1.Easy
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ABecause the spleen stops working
- BTo compensate for chronic hypoxia
- CBecause of too much iron in the diet
- DBecause the heart makes red blood cells
2.Easy
What causes respiratory distress syndrome in preterm babies?
- AInhaling meconium-stained fluid during birth
- BAn allergy to the oxygen used in the incubator
- CA viral infection caught from the mother
- DA lack of surfactant in the immature lungs
3.Easy
Which transmission-based precautions are used for a hospitalised child with chickenpox?
- ADroplet precautions only, in a shared bay
- BAirborne and contact precautions
- CStandard precautions only
- DContact precautions only
4.Medium
A child is sent home after a minor head injury. Which sign should parents report straight away?
- AMild soreness at the site
- BRepeated vomiting
- CWanting a nap at the usual time
- DA small bump on the forehead
5.Medium
Which child should generally not receive a live vaccine such as MMR?
- AA child with a mild cold
- BA child with severe immune suppression, for example during chemotherapy
- CA child who is currently taking oral antibiotics for an uncomplicated ear infection
- DA child whose sibling has a cold
6.Medium
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AViral croup
- BAn inhaled foreign body
- CBronchiolitis
- DA first attack of asthma
7.Hard
A child is recovering from Kawasaki disease at home. Which finding is expected in the recovery phase?
- AA new high fever lasting several days
- BSudden chest pain during play
- CPeeling skin on the fingers and toes
- DA new purple rash on the legs
8.Hard
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- AA normal result, because foot readings are always lower
- BAn abnormal screen that must be followed up promptly under the screening protocol
- CA faulty probe or a cold foot; repeat the whole test at the 6-week check
- DNormal transition; no further checks are needed
Answer key
- 1. B · To compensate for chronic hypoxia
- 2. D · A lack of surfactant in the immature lungs
- 3. B · Airborne and contact precautions
- 4. B · Repeated vomiting
- 5. B · A child with severe immune suppression, for example during chemotherapy
- 6. B · An inhaled foreign body
- 7. C · Peeling skin on the fingers and toes
- 8. B · An abnormal screen that must be followed up promptly under the screening protocol
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