1.Easy
Which feature is typical of whooping cough (pertussis) in an older child?
- ADrooling, a high fever and difficulty swallowing saliva
- BA barking cough and a hoarse voice that are worse at night
- CBouts of coughing that end with a "whoop" on breathing in
- DA wheeze heard only on breathing out, with a runny nose
2.Easy
Which hygiene advice helps prevent urinary tract infections in girls?
- AWear tight nylon underwear and leggings
- BTake a long bubble bath every evening before bed
- CWipe from front to back after using the toilet
- DHold urine in for as long as possible
3.Easy
What is the usual normal range for the platelet count?
- AAbout 4 to 11 × 109/L
- BAbout 150 to 400 × 109/L
- CAbout 1,500 to 4,000 × 109/L
- DAbout 15 to 40 × 109/L
4.Medium
Why are elbow splints often used after cleft lip repair?
- ATo stop the baby touching or rubbing the suture line
- BTo make the baby sleep for longer
- CTo keep the IV cannula from being needed
- DTo keep the baby's arms warm and still after surgery and anaesthesia
5.Medium
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- AOffer a limited choice, such as the cup or the syringe
- BTell him he is a bad boy for refusing
- CWait until he agrees to take it, even if the dose is hours late
- DAsk him whether he wants to take his medicine or not
6.Medium
Which early sign may tell a child with haemophilia that a joint bleed is starting?
- AAn itchy feeling on the skin over the elbow
- BA cold, pale hand or foot
- CTingling or warmth in the joint
- DA sudden fever with a rash
7.Hard
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
- AConservation, typical of concrete operations
- BAnimism, typical of preoperational thinking
- CObject permanence, typical of the sensorimotor stage
- DAbstract reasoning, typical of formal operations
8.Hard
Which finding in a child with a ventriculoperitoneal shunt requires immediate follow-up?
- ANormal appetite and play
- BA healed scar along the shunt tract
- CA small, soft bump over the valve that is unchanged
- DHeadache, repeated vomiting and increasing drowsiness
Answer key
- 1. C · Bouts of coughing that end with a "whoop" on breathing in
- 2. C · Wipe from front to back after using the toilet
- 3. B · About 150 to 400 × 109/L
- 4. A · To stop the baby touching or rubbing the suture line
- 5. A · Offer a limited choice, such as the cup or the syringe
- 6. C · Tingling or warmth in the joint
- 7. B · Animism, typical of preoperational thinking
- 8. D · Headache, repeated vomiting and increasing drowsiness
Full step-by-step solutions: practise this topic on examproblems.com.