1.Easy
What is the main feature of mumps?
- AA spreading rash that starts behind the ears
- BPainful ulcers on the hands, feet and mouth
- CA high-pitched whoop after coughing fits
- DSwelling of the parotid salivary glands
2.Easy
Which feature is typical of whooping cough (pertussis) in an older child?
- AA wheeze heard only on breathing out, with a runny nose
- BA barking cough and a hoarse voice that are worse at night
- CDrooling, a high fever and difficulty swallowing saliva
- DBouts of coughing that end with a "whoop" on breathing in
3.Easy
Which symptom is typical of scabies?
- ADry, flaky scalp with dandruff but no itching
- BLarge blisters on the soles of the feet after walking
- CPainless red patches that slowly spread outward over months
- DIntense itching, worse at night, with burrows between the fingers
4.Medium
Which daily monitoring is most useful for a child with nephrotic syndrome?
- AHead circumference and fontanelle tension
- BWeight and urine dipstick for protein
- CBlood glucose before and after every meal
- DPeak flow and oxygen saturation every morning
5.Medium
A child's asthma action plan shows he is in the yellow zone. What should he do?
- ADouble the preventer dose and do nothing else
- BGo straight to the emergency department without using any medicine first
- CUse the reliever as the plan says and contact the doctor if it does not help
- DStop all medicines and wait to see if the symptoms pass
6.Medium
A child has just spilled hot tea on his arm. What is the correct first aid?
- ACool the burn under cool running water for about 20 minutes
- BBurst any blisters to let the heat out
- CHold ice directly on the burn for about an hour to stop the pain
- DSpread butter or toothpaste on the burn
7.Hard
Which phone call should the nurse return first?
- AA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
- BA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- CA parent of a 3-year-old with a runny nose and a mild cough for 2 days
- DA parent asking when the next routine vaccines are due
8.Hard
The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?
- AWait until the next clinic visit, as fever is common
- BGive a cool bath and keep the child at home
- CBring the child to hospital straight away for assessment and IV antibiotics
- DGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
Answer key
- 1. D · Swelling of the parotid salivary glands
- 2. D · Bouts of coughing that end with a "whoop" on breathing in
- 3. D · Intense itching, worse at night, with burrows between the fingers
- 4. B · Weight and urine dipstick for protein
- 5. C · Use the reliever as the plan says and contact the doctor if it does not help
- 6. A · Cool the burn under cool running water for about 20 minutes
- 7. B · A parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- 8. C · Bring the child to hospital straight away for assessment and IV antibiotics
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