nyeri
CCairan, pereda nyeri yang efektif, dan oksigen bila anak hipoksia
DTirah baring ketat tanpa analgesik
7.Sulit
Which finding at a 6-month check most needs referral?
AThe baby is not crawling yet
BThe baby is wary of a stranger
CThe baby does not turn towards sounds or voices
DThe baby puts every toy and object into the mouth
8.Sulit
Seorang bayi berusia 6 bulan yang sadar tersedak dan tidak dapat menangis atau batuk. Teknik mana yang tepat?
AHentakan perut
BHingga 5 tepukan punggung diikuti hingga 5 tekanan dada
CMengorek mulut dengan jari secara buta
DMemegang bayi terbalik pada pergelangan kakinya dan mengguncangnya
Kunci jawaban
1. D · An extra copy of chromosome 21 (trisomy 21)
2. B · A young child can drown silently in a few centimetres of water
3. C · Transposition of the great arteries
4. B · It increases fetal haemoglobin, which reduces sickling
5. B · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
6. C · Cairan, pereda nyeri yang efektif, dan oksigen bila anak hipoksia
7. C · The baby does not turn towards sounds or voices
8. B · Hingga 5 tepukan punggung diikuti hingga 5 tekanan dada
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