1.Easy
Which chromosome pattern causes Turner syndrome?
- AAn extra copy of chromosome 18
- BAn extra copy of chromosome 21
- CA single X chromosome (45,X) in a girl
- DAn extra X chromosome (47,XXY) in a boy
2.Easy
At about what age do most children begin to walk without support?
- AAbout 2 years in most children, within a typical range of 18 to 30 months
- BAbout 6 months
- CAbout 3 years
- DAbout 12 months, within a typical range of about 9 to 15 months
3.Easy
At about what age does a baby typically begin to smile socially in response to a familiar face?
- AAbout 9 months
- BAbout 6 months
- CAbout 2 months
- DAbout 2 weeks
4.Medium
A child has cola-coloured urine, puffy eyes and high blood pressure two weeks after a sore throat. What is the likely diagnosis?
- AUrinary tract infection
- BAcute post-streptococcal glomerulonephritis
- CWilms tumour
- DNephrotic syndrome
5.Medium
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- ASpicy and acidic foods to stimulate saliva flow
- BA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- CA soft toothbrush or sponge, bland rinses and soft, cool foods
- DMouthwash containing alcohol several times a day
6.Medium
How is amblyopia (lazy eye) commonly treated in young children?
- APatching the weaker eye so that it can rest and recover
- BWaiting until adulthood, when surgery can correct it
- CEye exercises alone, without any glasses, drops or patches
- DPatching or blurring the stronger eye so the weaker eye works harder
7.Hard
A child has a swollen, red eyelid with fever, pain on moving the eye and blurred vision. What should the nurse suspect?
- AA stye, which will drain on its own with warm compresses
- BOrbital cellulitis, which needs urgent review and IV antibiotics
- CSimple conjunctivitis, treated with eye drops at home
- DAn insect bite, which needs only a cold compress
8.Hard
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
- AAn allergic reaction to the new high-energy formula started yesterday
- BDehydration due to sweating during feeds
- CGood growth thanks to improved feeding
- DWorsening heart failure with fluid retention
Answer key
- 1. C · A single X chromosome (45,X) in a girl
- 2. D · About 12 months, within a typical range of about 9 to 15 months
- 3. C · About 2 months
- 4. B · Acute post-streptococcal glomerulonephritis
- 5. C · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 6. D · Patching or blurring the stronger eye so the weaker eye works harder
- 7. B · Orbital cellulitis, which needs urgent review and IV antibiotics
- 8. D · Worsening heart failure with fluid retention
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