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Naam: ____________________ Datum: ____________
1.Makkelijk
Which newborn scalp swelling typically crosses the suture lines?
ACraniosynostosis
BCephalohaematoma
CCaput succedaneum
DPositional plagiocephaly
2.Makkelijk
How is congenital clubfoot (talipes equinovarus) usually treated first?
AWaiting until school age and then operating on the bones of the foot
BSpecial shoes worn only at night from age 5
CGentle manipulation and serial casting (the Ponseti method)
DMassage alone, with no casts or braces
3.Makkelijk
In an asthma action plan based on peak flow, what does the green zone mean?
AStop the preventer because it is no longer needed
BThis is an emergency; call for help at once
CAsthma is under control; continue usual treatment
DUse the reliever more often and contact the doctor today
4.Gemiddeld
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
AA permanent catheter left in place for life
BClean intermittent catheterisation
CRestricting fluids to reduce urine volume
DWaiting for bladder control to develop naturally
5.Gemiddeld
Which instruction about giving oral liquid iron to a child is correct?
AGive it mixed in a full bottle of milk to reduce stomach upset
BGive it together with an antacid to protect the stomach
CGive it with a syringe or straw towards the back of the mouth; dark stools are expected
DStop the iron straight away if the stools turn dark green or black, as this means bleeding
6.Gemiddeld
When is the risk of bleeding after a tonsillectomy highest?
AOnly during the first 2 hours after surgery
BOnly after 3 weeks, when the throat is fully healed
CIn the first 24 hours and again about 5 to 10 days later
DThe risk stays exactly the same on every day for the first month
7.Moeilijk
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
AIt triggers a severe allergic reaction to the virus
BIt makes the child immune to all future crises
CIt can stop red cell production for days and cause severe anaemia
DIt causes the sickle gene to become active in the child
8.Moeilijk
Welke bevinding bij een kind met een ventriculoperitoneale shunt vraagt om onmiddellijke opvolging?
ANormale eetlust en spel
BHoofdpijn, herhaald braken en toenemende sufheid
CEen kleine, zachte bult boven het ventiel die onveranderd is
DEen genezen litteken langs het shuntverloop
Antwoordenblad
1. C · Caput succedaneum
2. C · Gentle manipulation and serial casting (the Ponseti method)
3. C · Asthma is under control; continue usual treatment
4. B · Clean intermittent catheterisation
5. C · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
6. C · In the first 24 hours and again about 5 to 10 days later
7. C · It can stop red cell production for days and cause severe anaemia
8. B · Hoofdpijn, herhaald braken en toenemende sufheid
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