1.Easy
For which child is the FLACC scale most appropriate?
- AA 9-year-old who can use a numeric rating scale
- BA 14-year-old who can rate pain from 0 to 10
- CA 2-year-old who cannot yet describe pain
- DAn adult after surgery
2.Easy
What is the Ortolani test used to detect in a newborn?
- AClubfoot (talipes)
- BHearing loss
- CDevelopmental dysplasia of the hip
- DCongenital heart disease
3.Easy
How is sickle cell disease inherited?
- AAutosomal recessive
- BAutosomal dominant
- CX-linked recessive
- DNot inherited; it is acquired
4.Medium
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AAn inhaled foreign body
- BA first attack of asthma
- CViral croup
- DBronchiolitis
5.Medium
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- AMouthwash containing alcohol several times a day
- BA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- CSpicy and acidic foods to stimulate saliva flow
- DA soft toothbrush or sponge, bland rinses and soft, cool foods
6.Medium
Before surgery for a myelomeningocele, how should the newborn's sac be protected?
- ALeave it uncovered to dry
- BLie the baby on the back with a soft ring around the sac to support it on the mattress
- CApply a tight dry bandage
- DCover it with a sterile, moist, non-adherent dressing and position the baby prone
7.Hard
A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?
- AHigh sodium, high glucose, low albumin and low urea
- BLow haemoglobin and low platelets with a normal potassium
- CHigh potassium, high phosphate, high uric acid and low calcium
- DLow potassium, low phosphate, low uric acid and high calcium
8.Hard
After successful treatment of anaphylaxis, why is the child observed for several hours?
- AThe child must stay until antibody tests come back
- BAdrenaline always causes a dangerous rash later
- CObservation is only needed for legal reasons
- DSymptoms can return even after recovery
Answer key
- 1. C · A 2-year-old who cannot yet describe pain
- 2. C · Developmental dysplasia of the hip
- 3. A · Autosomal recessive
- 4. A · An inhaled foreign body
- 5. D · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 6. D · Cover it with a sterile, moist, non-adherent dressing and position the baby prone
- 7. C · High potassium, high phosphate, high uric acid and low calcium
- 8. D · Symptoms can return even after recovery
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