1.Easy
At about what age can most children hop on one foot?
- AAbout 18 months
- BAbout 2 years
- CAbout 8 years
- DAbout 4 years
2.Easy
By about what age does the posterior fontanelle usually close?
- ABy about 12 months
- BBy about 2 months
- CBy about 18 months
- DBy about 3 years
3.Easy
What is the recommended chest compression rate during CPR on a child or infant?
- A30 to 40 per minute
- B100 to 120 per minute
- C140 to 160 per minute
- D60 to 80 per minute
4.Medium
A child with tetralogy of Fallot suddenly becomes very blue and breathless while crying. Which position helps?
- ASitting with the legs hanging down
- BKnee–chest position (or squatting)
- CHead-down tilt
- DFlat on the back
5.Medium
A 9-month-old has episodes of severe crying with knees drawn up, and passes a stool that looks like red-currant jelly. What is the likely cause?
- ACoeliac disease
- BConstipation
- CIntussusception
- DPyloric stenosis
6.Medium
Which set of findings is typical of nephrotic syndrome in a child?
- AHeavy proteinuria, low serum albumin and generalised oedema
- BFever, painful urination and back pain
- CFrequent urination, thirst and weight loss
- DBlood in the urine, high blood pressure and a recent sore throat
7.Hard
Which finding helps to distinguish epiglottitis from croup?
- ADrooling, high fever and a toxic look, without a barking cough
- BA barking cough that is worse at night after a cold
- CSymptoms that improve within hours after a single dose of oral corticosteroid
- DA hoarse voice with mild fever and a runny nose
8.Hard
A school-age child takes methylphenidate for ADHD. Which teaching point is most important?
- ADouble the dose on days with tests at school to improve concentration further
- BStop it on school days only
- CTake the dose in the morning, and monitor appetite, sleep and growth
- DTake it at bedtime to help sleep
Answer key
- 1. D · About 4 years
- 2. B · By about 2 months
- 3. B · 100 to 120 per minute
- 4. B · Knee–chest position (or squatting)
- 5. C · Intussusception
- 6. A · Heavy proteinuria, low serum albumin and generalised oedema
- 7. A · Drooling, high fever and a toxic look, without a barking cough
- 8. C · Take the dose in the morning, and monitor appetite, sleep and growth
Full step-by-step solutions: practise this topic on examproblems.com.