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Naam: ____________________ Datum: ____________
1.Makkelijk
Which finding in the fingers is typical of long-standing cyanotic heart disease?
AClubbing of the fingertips
BSpoon-shaped, thin nails
CWebbing between the fingers
DSwan-neck deformity of the fingers
2.Makkelijk
What does the HbA1c blood test show in a child with diabetes?
AThe average blood glucose over about the past 2–3 months
BThe amount of insulin the pancreas is making on the day of the test
CWhether ketones are present in the blood right now
DThe blood glucose at the exact moment of the test
3.Makkelijk
Which symptom is typical of threadworm (pinworm) infection in a child?
AItching around the anus, especially at night
BA high fever with bloody diarrhoea
CVomiting after every meal for a week, with weight loss
DA red, ring-shaped rash on the scalp
4.Gemiddeld
At about what age do most children understand that death is permanent and happens to everyone?
AAbout 4 years
BAbout 2 years
CNot until about 18 years
DAbout 9 to 10 years
5.Gemiddeld
Welke bevinding wijst op coarctatio aortae?
AGelijke bloeddruk in alle ledematen
BHogere bloeddruk in de armen dan in de benen, met zwakke femoralispulsaties
CEen blaffende hoest
DSterke femoralispulsaties met zwakke armpulsaties en een lagere bloeddruk in de armen
6.Gemiddeld
Welke voorzorgsmaatregel geldt voor een kind met hemofilie?
AAcetylsalicylzuur geven tegen pijn
BWarmte toepassen op een bloedend gewricht
CIntramusculaire injecties en rectale temperaturen zo mogelijk vermijden
DContactsporten zoals rugby aanmoedigen om gewrichten en spieren te versterken
7.Moeilijk
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
AAsk detailed, leading questions to find out exactly what happened
BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
CPhone the uncle straight away to ask for his side of the story before reporting anything
DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
8.Moeilijk
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
AIt causes the sickle gene to become active in the child
BIt makes the child immune to all future crises
CIt can stop red cell production for days and cause severe anaemia
DIt triggers a severe allergic reaction to the virus
Antwoordenblad
1. A · Clubbing of the fingertips
2. A · The average blood glucose over about the past 2–3 months
3. A · Itching around the anus, especially at night
4. D · About 9 to 10 years
5. B · Hogere bloeddruk in de armen dan in de benen, met zwakke femoralispulsaties
6. C · Intramusculaire injecties en rectale temperaturen zo mogelijk vermijden
7. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
8. C · It can stop red cell production for days and cause severe anaemia
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