1.Easy
What is cerebral palsy?
- AA non-progressive disorder of movement and posture from damage to the developing brain
- BA progressive muscle disease in which muscle fibres are slowly replaced by fat
- CAn infection of the spinal cord that causes sudden paralysis of the legs
- DA genetic disorder of collagen that makes the bones break easily
2.Easy
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
- AAxillary, with an electronic thermometer
- BOral, under the tongue
- CBy touching the forehead with a hand
- DRectal, with a glass mercury thermometer
3.Easy
Which four features make up tetralogy of Fallot?
- AVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
- BASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
- CPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
- DVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
4.Medium
Which instruction about a child's new plaster cast is correct?
- ALet the child walk on a leg cast as soon as it is applied
- BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
- CKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
- DPush a knitting needle inside the cast to scratch an itch
5.Medium
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AA topical antifungal cream alone
- BOral antibiotics such as amoxicillin
- CAn oral antifungal medicine
- DShaving the head, with no medicine
6.Medium
What is the main purpose of medical play with a doll and real equipment before surgery?
- ATo teach the child how the surgeons will do the operation
- BTo test the child's intelligence
- CTo keep the child busy so the nurse can do other work
- DTo let the child express fears and gain a sense of control
7.Hard
The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?
- AHe is copying behaviour from other children in his class
- BHe has developed attention deficit hyperactivity disorder and needs medicine
- CHe may feel worried, jealous or left out and needs attention and information
- DIt is unrelated to the illness and is normal for his age
8.Hard
A 5-week-old with pyloric stenosis is scheduled for surgery. Blood tests show low chloride and a metabolic alkalosis. What is the priority before surgery?
- ATake the baby to theatre immediately
- BCorrect the dehydration and electrolyte imbalance with IV fluids as prescribed
- CGive large milk feeds before theatre to build up the baby's strength and weight
- DGive an antacid
Answer key
- 1. A · A non-progressive disorder of movement and posture from damage to the developing brain
- 2. A · Axillary, with an electronic thermometer
- 3. D · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- 4. B · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 5. C · An oral antifungal medicine
- 6. D · To let the child express fears and gain a sense of control
- 7. C · He may feel worried, jealous or left out and needs attention and information
- 8. B · Correct the dehydration and electrolyte imbalance with IV fluids as prescribed
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