1.Easy
How is congenital hypothyroidism treated?
- AAn iodine-free diet from birth
- BA single dose of radioactive iodine
- CDaily levothyroxine, usually for life
- DRemoval of the thyroid gland in infancy
2.Easy
How deep should chest compressions be during CPR on a child?
- AAs deep as possible, until the ribs can be felt to give
- BAbout one tenth of the depth of the chest
- CAt least one third of the depth of the chest
- DJust enough to see the chest move slightly
3.Easy
What is usually the first sign of puberty in girls?
- AFirst menstrual period
- BRapid weight loss
- CBreast budding
- DUnderarm hair
4.Medium
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
- AInject into the outer thigh, through clothing if needed, and call emergency services
- BInject it into the buttock muscle and then let the child walk it off at home
- CInject into the upper arm muscle, but only after removing all the clothing first
- DUse it only after an antihistamine has failed to work
5.Medium
What is "assent" in children's care?
- AA form that lets the hospital treat any child without parental consent
- BThe doctor's decision about which treatment is best
- CThe legal consent signed by the parent for surgery
- DThe child's agreement to care, sought alongside the parents' consent
6.Medium
A child with tetralogy of Fallot suddenly becomes very blue and breathless while crying. Which position helps?
- AKnee–chest position (or squatting)
- BFlat on the back
- CHead-down tilt
- DSitting with the legs hanging down
7.Hard
A 6-year-old has threadworms. Which plan is correct?
- ATreat only if the child also has a fever
- BTreat only the child and keep him off school for two weeks until the itching settles
- CTreat the whole household, with hand washing, short nails and a morning wash
- DThrow away all the child's clothes and bedding
8.Hard
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AStop all drinks after lunch and keep him in nappies
- BWait, as no help is available until he is a teenager
- CWake him every hour through the night and make him change his own sheets
- DStop punishing him, praise dry nights and consider a bedwetting alarm
Answer key
- 1. C · Daily levothyroxine, usually for life
- 2. C · At least one third of the depth of the chest
- 3. C · Breast budding
- 4. A · Inject into the outer thigh, through clothing if needed, and call emergency services
- 5. D · The child's agreement to care, sought alongside the parents' consent
- 6. A · Knee–chest position (or squatting)
- 7. C · Treat the whole household, with hand washing, short nails and a morning wash
- 8. D · Stop punishing him, praise dry nights and consider a bedwetting alarm
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