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Nama: ____________________ Tanggal: ____________
1.Mudah
Which finding is typical of impetigo?
AHoney-coloured crusts, often around the nose and mouth
BTiny burrows between the fingers
CA target-shaped rash with a dusky, pale centre on the palms
DSilvery scales on the elbows and knees
2.Mudah
Which congenital heart defect causes cyanosis?
ATransposition of the great arteries
BSmall ventricular septal defect with a left-to-right shunt
CPatent ductus arteriosus
DAtrial septal defect
3.Mudah
Why are children with spina bifida often cared for with latex-free equipment?
ALatex causes neural tube defects
BLatex damages the skin over the spine
CThey have a high risk of latex allergy
DLatex particles can block the shunt in the brain
4.Sedang
Anak mana yang umumnya tidak boleh menerima vaksin hidup seperti MMR?
AAnak yang saudaranya sedang pilek
BAnak yang sedang minum antibiotik oral untuk infeksi telinga tanpa komplikasi
CAnak dengan supresi imun berat, misalnya selama kemoterapi
DAnak dengan pilek ringan
5.Sedang
Mengapa aspirin digunakan pada penyakit Kawasaki padahal biasanya dihindari pada anak?
AMencegah sindrom Reye
BMenyembuhkan infeksi yang menyebabkan penyakit tersebut
CMengurangi peradangan dan risiko bekuan pada arteri koroner, di bawah pengawasan spesialis
DDigunakan hanya sebagai pereda nyeri untuk ruam dan nyeri sendi, dan dihentikan setelah demam mereda
6.Sedang
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
AContinue breastfeeding, and give oral rehydration solution as advised
BStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
CGive diluted fruit juice instead of breast milk
DGive nothing by mouth for 24 hours
7.Sulit
A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?
ANo, because paracetamol can cause febrile seizures
BYes, but only if a cold bath is given at the same time
CYes; giving it every 4 hours during a fever will always prevent seizures
DNo; it may ease discomfort but does not prevent febrile seizures
8.Sulit
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
AThe burned skin looks less red and the blisters are smaller
BThe blood pressure is in the high range
CA urine output of about 1 mL/kg per hour
DThe child is asking for a drink
Kunci jawaban
1. A · Honey-coloured crusts, often around the nose and mouth
2. A · Transposition of the great arteries
3. C · They have a high risk of latex allergy
4. C · Anak dengan supresi imun berat, misalnya selama kemoterapi
5. C · Mengurangi peradangan dan risiko bekuan pada arteri koroner, di bawah pengawasan spesialis
6. A · Continue breastfeeding, and give oral rehydration solution as advised
7. D · No; it may ease discomfort but does not prevent febrile seizures
8. C · A urine output of about 1 mL/kg per hour
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