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How is sickle cell disease inherited?

1. AAutosomal dominant
2. BX-linked recessive
3. CAutosomal recessive
4. DNot inherited; it is acquired

What is Gowers' sign?

1. AA sudden startle with the arms flung outwards
2. BUsing the hands to "walk up" the legs to stand up from the floor
3. CFanning of the toes when the sole of the foot is stroked
4. DFlexing the hips and knees when the neck is bent forward by the examiner

At about what age can most children hop on one foot?

1. AAbout 18 months
2. BAbout 2 years
3. CAbout 8 years
4. DAbout 4 years

Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?

1. ASudden projectile vomiting with a palpable olive-shaped mass
2. BChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
3. CHigh fever with a stiff neck and a purple rash
4. DEpisodes of crying with red-currant jelly stools

Which early sign may tell a child with haemophilia that a joint bleed is starting?

1. AAn itchy feeling on the skin over the elbow
2. BA sudden fever with a rash
3. CA cold, pale hand or foot
4. DTingling or warmth in the joint

Which medicine may be used to close a patent ductus arteriosus in a preterm baby?

1. AIntravenous furosemide infusion
2. BSalbutamol
3. CProstaglandin E1
4. DIbuprofen or indomethacin

A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?

1. AAbout 104 mL per hour
2. BAbout 67 mL per hour
3. CAbout 50 mL per hour
4. DAbout 25 mL per hour

A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?

1. A"I carry my reliever inhaler with me everywhere I go."
2. B"I stop taking my preventer inhaler whenever I've had a few good days."
3. C"I use my spacer with my inhaler, even at school."
4. D"I rinse my mouth after using my preventer inhaler."