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Nama: ____________________ Tanggal: ____________
1.Mudah
Which finding suggests hydrocephalus in an infant?
AA flat area on the back of the head
BA rapidly increasing head circumference with a bulging fontanelle
CA small head with a closed fontanelle at birth
DA sunken fontanelle with dry mucous membranes and few wet nappies
2.Mudah
Into which airway does an inhaled foreign body most often go?
AThe left main bronchus
BThe left upper lobe bronchus
CThe right main bronchus
DBoth main bronchi equally often
3.Mudah
What is the Ortolani test used to detect in a newborn?
ADevelopmental dysplasia of the hip
BCongenital heart disease
CClubfoot (talipes)
DHearing loss
4.Sedang
Bagaimana larutan rehidrasi oral harus diberikan kepada anak dengan dehidrasi ringan sampai sedang yang muntah?
ASebagai satu kali minum besar setiap beberapa jam
BHanya setelah muntah berhenti selama 24 jam, untuk menghindari kehilangan lebih lanjut
CDicampur dengan jus buah untuk memperbaiki rasa
DDalam jumlah kecil, sering, misalnya dengan sendok atau semprit
5.Sedang
A child with a known peanut allergy is starting school. What is the most important step?
AAsking the child to tell the teachers if she feels unwell
BA written allergy action plan, with in-date auto-injectors and trained staff
CAllowing the child to eat only foods brought by classmates
DKeeping the auto-injector at home, so that it cannot be lost or misused by other children
6.Sedang
Which group of findings suggests Kawasaki disease?
ALow-grade fever, a barking cough and stridor that are worse at night
BFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
CHigh fever for 3 days, then a pink rash as the fever settles
DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
7.Sulit
A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?
AReport them straight away to the safeguarding team as suspected physical abuse
BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
DApply cold packs several times a day to reduce the discoloration
8.Sulit
A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?
ACholesterol
BBilirubin
CAmylase
DPhosphate
Kunci jawaban
1. B · A rapidly increasing head circumference with a bulging fontanelle
2. C · The right main bronchus
3. A · Developmental dysplasia of the hip
4. D · Dalam jumlah kecil, sering, misalnya dengan sendok atau semprit
5. B · A written allergy action plan, with in-date auto-injectors and trained staff
6. B · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
7. B · Document them with size and location as congenital dermal melanocytosis (Mongolian spots)
8. D · Phosphate
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