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Ad: ____________________ Tarih: ____________
1.Kolay
How much fluoride toothpaste is usually advised for a child under 3 years?
AA full strip along the length of the brush
BA pea-sized amount on a soft brush
CNone until all the baby teeth have come through
DA smear about the size of a grain of rice
2.Kolay
How is congenital clubfoot (talipes equinovarus) usually treated first?
AMassage alone, with no casts or braces
BGentle manipulation and serial casting (the Ponseti method)
CSpecial shoes worn only at night from age 5
DWaiting until school age and then operating on the bones of the foot
3.Kolay
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
ABecause an undescended testis leads to kidney failure if left untreated
BTo stop the testis from producing too much testosterone in puberty
CTo protect fertility and allow the testis to be checked for cancer
DBecause an undescended testis causes severe daily pain in infancy
4.Orta
How is urine output measured in an infant wearing nappies?
AWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
BSqueeze the nappy out into a measuring jug and read the volume
CCount only the number of nappy changes in each shift
DEstimate it from how heavy the nappy feels in the hand
5.Orta
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
AInject it into the buttock muscle and then let the child walk it off at home
BUse it only after an antihistamine has failed to work
CInject into the outer thigh, through clothing if needed, and call emergency services
DInject into the upper arm muscle, but only after removing all the clothing first
6.Orta
Which snack is safest for a 2-year-old?
AA handful of whole peanuts
BSmall pieces of soft cooked vegetables
CA small bowl of popcorn
DWhole grapes from the fruit bowl
7.Zor
The nurse has taught the family of a 7-year-old with coeliac disease. Which statement shows a need for further teaching?
A"We will use a separate toaster for his gluten-free bread."
B"Plain rice and potatoes are fine for him."
C"We will check food labels for wheat, barley and rye."
D"He can eat normal bread at weekends if he's strict in the week."
8.Zor
A 6-year-old has threadworms. Which plan is correct?
AThrow away all the child's clothes and bedding
BTreat the whole household, with hand washing, short nails and a morning wash
CTreat only if the child also has a fever
DTreat only the child and keep him off school for two weeks until the itching settles
Cevap anahtarı
1. D · A smear about the size of a grain of rice
2. B · Gentle manipulation and serial casting (the Ponseti method)
3. C · To protect fertility and allow the testis to be checked for cancer
4. A · Weigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
5. C · Inject into the outer thigh, through clothing if needed, and call emergency services
6. B · Small pieces of soft cooked vegetables
7. D · "He can eat normal bread at weekends if he's strict in the week."
8. B · Treat the whole household, with hand washing, short nails and a morning wash
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