1.Easy
Which symptom is typical of scabies?
- ADry, flaky scalp with dandruff but no itching
- BLarge blisters on the soles of the feet after walking
- CPainless red patches that slowly spread outward over months
- DIntense itching, worse at night, with burrows between the fingers
2.Easy
What is the usual normal range for the platelet count?
- AAbout 4 to 11 × 109/L
- BAbout 15 to 40 × 109/L
- CAbout 150 to 400 × 109/L
- DAbout 1,500 to 4,000 × 109/L
3.Easy
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ABecause the heart makes red blood cells
- BBecause the spleen stops working
- CBecause of too much iron in the diet
- DTo compensate for chronic hypoxia
4.Medium
A child is due several different vaccines at the same visit. What is the general principle?
- AAll vaccines should be mixed in one syringe
- BThey can be given at the same visit, at separate injection sites
- COnly one vaccine may be given per month
- DThe child should be given half doses of each, spread across several weeks
5.Medium
A 5-week-old baby has forceful (projectile) vomiting after every feed and seems hungry afterwards. What is the likely cause?
- APyloric stenosis
- BIntussusception
- CHirschsprung disease
- DGastro-oesophageal reflux that is normal for age
6.Medium
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
- AEpisodes of crying with red-currant jelly stools
- BSudden projectile vomiting with a palpable olive-shaped mass
- CChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- DHigh fever with a stiff neck and a purple rash
7.Hard
A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?
- AHypospadias
- BTesticular torsion on both sides
- CVesicoureteral reflux
- DNephrotic syndrome
8.Hard
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
- AAllow them to stay only if they help with the compressions
- BAllow them to stay if they wish, with a staff member to support and explain
- CAsk them to leave, because their presence always harms the team's work
- DTell them to wait outside in the corridor until the resuscitation is over
Answer key
- 1. D · Intense itching, worse at night, with burrows between the fingers
- 2. C · About 150 to 400 × 109/L
- 3. D · To compensate for chronic hypoxia
- 4. B · They can be given at the same visit, at separate injection sites
- 5. A · Pyloric stenosis
- 6. C · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- 7. C · Vesicoureteral reflux
- 8. B · Allow them to stay if they wish, with a staff member to support and explain
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