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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the first-line treatment for anaphylaxis in a child?
AAn inhaled corticosteroid via a spacer
BAn oral antihistamine
CIM adrenaline (epinephrine)
DOral paracetamol (acetaminophen)
2.Makkelijk
What is usually the first sign of puberty in girls?
AFirst menstrual period
BUnderarm hair
CRapid weight loss
DBreast budding
3.Makkelijk
Which finding in the fingers is typical of long-standing cyanotic heart disease?
ASpoon-shaped, thin nails
BWebbing between the fingers
CClubbing of the fingertips
DSwan-neck deformity of the fingers
4.Gemiddeld
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
APlatelet count
BSerum amylase and lipase
CSerum bilirubin
DSerum potassium
5.Gemiddeld
Welke bevinding wijst op coarctatio aortae?
AEen blaffende hoest
BSterke femoralispulsaties met zwakke armpulsaties en een lagere bloeddruk in de armen
CHogere bloeddruk in de armen dan in de benen, met zwakke femoralispulsaties
DGelijke bloeddruk in alle ledematen
6.Gemiddeld
Which group of findings is typical in a teenager with severe anorexia nervosa?
ARapid growth, acne and an increased appetite
BSlow heart rate, low blood pressure and low body temperature
CWeight gain, oedema and high blood pressure
DFast heart rate, high blood pressure and a high fever
7.Moeilijk
An overweight 12-year-old has had a limp and knee pain for 3 weeks. The knee looks normal. What should the nurse suspect?
AJuvenile idiopathic arthritis of the knee
BSlipped capital femoral epiphysis
CGrowing pains
DOsgood–Schlatter disease
8.Moeilijk
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
ACompartment syndrome; report it at once
BNormal pain after a fracture; give more time
CItching under the cast; give an antihistamine
DAnxiety; distract the child with play
Antwoordenblad
1. C · IM adrenaline (epinephrine)
2. D · Breast budding
3. C · Clubbing of the fingertips
4. D · Serum potassium
5. C · Hogere bloeddruk in de armen dan in de benen, met zwakke femoralispulsaties
6. B · Slow heart rate, low blood pressure and low body temperature
7. B · Slipped capital femoral epiphysis
8. A · Compartment syndrome; report it at once
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