1.Easy
By about what age does the posterior fontanelle usually close?
- ABy about 3 years
- BBy about 12 months
- CBy about 2 months
- DBy about 18 months
2.Easy
Which is the most common type of cancer in children?
- AWilms tumour of the kidney
- BAcute lymphoblastic leukaemia
- CRetinoblastoma of the eye
- DOsteosarcoma of the long bones
3.Easy
Which pattern is typical of roseola infantum?
- AHigh fever for a few days, then a pink rash as the fever settles
- BA bright red rash on both cheeks, like a slap
- CItchy blisters in crops that crust over within days
- DA rash that appears first, followed by a whole week of high fever and cough
4.Medium
A toddler with hand, foot and mouth disease refuses to drink because of painful mouth sores. What is the priority?
- APreventing hair loss
- BTreating the rash with steroid cream
- CStarting antibiotics
- DPreventing dehydration
5.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly when the baby reaches 2 months corrected age
- BOnly after the first birthday
- CNow, according to the baby's chronological age
- DOnly after the baby weighs 5 kg
6.Medium
Which instruction about giving oral liquid iron to a child is correct?
- AStop the iron straight away if the stools turn dark green or black, as this means bleeding
- BGive it mixed in a full bottle of milk to reduce stomach upset
- CGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- DGive it together with an antacid to protect the stomach
7.Hard
A 15-year-old asks the nurse to keep her sexual activity confidential from her parents. There are no signs of abuse or risk of serious harm. What is the most appropriate response?
- ARefuse to discuss it until her parents are present
- BPromise that nothing she says will ever be shared with anyone, whatever she discloses in the future
- CTell her parents straight away
- DRespect her confidentiality, give information and explain when information would have to be shared
8.Hard
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
- ATo close the ductus arteriosus and send all blood through the lungs
- BTo strengthen heart muscle contraction and raise blood pressure
- CTo dilate the airways so that oxygen can reach the alveoli
- DTo keep the ductus arteriosus open so that the two circulations can mix
Answer key
- 1. C · By about 2 months
- 2. B · Acute lymphoblastic leukaemia
- 3. A · High fever for a few days, then a pink rash as the fever settles
- 4. D · Preventing dehydration
- 5. C · Now, according to the baby's chronological age
- 6. C · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 7. D · Respect her confidentiality, give information and explain when information would have to be shared
- 8. D · To keep the ductus arteriosus open so that the two circulations can mix
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