1.Easy
Which is the most common type of cancer in children?
- AOsteosarcoma of the long bones
- BAcute lymphoblastic leukaemia
- CRetinoblastoma of the eye
- DWilms tumour of the kidney
2.Easy
What is the recommended chest compression rate during CPR on a child or infant?
- A30 to 40 per minute
- B60 to 80 per minute
- C140 to 160 per minute
- D100 to 120 per minute
3.Easy
What is the HEADSS (or HEEADSSS) assessment used for?
- AA structured psychosocial interview with adolescents
- BA pain score for children who cannot speak
- CA screening test for newborn hearing before discharge
- DA scale for scoring dehydration in infants
4.Medium
In a child with hypovolaemic shock, which finding is usually a late sign?
- ALow blood pressure
- BCool extremities
- CProlonged capillary refill
- DTachycardia
5.Medium
Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?
- AIt counts the number of blisters on the body
- BIt is mainly used for small burns of the hands, feet and face in children
- CIt measures the depth of the burn rather than its area
- DIt adjusts for the larger head and smaller legs of young children
6.Medium
Which group of findings is typical in a teenager with severe anorexia nervosa?
- ARapid growth, acne and an increased appetite
- BSlow heart rate, low blood pressure and low body temperature
- CWeight gain, oedema and high blood pressure
- DFast heart rate, high blood pressure and a high fever
7.Hard
A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?
- AExplore her reasons and plan treatment with her that fits her daily life
- BWarn her firmly that she will die soon if she does not do what she is told
- CTell her parents to supervise every session until she is 18
- DStop the physiotherapy, since she does not want it
8.Hard
A family insists on staying with their child during a painful procedure. What is the most appropriate response in family-centred care?
- ATell them that their presence makes the child behave worse
- BInsist that they wait outside in every case
- CAllow them to stay only if they stand in a corner and do not touch, hold or speak to the child
- DSupport their presence, prepare them for what they will see and give them a comforting role
Answer key
- 1. B · Acute lymphoblastic leukaemia
- 2. D · 100 to 120 per minute
- 3. A · A structured psychosocial interview with adolescents
- 4. A · Low blood pressure
- 5. D · It adjusts for the larger head and smaller legs of young children
- 6. B · Slow heart rate, low blood pressure and low body temperature
- 7. A · Explore her reasons and plan treatment with her that fits her daily life
- 8. D · Support their presence, prepare them for what they will see and give them a comforting role
Full step-by-step solutions: practise this topic on examproblems.com.