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Name: ____________________ Date: ____________
1.Easy
Which teething remedy is generally recommended for infants?
AA clean, chilled (not frozen) teething ring
BA gel containing the local anaesthetic benzocaine
CAn amber teething necklace worn day and night
DRubbing honey on the gums before sleep
2.Easy
Which measure is a mainstay of daily eczema care?
AApplying emollients generously and often, even when the skin looks clear
BTaking long, hot baths with bubble bath every evening
CUsing perfumed soap twice a day to remove bacteria from the skin surface
DApplying emollients only when the skin is very inflamed
3.Easy
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
ATo stop the testis from producing too much testosterone in puberty
BBecause an undescended testis leads to kidney failure if left untreated
CTo protect fertility and allow the testis to be checked for cancer
DBecause an undescended testis causes severe daily pain in infancy
4.Medium
A child with suspected epiglottitis is drooling and sitting forward. Which action must be avoided?
ACalling a team skilled in airway management
BKeeping the child with a parent
CExamining the throat with a tongue depressor
DAllowing the child to sit in the position they choose
5.Medium
Which is the most accurate way to monitor fluid status in an infant with gastroenteritis?
AMeasuring head circumference
BAsking the parent each day whether the child seems thirsty or tired
CChecking hair texture
DDaily weight on the same scale, together with wet nappy counts
6.Medium
Which injury in an infant is most suggestive of physical abuse?
AA scraped knee in a 3-year-old
BPosterior rib fractures
CA bruise on the shin of a walking toddler
DA greenstick fracture of the forearm after a fall from a slide
7.Hard
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
AArm floats whenever the child is near the pool
BExplaining to the child that the pool is dangerous
CSwimming lessons from age 2, so that close supervision is no longer needed
DA four-sided fence with a self-closing, self-latching gate, plus constant supervision
8.Hard
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
ANormal findings in a toddler who is upset
BShock is unlikely while the blood pressure is normal
CCompensated shock that needs urgent treatment
DMild dehydration that only needs a drink
Answer key
1. A · A clean, chilled (not frozen) teething ring
2. A · Applying emollients generously and often, even when the skin looks clear
3. C · To protect fertility and allow the testis to be checked for cancer
4. C · Examining the throat with a tongue depressor
5. D · Daily weight on the same scale, together with wet nappy counts
6. B · Posterior rib fractures
7. D · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
8. C · Compensated shock that needs urgent treatment
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