1.Easy
How is cystic fibrosis inherited?
- AAutosomal recessive
- BThrough mitochondrial DNA from the mother
- CX-linked recessive
- DAutosomal dominant
2.Easy
What is the main cause of type 1 diabetes in children?
- AInsulin resistance caused mainly by obesity and inactivity
- BAutoimmune destruction of the insulin-producing beta cells
- CA lack of glucagon from the alpha cells of the pancreas
- DToo much insulin being produced by an overactive pancreas
3.Easy
Which side effects are common after a dose of salbutamol?
- AWeight gain and high blood sugar
- BOral thrush and a hoarse voice
- CTremor and a fast heart rate
- DDrowsiness and slow breathing
4.Medium
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AAny visitor may press it if the child seems uncomfortable
- BOnly the child presses the button, unless a protocol says otherwise
- CThe nurse should press it every 5 minutes, day and night, to keep the pain away
- DParents should press the button whenever the child is asleep
5.Medium
In acute post-streptococcal glomerulonephritis, which assessment is especially important?
- ABlood glucose
- BBlood pressure
- CPeak flow
- DSerum bilirubin
6.Medium
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- ABowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- BPupil size and reaction every 15 minutes
- CPulse, colour, warmth and sensation of the leg below the puncture site
- DUrine specific gravity at every void
7.Hard
Which treatment is not routinely recommended for a typical infant with bronchiolitis?
- AOxygen if the saturation is persistently low
- BBronchodilators or corticosteroids
- CHelp with feeding or fluids if intake is poor
- DGentle nasal suction if the nose is blocked
8.Hard
An infant with heart failure is breathing fast and working hard. Which position helps most?
- AProne with the head turned to the side
- BFlat on the back with the legs raised
- CLying flat on the left side only
- DSemi-upright, with the head and chest raised
Answer key
- 1. A · Autosomal recessive
- 2. B · Autoimmune destruction of the insulin-producing beta cells
- 3. C · Tremor and a fast heart rate
- 4. B · Only the child presses the button, unless a protocol says otherwise
- 5. B · Blood pressure
- 6. C · Pulse, colour, warmth and sensation of the leg below the puncture site
- 7. B · Bronchodilators or corticosteroids
- 8. D · Semi-upright, with the head and chest raised
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