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Nama: ____________________ Tanggal: ____________
1.Mudah
At about what age does stranger anxiety usually begin in infants?
AAbout 2 to 3 years
BAbout 4 to 5 years
CAbout 6 to 8 months
DAbout 1 to 2 months
2.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 Eustachian tubes are shorter, wider and more horizontal
CTheir ear canals are longer and narrower than those of adults
DTheir eardrums are thicker and cannot move with pressure changes
3.Mudah
Seorang anak yang dijadwalkan vaksinasi menderita pilek ringan dengan suhu 37,8 °C. Apa prinsip umumnya?
AAnak harus minum antibiotik terlebih dahulu
BPenyakit ringan bukan alasan untuk menunda vaksinasi
CVaksin harus ditunda selama 4 minggu sampai anak sembuh
DAnak hanya boleh menerima setengah dosis
4.Sedang
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
AReassure the parents that this always resolves by school age
BCover the right eye with a patch at home without review
CRefer the baby to an eye specialist
DAdvise them to wait until the child can read letters
5.Sedang
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
AAvoid screen media, apart from video calls with family
BUp to 2 hours a day of educational TV programmes is beneficial for language
CBackground TV helps language development
DScreens are fine as long as the volume is low
6.Sedang
Which finding at a 2-year check most needs a speech and language referral?
AThe child prefers to play beside other toddlers
BThe child says "no" to most suggestions
CThe child uses about 50 words or more
DThe child is not yet combining any two words
7.Sulit
A 10-year-old has vomiting, abdominal pain, deep rapid breathing and a fruity smell on the breath. His blood glucose is very high. What is the most likely diagnosis?
AGastroenteritis
BDiabetic ketoacidosis
CAppendicitis
DAcute asthma attack with hyperventilation
8.Sulit
Seorang balita menelan baterai kancing 30 menit yang lalu dan tampak baik. Apa tindakan yang benar?
AMembuat balita muntah
BMenunggu baterai keluar secara alami dan memeriksa popok selama beberapa hari
CMemberi segelas susu dan mengamati di rumah
DMengatur transfer segera ke perawatan darurat untuk pencitraan dan pengangkatan
Kunci jawaban
1. C · About 6 to 8 months
2. B · Their Eustachian tubes are shorter, wider and more horizontal
3. B · Penyakit ringan bukan alasan untuk menunda vaksinasi
4. C · Refer the baby to an eye specialist
5. A · Avoid screen media, apart from video calls with family
6. D · The child is not yet combining any two words
7. B · Diabetic ketoacidosis
8. D · Mengatur transfer segera ke perawatan darurat untuk pencitraan dan pengangkatan
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