1.Easy
Which vaccine has made acute epiglottitis much less common in children?
- AMeasles–mumps–rubella (MMR) vaccine
- BHaemophilus influenzae type b (Hib) vaccine
- CRotavirus vaccine given by mouth
- DPneumococcal conjugate vaccine
2.Easy
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
- AVitamin B12 deficiency
- BLow platelet count
- CLow blood calcium
- DIron overload
3.Easy
Which grains must a child with coeliac disease avoid?
- AQuinoa, maize and sorghum
- BRice, maize and potato starch
- CWheat, barley and rye
- DBuckwheat, millet and rice
4.Medium
Why is aspirin used in Kawasaki disease even though it is usually avoided in children?
- AIt is used only as a painkiller for the rash and joint pain, and is stopped once the fever settles
- BIt reduces inflammation and the risk of coronary artery clots, under specialist supervision
- CIt cures the infection that causes the disease
- DIt prevents Reye syndrome
5.Medium
A toddler refuses a liquid medicine. Which approach is appropriate?
- AMix it with a small spoonful of food, if the pharmacist says this is safe
- BHold the child's nose firmly until he has to open his mouth to breathe
- CMix it into a full bottle of milk or juice for the whole day
- DTell the child it is a sweet so that he takes it happily
6.Medium
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AA viral infection in early childhood
- BA family history of diabetes
- CObesity with low physical activity
- DBeing of a particular ethnic background
7.Hard
A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?
- APhosphate
- BCholesterol
- CBilirubin
- DAmylase
8.Hard
Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?
- ASit the child up and walk her around to raise the blood pressure
- BGive a further dose of IM adrenaline as per protocol and call for advanced help
- CGive an oral antihistamine and a steroid instead of more adrenaline
- DWait 30 minutes for the first dose of adrenaline to take its full effect
Answer key
- 1. B · Haemophilus influenzae type b (Hib) vaccine
- 2. D · Iron overload
- 3. C · Wheat, barley and rye
- 4. B · It reduces inflammation and the risk of coronary artery clots, under specialist supervision
- 5. A · Mix it with a small spoonful of food, if the pharmacist says this is safe
- 6. C · Obesity with low physical activity
- 7. A · Phosphate
- 8. B · Give a further dose of IM adrenaline as per protocol and call for advanced help
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