1.Easy
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ATo protect fertility and allow the testis to be checked for cancer
- BTo stop the testis from producing too much testosterone in puberty
- CBecause an undescended testis leads to kidney failure if left untreated
- DBecause an undescended testis causes severe daily pain in infancy
2.Easy
How is cystic fibrosis inherited?
- AX-linked recessive
- BAutosomal recessive
- CAutosomal dominant
- DThrough mitochondrial DNA from the mother
3.Easy
Which asthma medicine is a reliever for quick relief of symptoms?
- AAn inhaled corticosteroid taken every morning
- BMontelukast tablets taken once a day at night
- CFluticasone inhaled twice daily as a preventer
- DSalbutamol (albuterol)
4.Medium
Which measure should be avoided in a sickle cell pain crisis?
- AGenerous fluids by mouth or IV
- BRegular pain assessment and analgesia
- CWarm packs and gentle positioning
- DCold packs on the painful area
5.Medium
Which daily monitoring is most useful for a child with nephrotic syndrome?
- AWeight and urine dipstick for protein
- BBlood glucose before and after every meal
- CPeak flow and oxygen saturation every morning
- DHead circumference and fontanelle tension
6.Medium
A child has cola-coloured urine, puffy eyes and high blood pressure two weeks after a sore throat. What is the likely diagnosis?
- AAcute post-streptococcal glomerulonephritis
- BUrinary tract infection
- CNephrotic syndrome
- DWilms tumour
7.Hard
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- AMove him to a room with toddlers so the ward is less lonely
- BArrange contact with friends and let him control parts of his daily routine
- CSet a strict timetable for him that staff decide without his input
- DAsk his parents to stay with him at all times and make decisions for him
8.Hard
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
- A"I carry my reliever inhaler with me everywhere I go."
- B"I use my spacer with my inhaler, even at school."
- C"I stop taking my preventer inhaler whenever I've had a few good days."
- D"I rinse my mouth after using my preventer inhaler."
Answer key
- 1. A · To protect fertility and allow the testis to be checked for cancer
- 2. B · Autosomal recessive
- 3. D · Salbutamol (albuterol)
- 4. D · Cold packs on the painful area
- 5. A · Weight and urine dipstick for protein
- 6. A · Acute post-streptococcal glomerulonephritis
- 7. B · Arrange contact with friends and let him control parts of his daily routine
- 8. C · "I stop taking my preventer inhaler whenever I've had a few good days."
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