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Naam: ____________________ Datum: ____________
1.Makkelijk
For which child is a 0 to 10 numerical pain rating scale usually suitable?
AA 2-year-old with a recent fracture
BA newborn after a heel prick
CA child of about 8 years or older
DA 3-year-old who cannot yet count
2.Makkelijk
Into which airway does an inhaled foreign body most often go?
AThe left main bronchus
BThe right main bronchus
CBoth main bronchi equally often
DThe left upper lobe bronchus
3.Makkelijk
What is the most common cause of Down syndrome?
AInfection with rubella in early pregnancy
BA single gene inherited from both carrier parents
CAn extra copy of chromosome 21 (trisomy 21)
DA missing X chromosome in a girl
4.Gemiddeld
A child with a known peanut allergy is starting school. What is the most important step?
AAllowing the child to eat only foods brought by classmates
BAsking the child to tell the teachers if she feels unwell
CKeeping the auto-injector at home, so that it cannot be lost or misused by other children
DA written allergy action plan, with in-date auto-injectors and trained staff
5.Gemiddeld
Which statement about patient-controlled analgesia (PCA) for a child is correct?
AParents should press the button whenever the child is asleep
BAny visitor may press it if the child seems uncomfortable
CThe nurse should press it every 5 minutes, day and night, to keep the pain away
DOnly the child presses the button, unless a protocol says otherwise
6.Gemiddeld
Een kind van 9 maanden heeft aanvallen van hevig huilen met opgetrokken knieën en heeft ontlasting die eruitziet als aalbessengelei. Wat is de waarschijnlijke oorzaak?
ACoeliakie
BPylorusstenose
CInvaginatie
DObstipatie
7.Moeilijk
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
BApply cold packs several times a day to reduce the discoloration
CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
DDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
8.Moeilijk
A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?
AExplore her reasons and plan treatment with her that fits her daily life
BTell her parents to supervise every session until she is 18
CStop the physiotherapy, since she does not want it
DWarn her firmly that she will die soon if she does not do what she is told
Antwoordenblad
1. C · A child of about 8 years or older
2. B · The right main bronchus
3. C · An extra copy of chromosome 21 (trisomy 21)
4. D · A written allergy action plan, with in-date auto-injectors and trained staff
5. D · Only the child presses the button, unless a protocol says otherwise
6. C · Invaginatie
7. D · Document them with size and location as congenital dermal melanocytosis (Mongolian spots)
8. A · Explore her reasons and plan treatment with her that fits her daily life
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