1.Easy
A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?
- AAs a sports strain that will heal with rest
- BAs normal growing pains of puberty
- CAs a urine infection to be treated at home
- DAs a surgical emergency
2.Easy
Which type of play is typical of preschool children?
- AOnlooker play only
- BSolitary play only
- CAssociative play: playing together loosely, without firm rules or roles
- DOrganised team sports: playing in fixed teams with strict rules and roles
3.Easy
Which measure helps an infant with a cleft palate to feed?
- AThickening every feed with baby cereal from birth onwards to slow the milk
- BA special bottle or teat, an upright position and frequent burping
- CFeeding only through a nasogastric tube until school age
- DFeeding lying flat to let gravity move the milk along
4.Medium
A medicine is prescribed at 10 mg/kg. The child weighs 18 kg and the liquid contains 120 mg in 5 mL. What volume should be given?
- A15 mL
- B7.5 mL
- C3.75 mL
- D1.5 mL
5.Medium
Which finding suggests repeated self-induced vomiting?
- AYellow skin, itching and dark urine
- BSwelling of the ankles and puffy eyes
- CA butterfly rash on the cheeks and patchy hair loss
- DCalluses on the knuckles and loss of tooth enamel
6.Medium
Which early sign may tell a child with haemophilia that a joint bleed is starting?
- ATingling or warmth in the joint
- BA cold, pale hand or foot
- CA sudden fever with a rash
- DAn itchy feeling on the skin over the elbow
7.Hard
A 7-year-old with an asthma attack was wheezing loudly but is now quiet, drowsy and has very reduced air entry. What does this indicate?
- AA life-threatening deterioration with exhaustion and very poor air movement
- BA good response to the reliever inhaler, with the airways now opening up again
- CThe child is falling asleep normally
- DThe attack is resolving
8.Hard
Which finding in an infant with diarrhoea suggests the most severe dehydration?
- ASlightly dry lips and thirst
- BA mild decrease in appetite
- CA normal fontanelle, moist mucous membranes and 4 wet nappies so far today
- DLethargy, a capillary refill of 4 seconds and no wet nappy for 10 hours
Answer key
- 1. D · As a surgical emergency
- 2. C · Associative play: playing together loosely, without firm rules or roles
- 3. B · A special bottle or teat, an upright position and frequent burping
- 4. B · 7.5 mL
- 5. D · Calluses on the knuckles and loss of tooth enamel
- 6. A · Tingling or warmth in the joint
- 7. A · A life-threatening deterioration with exhaustion and very poor air movement
- 8. D · Lethargy, a capillary refill of 4 seconds and no wet nappy for 10 hours
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