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Naam: ____________________ Datum: ____________
1.Makkelijk
Which chromosome pattern causes Turner syndrome?
AAn extra X chromosome (47,XXY) in a boy
BAn extra copy of chromosome 21
CAn extra copy of chromosome 18
DA single X chromosome (45,X) in a girl
2.Makkelijk
What is the first-line treatment for anaphylaxis in a child?
AAn inhaled corticosteroid via a spacer
BIM adrenaline (epinephrine)
COral paracetamol (acetaminophen)
DAn oral antihistamine
3.Makkelijk
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
AAn inactivated toxoid vaccine
BA conjugate polysaccharide vaccine
CAn mRNA vaccine
DA live attenuated vaccine
4.Gemiddeld
Which injury in an infant is most suggestive of physical abuse?
APosterior rib fractures
BA greenstick fracture of the forearm after a fall from a slide
CA scraped knee in a 3-year-old
DA bruise on the shin of a walking toddler
5.Gemiddeld
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
AStop all insulin until the child is eating normally again, then restart at the usual dose
BKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
CGive insulin only if the child is vomiting
DGive double the usual insulin to prevent ketones
6.Gemiddeld
Which signs in a 2-day-old baby suggest sepsis?
ASmall white spots on the nose and a pink face
BHiccups after feeds with a strong, lusty cry between feeds
CRegular feeding with six wet nappies a day
DUnstable temperature, poor feeding, lethargy and breathing difficulty
7.Moeilijk
A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?
AIt causes the heart defect to close on its own
BIt lowers the red cell count and causes severe anaemia
CIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
DIt makes the blood even thicker and raises the risk of stroke and thrombosis
8.Moeilijk
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
AA skin infection that looks like a burn
BPossible deliberate immersion; follow the safeguarding procedure
CSunburn from playing outside in a paddling pool on a hot day
DAn accidental spill from a cup of tea
Antwoordenblad
1. D · A single X chromosome (45,X) in a girl
2. B · IM adrenaline (epinephrine)
3. D · A live attenuated vaccine
4. A · Posterior rib fractures
5. B · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
6. D · Unstable temperature, poor feeding, lethargy and breathing difficulty
7. D · It makes the blood even thicker and raises the risk of stroke and thrombosis
8. B · Possible deliberate immersion; follow the safeguarding procedure
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