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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are infants and young children more likely than adults to get middle ear infections (otitis media)?
AThey make more earwax, which traps bacteria in the middle ear
BTheir ear canals are longer and narrower than those of adults
CTheir eardrums are thicker and cannot move with pressure changes
DTheir Eustachian tubes are shorter, wider and more horizontal
2.Mudah
Which four features make up tetralogy of Fallot?
AASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
BVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
CPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
DVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
3.Mudah
How should liquid medicine be given to an infant?
AMixed into a full bottle of milk
BWith a household teaspoon from the kitchen drawer
CSlowly, by oral syringe, into the cheek
DQuickly with a syringe aimed at the back of the throat
4.Sedang
Seorang anak dengan distres pernapasan menjadi bradikardia. Apa artinya?
AEfek samping terapi oksigen
BTanda hipoksia berat dan kemungkinan henti jantung yang akan segera terjadi
CAnak sedang pulih dan menjadi tenang
DRespons normal terhadap tidur
5.Sedang
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
AThe reading will be accurate but slower to obtain
BThe reading will be falsely high
CThe cuff will not inflate at all
DThe reading will be falsely low
6.Sedang
Which signs suggest hypoglycaemia in a young child with diabetes?
AThirst, passing large amounts of urine and a fruity breath smell
BShakiness, sweating, pallor and a sudden change in behaviour
CA slow onset of dry skin and flushed cheeks over several days
DDeep, rapid breathing with abdominal pain and vomiting
7.Sulit
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
AWithout early treatment it can cause lasting learning disability and poor growth
BTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
CThe baby will develop diabetes if the thyroid is not treated now
DThe baby could pass the condition to other children in the family
8.Sulit
Why does a child with juvenile idiopathic arthritis need regular eye examinations?
AThe joints of the eye socket are affected by arthritis
BArthritis drugs always cause cataracts within a year
CEye checks are only needed if the child already wears glasses for short sight
DUveitis can develop without symptoms and damage vision
Kunci jawaban
1. D · Their Eustachian tubes are shorter, wider and more horizontal
2. B · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
3. C · Slowly, by oral syringe, into the cheek
4. B · Tanda hipoksia berat dan kemungkinan henti jantung yang akan segera terjadi
5. B · The reading will be falsely high
6. B · Shakiness, sweating, pallor and a sudden change in behaviour
7. A · Without early treatment it can cause lasting learning disability and poor growth
8. D · Uveitis can develop without symptoms and damage vision
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