1.Easy
What is the main purpose of supervised "tummy time" for babies who are awake?
- ATo reduce the risk of sudden infant death during sleep
- BTo help the baby sleep for longer periods at night
- CTo strengthen neck, shoulder and arm muscles and help prevent a flat head
- DTo improve digestion and reduce colic and wind after every feed of the day
2.Easy
Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?
- AIron
- BVitamin C
- CFolic acid
- DCalcium carbonate
3.Easy
When can a child stop using a booster seat in the car?
- AAs soon as the child can fasten the seat belt alone
- BWhen the adult seat belt fits properly across the shoulder and upper thighs
- CWhen the child starts primary school and can sit still for a whole journey
- DAt 4 years of age, whatever the child's height
4.Medium
Which finding at an 18-month check requires referral for developmental assessment?
- AThe child is not yet walking independently
- BThe child says only a few words
- CThe child is afraid of strangers
- DThe child plays alongside other children rather than with them
5.Medium
How should a 4-month-old be protected from the sun?
- AUse a sunbed for a few minutes to build a protective tan
- BKeep the baby out of direct sun, in the shade, with light clothing and a hat
- CExpose the baby to midday sun for vitamin D, then cover up
- DApply a thick layer of high-factor sunscreen and allow full sun
6.Medium
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
- AAvoid screen media, apart from video calls with family
- BScreens are fine as long as the volume is low
- CUp to 2 hours a day of educational TV programmes is beneficial for language
- DBackground TV helps language development
7.Hard
A school-age child takes methylphenidate for ADHD. Which teaching point is most important?
- ADouble the dose on days with tests at school to improve concentration further
- BTake the dose in the morning, and monitor appetite, sleep and growth
- CStop it on school days only
- DTake it at bedtime to help sleep
8.Hard
Which finding in an infant with diarrhoea suggests the most severe dehydration?
- ALethargy, a capillary refill of 4 seconds and no wet nappy for 10 hours
- BSlightly dry lips and thirst
- CA mild decrease in appetite
- DA normal fontanelle, moist mucous membranes and 4 wet nappies so far today
Answer key
- 1. C · To strengthen neck, shoulder and arm muscles and help prevent a flat head
- 2. C · Folic acid
- 3. B · When the adult seat belt fits properly across the shoulder and upper thighs
- 4. A · The child is not yet walking independently
- 5. B · Keep the baby out of direct sun, in the shade, with light clothing and a hat
- 6. A · Avoid screen media, apart from video calls with family
- 7. B · Take the dose in the morning, and monitor appetite, sleep and growth
- 8. A · Lethargy, a capillary refill of 4 seconds and no wet nappy for 10 hours
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