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Nama: ____________________ Tanggal: ____________
1.Mudah
How is Duchenne muscular dystrophy inherited?
AIt is not inherited and is caused by an infection
BAutosomal dominant, affecting both sexes equally
CX-linked recessive, so it mainly affects boys
DAutosomal recessive, mainly affecting girls
2.Mudah
At about what age can most children copy a circle with a crayon?
AAbout 6 years
BAbout 12 months
CAbout 3 years
DAbout 18 months
3.Mudah
Which symptom is typical of scabies?
APainless red patches that slowly spread outward over months
BDry, flaky scalp with dandruff but no itching
CIntense itching, worse at night, with burrows between the fingers
DLarge blisters on the soles of the feet after walking
4.Sedang
Why do young children with sickle cell disease usually take daily penicillin?
APenicillin stops red cells from changing shape
BSickle cells make the child allergic to most other antibiotics
CPoor spleen function puts them at high risk of pneumococcal infection
DPenicillin prevents pain crises in cold weather
5.Sedang
Which advice is first-line for a school-age child with functional constipation?
AMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
BDaily enemas given at home by the parents for several months, without other changes
CCutting out all fruit and vegetables to soften the stools
DAvoiding the toilet at school until the problem has settled
6.Sedang
Kumpulan temuan mana yang khas untuk sindrom nefrotik pada anak?
ADemam, nyeri saat buang air kecil, dan nyeri punggung
BProteinuria berat, albumin serum rendah, dan edema umum
CSering buang air kecil, haus, dan penurunan berat badan
DDarah dalam urine, tekanan darah tinggi, dan radang tenggorok baru-baru ini
7.Sulit
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
ATo cure the heart valve damage that has already occurred and let the valves heal completely
BTo prevent new strep infections that could cause further attacks and more valve damage
CTo reduce the joint pain that continues after the illness
DTo prevent common viral colds during the school year
8.Sulit
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
AStop all drinks after lunch and keep him in nappies
BWait, as no help is available until he is a teenager
CWake him every hour through the night and make him change his own sheets
DStop punishing him, praise dry nights and consider a bedwetting alarm
Kunci jawaban
1. C · X-linked recessive, so it mainly affects boys
2. C · About 3 years
3. C · Intense itching, worse at night, with burrows between the fingers
4. C · Poor spleen function puts them at high risk of pneumococcal infection
5. A · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
6. B · Proteinuria berat, albumin serum rendah, dan edema umum
7. B · To prevent new strep infections that could cause further attacks and more valve damage
8. D · Stop punishing him, praise dry nights and consider a bedwetting alarm
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