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Nama: ____________________ Tanggal: ____________
1.Mudah
Which symptom is typical of threadworm (pinworm) infection in a child?
AA red, ring-shaped rash on the scalp
BItching around the anus, especially at night
CVomiting after every meal for a week, with weight loss
DA high fever with bloody diarrhoea
2.Mudah
Where should a healthcare provider check for a pulse in an unresponsive infant?
AThe temporal artery
BThe carotid artery
CThe brachial artery
DThe radial artery
3.Mudah
How is Duchenne muscular dystrophy inherited?
AIt is not inherited and is caused by an infection
BX-linked recessive, so it mainly affects boys
CAutosomal recessive, mainly affecting girls
DAutosomal dominant, affecting both sexes equally
4.Sedang
A toddler with hand, foot and mouth disease refuses to drink because of painful mouth sores. What is the priority?
APreventing hair loss
BPreventing dehydration
CStarting antibiotics
DTreating the rash with steroid cream
5.Sedang
Which measure should be avoided in a sickle cell pain crisis?
AWarm packs and gentle positioning
BCold packs on the painful area
CRegular pain assessment and analgesia
DGenerous fluids by mouth or IV
6.Sedang
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
AAdvise them to wait until the child can read letters
BReassure the parents that this always resolves by school age
CCover the right eye with a patch at home without review
DRefer the baby to an eye specialist
7.Sulit
A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?
AIt lowers the red cell count and causes severe anaemia
BIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
CIt makes the blood even thicker and raises the risk of stroke and thrombosis
DIt causes the heart defect to close on its own
8.Sulit
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
AKeep them apart, not sharing rooms, equipment or play areas
BPut them in the same room so they can support each other
CAsk them to do their daily physiotherapy sessions together in the playroom
DLet them share airway clearance equipment to save resources
Kunci jawaban
1. B · Itching around the anus, especially at night
2. C · The brachial artery
3. B · X-linked recessive, so it mainly affects boys
4. B · Preventing dehydration
5. B · Cold packs on the painful area
6. D · Refer the baby to an eye specialist
7. C · It makes the blood even thicker and raises the risk of stroke and thrombosis
8. A · Keep them apart, not sharing rooms, equipment or play areas
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