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Nama: ____________________ Tanggal: ____________
1.Mudah
Which four features make up tetralogy of Fallot?
AVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
BVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
CPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
DASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
2.Mudah
What does the HbA1c blood test show in a child with diabetes?
AThe amount of insulin the pancreas is making on the day of the test
BThe average blood glucose over about the past 2–3 months
CThe blood glucose at the exact moment of the test
DWhether ketones are present in the blood right now
3.Mudah
Which sign may be the first clue to retinoblastoma in a young child?
ATears running down the cheek on one side
BRed, itchy eyes with a sticky yellow discharge
CA white pupil in photos instead of the usual red reflex
DA droopy upper eyelid that appears after a cold
4.Sedang
Which finding suggests repeated self-induced vomiting?
AYellow skin, itching and dark urine
BCalluses on the knuckles and loss of tooth enamel
CA butterfly rash on the cheeks and patchy hair loss
DSwelling of the ankles and puffy eyes
5.Sedang
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
AOnly at night, when the child is asleep
BBefore the chemotherapy starts and then regularly
COnly after the child has already vomited at least twice
DOnly if the child asks for it
6.Sedang
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
AClean intermittent catheterisation
BWaiting for bladder control to develop naturally
CRestricting fluids to reduce urine volume
DA permanent catheter left in place for life
7.Sulit
Why is a pertussis (whooping cough) vaccine recommended during pregnancy?
AIt prevents the mother from passing pertussis to the baby through breast milk
BIt protects the fetus from developing heart defects
CIt replaces the need for the baby's own pertussis vaccines
DThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
8.Sulit
Seorang anak berusia 10 tahun dengan dugaan apendisitis mengalami nyeri perut hebat, tetapi tiba-tiba nyeri banyak berkurang. Apa artinya?
AApendiks mungkin telah perforasi; laporkan segera
BIni perubahan normal yang tidak memerlukan tindak lanjut
CObat pereda nyeri telah menyembuhkan masalahnya
DApendisitis telah sembuh dan anak dapat pulang
Kunci jawaban
1. B · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
2. B · The average blood glucose over about the past 2–3 months
3. C · A white pupil in photos instead of the usual red reflex
4. B · Calluses on the knuckles and loss of tooth enamel
5. B · Before the chemotherapy starts and then regularly
6. A · Clean intermittent catheterisation
7. D · The mother's antibodies cross the placenta and protect the baby in the first weeks of life
8. A · Apendiks mungkin telah perforasi; laporkan segera
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