1.Easy
Which symptom is typical of croup?
- AWheeze on breathing out only
- BA barking, seal-like cough
- CA whooping sound after coughing fits
- DDrooling and inability to swallow
2.Easy
What is cerebral palsy?
- AA genetic disorder of collagen that makes the bones break easily
- BA non-progressive disorder of movement and posture from damage to the developing brain
- CAn infection of the spinal cord that causes sudden paralysis of the legs
- DA progressive muscle disease in which muscle fibres are slowly replaced by fat
3.Easy
Which asthma medicine is a reliever for quick relief of symptoms?
- AMontelukast tablets taken once a day at night
- BAn inhaled corticosteroid taken every morning
- CFluticasone inhaled twice daily as a preventer
- DSalbutamol (albuterol)
4.Medium
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
- AReassure the parents that sticky eyes are always harmless in the first weeks of life
- BClean the eye with breast milk and review in a week
- CArrange prompt medical review, as infection from the birth canal is possible
- DApply an over-the-counter steroid eye ointment
5.Medium
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AA drop in the platelet count
- BWeight gain of more than 10 kg in the first month
- CA sudden rise in blood glucose
- DWorsening mood or new suicidal thoughts
6.Medium
Which group of findings is typical in a teenager with severe anorexia nervosa?
- AWeight gain, oedema and high blood pressure
- BSlow heart rate, low blood pressure and low body temperature
- CFast heart rate, high blood pressure and a high fever
- DRapid growth, acne and an increased appetite
7.Hard
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
- AMilestones are judged by corrected age, here about 3 months, so this is expected
- BMilestones are always judged by chronological age, so he is 3 months behind
- CPreterm babies never reach normal milestones, so no follow-up is needed
- DHe is clearly delayed and needs urgent neurological referral
8.Hard
A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?
- AThis is within the usual range; observe a feed and follow the weight
- BThis weight loss is only normal in formula-fed babies
- CThis shows breastfeeding has failed, so formula should replace breast milk from now on
- DThis is severe dehydration and needs immediate IV fluids
Answer key
- 1. B · A barking, seal-like cough
- 2. B · A non-progressive disorder of movement and posture from damage to the developing brain
- 3. D · Salbutamol (albuterol)
- 4. C · Arrange prompt medical review, as infection from the birth canal is possible
- 5. D · Worsening mood or new suicidal thoughts
- 6. B · Slow heart rate, low blood pressure and low body temperature
- 7. A · Milestones are judged by corrected age, here about 3 months, so this is expected
- 8. A · This is within the usual range; observe a feed and follow the weight
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