1.Easy
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ATo stop the testis from producing too much testosterone in puberty
- BBecause an undescended testis causes severe daily pain in infancy
- CTo protect fertility and allow the testis to be checked for cancer
- DBecause an undescended testis leads to kidney failure if left untreated
2.Easy
Which vaccine has made acute epiglottitis much less common in children?
- ARotavirus vaccine given by mouth
- BHaemophilus influenzae type b (Hib) vaccine
- CMeasles–mumps–rubella (MMR) vaccine
- DPneumococcal conjugate vaccine
3.Easy
What is the first-line treatment for anaphylaxis in a child?
- AAn oral antihistamine
- BOral paracetamol (acetaminophen)
- CAn inhaled corticosteroid via a spacer
- DIM adrenaline (epinephrine)
4.Medium
What is "assent" in children's care?
- AA form that lets the hospital treat any child without parental consent
- BThe child's agreement to care, sought alongside the parents' consent
- CThe doctor's decision about which treatment is best
- DThe legal consent signed by the parent for surgery
5.Medium
How should a nurse approach a health interview with a 15-year-old?
- ATell the adolescent that everything said will be shared with the parents to keep them informed
- BSpeak only to the parent
- CInterview the adolescent with friends present for support
- DSpend part of the visit alone with the adolescent and explain the limits of confidentiality
6.Medium
Which child should generally not receive a live vaccine such as MMR?
- AA child whose sibling has a cold
- BA child with severe immune suppression, for example during chemotherapy
- CA child with a mild cold
- DA child who is currently taking oral antibiotics for an uncomplicated ear infection
7.Hard
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
- AIt causes the sickle gene to become active in the child
- BIt makes the child immune to all future crises
- CIt can stop red cell production for days and cause severe anaemia
- DIt triggers a severe allergic reaction to the virus
8.Hard
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with norovirus gastroenteritis and vomiting
- BA child with suspected measles
- CA child with RSV bronchiolitis
- DA child with impetigo
Answer key
- 1. C · To protect fertility and allow the testis to be checked for cancer
- 2. B · Haemophilus influenzae type b (Hib) vaccine
- 3. D · IM adrenaline (epinephrine)
- 4. B · The child's agreement to care, sought alongside the parents' consent
- 5. D · Spend part of the visit alone with the adolescent and explain the limits of confidentiality
- 6. B · A child with severe immune suppression, for example during chemotherapy
- 7. C · It can stop red cell production for days and cause severe anaemia
- 8. B · A child with suspected measles
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