1.Easy
Which type of play is typical of toddlers?
- ACooperative play: playing together with shared rules and set roles
- BSolitary board games with rules
- CCompetitive team games
- DParallel play: playing next to other children but not with them
2.Easy
What is the recommended chest compression rate during CPR on a child or infant?
- A100 to 120 per minute
- B60 to 80 per minute
- C30 to 40 per minute
- D140 to 160 per minute
3.Easy
Which grains must a child with coeliac disease avoid?
- AWheat, barley and rye
- BRice, maize and potato starch
- CQuinoa, maize and sorghum
- DBuckwheat, millet and rice
4.Medium
Which defect classically causes a continuous "machinery" murmur?
- AIsolated pulmonary stenosis with an intact ventricular septum
- BAtrial septal defect
- CPatent ductus arteriosus
- DTetralogy of Fallot
5.Medium
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
- AAbout 5 mL per hour
- BAbout 2 mL per hour
- CAbout 20 mL per hour
- DAny amount, as long as the child is drinking
6.Medium
Which is a true contraindication to a further dose of the same vaccine?
- AAnaphylaxis after a previous dose of that vaccine
- BA family history of allergies
- CRedness and soreness at the injection site after a previous dose
- DA low-grade fever after a previous dose
7.Hard
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- AA plaster cast and discharge home the same day
- BBlood cultures and prompt IV antibiotics for possible osteomyelitis
- CRest, ice and an elastic bandage for a sprained ankle, with review in a week
- DMassage and physiotherapy to loosen the muscle
8.Hard
A 10-year-old has vomiting, abdominal pain, deep rapid breathing and a fruity smell on the breath. His blood glucose is very high. What is the most likely diagnosis?
- AGastroenteritis
- BDiabetic ketoacidosis
- CAcute asthma attack with hyperventilation
- DAppendicitis
Answer key
- 1. D · Parallel play: playing next to other children but not with them
- 2. A · 100 to 120 per minute
- 3. A · Wheat, barley and rye
- 4. C · Patent ductus arteriosus
- 5. C · About 20 mL per hour
- 6. A · Anaphylaxis after a previous dose of that vaccine
- 7. B · Blood cultures and prompt IV antibiotics for possible osteomyelitis
- 8. B · Diabetic ketoacidosis
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