1.Easy
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe brachial artery
- BThe carotid artery
- CThe radial artery
- DThe temporal artery
2.Easy
Which test is used to diagnose cystic fibrosis?
- AA chest X-ray alone
- BA urine glucose test
- CThe sweat chloride test
- DA throat swab culture
3.Easy
At about what age does a baby typically begin to smile socially in response to a familiar face?
- AAbout 2 weeks
- BAbout 9 months
- CAbout 6 months
- DAbout 2 months
4.Medium
Which signs suggest meningitis in a young infant?
- ANeck stiffness and a positive Kernig's sign, as in older children and adults
- BA sunken fontanelle with heavy wet nappies
- CA clear runny nose, a mild cough and normal feeding
- DA bulging fontanelle, a high-pitched cry, poor feeding and irritability
5.Medium
Which instruction about giving oral liquid iron to a child is correct?
- AGive it mixed in a full bottle of milk to reduce stomach upset
- BGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- CGive it together with an antacid to protect the stomach
- DStop the iron straight away if the stools turn dark green or black, as this means bleeding
6.Medium
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
- ASerum potassium
- BSerum amylase and lipase
- CSerum bilirubin
- DPlatelet count
7.Hard
A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?
- ALow haemoglobin and low platelets with a normal potassium
- BHigh potassium, high phosphate, high uric acid and low calcium
- CLow potassium, low phosphate, low uric acid and high calcium
- DHigh sodium, high glucose, low albumin and low urea
8.Hard
After surgery for a perforated appendix, why is a child often nursed in a semi-upright position?
- ATo prevent the child from sleeping too deeply
- BTo help infected fluid collect in the pelvis rather than spread upwards
- CTo stop the wound drain from removing fluid too fast during the first day
- DTo make it easier for the child to watch television
Answer key
- 1. A · The brachial artery
- 2. C · The sweat chloride test
- 3. D · About 2 months
- 4. D · A bulging fontanelle, a high-pitched cry, poor feeding and irritability
- 5. B · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 6. A · Serum potassium
- 7. B · High potassium, high phosphate, high uric acid and low calcium
- 8. B · To help infected fluid collect in the pelvis rather than spread upwards
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