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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
ABecause an undescended testis leads to kidney failure if left untreated
BTo stop the testis from producing too much testosterone in puberty
CBecause an undescended testis causes severe daily pain in infancy
DTo protect fertility and allow the testis to be checked for cancer
2.Mudah
What is the main feature of immune thrombocytopenia (ITP) in a child?
AA missing clotting factor with bleeding into joints
BA high red cell count with headache and flushing
CA low white cell count with repeated infections
DA low platelet count with bruising and petechiae
3.Mudah
Apa tujuan skrining bercak darah pada bayi baru lahir, misalnya untuk fenilketonuria?
AMendeteksi gangguan yang dapat diobati sejak dini, sebelum gejala muncul
BMemeriksa infeksi yang didapat saat persalinan
CMengetahui golongan darah bayi untuk transfusi
DMengukur simpanan zat besi bayi
4.Sedang
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
AChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
BSudden projectile vomiting with a palpable olive-shaped mass
CEpisodes of crying with red-currant jelly stools
DHigh fever with a stiff neck and a purple rash
5.Sedang
A child is sent home after a minor head injury. Which sign should parents report straight away?
ARepeated vomiting
BMild soreness at the site
CA small bump on the forehead
DWanting a nap at the usual time
6.Sedang
A child with ITP has a low platelet count. Which advice is correct?
ATake aspirin for any pain to thin the blood
BAvoid contact sports and medicines such as ibuprofen and aspirin
CPlay rugby and football as normal to stay active
DUse a hard toothbrush and floss firmly to keep the gums healthy
7.Sulit
A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?
ANephrotic syndrome
BHypospadias
CVesicoureteral reflux
DTesticular torsion on both sides
8.Sulit
Which finding in an infant with suspected reflux needs prompt medical review?
ASpitting up more after a large feed
BHiccups after feeds that settle on their own
CSmall posseting after feeds in a contented, growing baby
DPoor weight gain, refusing feeds and blood in the vomit
Kunci jawaban
1. D · To protect fertility and allow the testis to be checked for cancer
2. D · A low platelet count with bruising and petechiae
3. A · Mendeteksi gangguan yang dapat diobati sejak dini, sebelum gejala muncul
4. A · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
5. A · Repeated vomiting
6. B · Avoid contact sports and medicines such as ibuprofen and aspirin
7. C · Vesicoureteral reflux
8. D · Poor weight gain, refusing feeds and blood in the vomit
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