1.Easy
Why is circumcision avoided in a baby boy with hypospadias?
- AIt greatly increases the risk of urine infection in the first month
- BBabies with hypospadias usually have a bleeding disorder
- CThe foreskin may be needed for the repair
- DThe urethral opening moves to the tip by itself if the foreskin is left
2.Easy
Which drug reverses opioid-induced breathing depression?
- ANaloxone
- BAtropine
- CGlucagon
- DFlumazenil
3.Easy
How does respiratory syncytial virus (RSV) mainly spread?
- AThrough droplets and contaminated hands and surfaces
- BThrough the bites of insects such as mosquitoes
- CThrough contaminated food and drinking water
- DOnly through the air over long distances, like measles
4.Medium
Which finding suggests coarctation of the aorta?
- AA barking cough
- BHigher blood pressure in the arms than in the legs, with weak femoral pulses
- CStrong femoral pulses with weak arm pulses and lower blood pressure in the arms
- DEqual blood pressure in all limbs
5.Medium
Which newborn problem may be the first sign of cystic fibrosis?
- AMeconium ileus
- BErythema toxicum
- CPhysiological jaundice
- DUmbilical hernia
6.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
- BBronchiolitis
- CA first attack of asthma
- DViral croup
7.Hard
Which child is most appropriate to assign to a practical (enrolled) nurse?
- AA 5-year-old just back from tonsillectomy who keeps swallowing
- BA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- CA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
- DAn infant with bronchiolitis who needs more and more oxygen
8.Hard
The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?
- AGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
- BWait until the next clinic visit, as fever is common
- CGive a cool bath and keep the child at home
- DBring the child to hospital straight away for assessment and IV antibiotics
Answer key
- 1. C · The foreskin may be needed for the repair
- 2. A · Naloxone
- 3. A · Through droplets and contaminated hands and surfaces
- 4. B · Higher blood pressure in the arms than in the legs, with weak femoral pulses
- 5. A · Meconium ileus
- 6. A · An inhaled foreign body
- 7. B · A 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- 8. D · Bring the child to hospital straight away for assessment and IV antibiotics
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