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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a positive Brudzinski sign?
AThe pupils become unequal in size after a head injury
BBending the neck forward causes the hips and knees to flex
CThe toes fan out when the sole of the foot is stroked
DThe child cannot straighten the knee when the hip is flexed
2.Mudah
Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?
AImpetigo (staphylococcus)
BMeasles (rubeola virus)
CFifth disease (parvovirus B19)
DScarlet fever (group A streptococcus)
3.Mudah
Into which airway does an inhaled foreign body most often go?
ABoth main bronchi equally often
BThe right main bronchus
CThe left upper lobe bronchus
DThe left main bronchus
4.Sedang
Which snack is safest for a 2-year-old?
AA small bowl of popcorn
BWhole grapes from the fruit bowl
CA handful of whole peanuts
DSmall pieces of soft cooked vegetables
5.Sedang
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
AEpisodes of crying with red-currant jelly stools
BHigh fever with a stiff neck and a purple rash
CChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
DSudden projectile vomiting with a palpable olive-shaped mass
6.Sedang
Which instruction about a child's new plaster cast is correct?
APush a knitting needle inside the cast to scratch an itch
BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
CLet the child walk on a leg cast as soon as it is applied
DKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
7.Sulit
Seorang anak dirawat dengan demam, kaku kuduk, dan ruam yang tidak memucat saat ditekan. Tindakan mana yang menjadi prioritas?
AMemberikan antipiretik dan memeriksa ulang dalam 4 jam
BMemulai kewaspadaan droplet dan meminta penilaian dokter segera agar antibiotik tidak tertunda
CMenempatkan anak di ruang bersama anak-anak lain dan memeriksa ulang ruam serta suhu dalam 4 jam
DMenunggu pungsi lumbal sebelum terapi apa pun
8.Sulit
Seorang balita dengan krup kini mengalami stridor saat istirahat, gelisah, dan retraksi dada yang nyata. Apa prioritasnya?
ASegera mencari bantuan medis; ini adalah krup berat yang mungkin memerlukan epinefrin nebulisasi
BMemulangkan anak dengan obat batuk
CMemeriksa tenggorok dengan spatel lidah untuk mencari penyebab napas berbunyi
DMembaringkan anak datar untuk beristirahat
Kunci jawaban
1. B · Bending the neck forward causes the hips and knees to flex
2. C · Fifth disease (parvovirus B19)
3. B · The right main bronchus
4. D · Small pieces of soft cooked vegetables
5. C · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
6. B · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
7. B · Memulai kewaspadaan droplet dan meminta penilaian dokter segera agar antibiotik tidak tertunda
8. A · Segera mencari bantuan medis; ini adalah krup berat yang mungkin memerlukan epinefrin nebulisasi
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