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Nama: ____________________ Tanggal: ____________
1.Mudah
Which grains must a child with coeliac disease avoid?
ABuckwheat, millet and rice
BRice, maize and potato starch
CWheat, barley and rye
DQuinoa, maize and sorghum
2.Mudah
How should jaundice that first appears within the first 24 hours of life be regarded?
AAs breast milk jaundice that is best treated by stopping breastfeeding
BAs pathological until proven otherwise; it needs prompt evaluation
CAs harmless as long as the baby is feeding well
DAs normal physiological jaundice that needs no follow-up
3.Mudah
Which food is a good source of iron for a toddler?
APlain white rice and pasta
BApple juice with every meal
CLarge amounts of cow's milk
DLean red meat or iron-fortified cereal
4.Sedang
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
ASudden projectile vomiting with a palpable olive-shaped mass
BChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
CHigh fever with a stiff neck and a purple rash
DEpisodes of crying with red-currant jelly stools
5.Sedang
Seorang anak dengan dugaan epiglotitis mengeluarkan air liur dan duduk condong ke depan. Tindakan mana yang harus dihindari?
AMemanggil tim yang terampil dalam penanganan jalan napas
BMembiarkan anak tetap bersama orang tua
CMembiarkan anak duduk dalam posisi yang dipilihnya
DMemeriksa tenggorok dengan spatel lidah
6.Sedang
Mana yang merupakan kontraindikasi sebenarnya untuk dosis lanjutan vaksin yang sama?
ADemam derajat rendah setelah dosis sebelumnya
BAnafilaksis setelah dosis sebelumnya dari vaksin tersebut
CRiwayat alergi dalam keluarga
DKemerahan dan nyeri di tempat suntikan setelah dosis sebelumnya
7.Sulit
A 5-year-old with leukaemia tells the nurse she is ill because she was naughty. What is the best response?
AAgree that being good may help her get better faster
BExplain the cell biology of leukaemia to her in detail
CReassure her clearly that nothing she did or thought made her ill
DIgnore the remark, as she is too young to understand
8.Sulit
A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?
AMigraine caused by stress at school
BA need for new glasses because of eye strain
CA brain tumour with raised intracranial pressure
DViral gastroenteritis
Kunci jawaban
1. C · Wheat, barley and rye
2. B · As pathological until proven otherwise; it needs prompt evaluation
3. D · Lean red meat or iron-fortified cereal
4. B · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
5. D · Memeriksa tenggorok dengan spatel lidah
6. B · Anafilaksis setelah dosis sebelumnya dari vaksin tersebut
7. C · Reassure her clearly that nothing she did or thought made her ill
8. C · A brain tumour with raised intracranial pressure
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