1.Easy
According to Erikson, what is the main developmental task of a toddler (about 1 to 3 years)?
- AAutonomy versus shame and doubt
- BInitiative versus guilt
- CIndustry versus inferiority
- DTrust versus mistrust
2.Easy
How are paracetamol (acetaminophen) doses for children usually determined?
- ABy the parent's preference
- BBy the child's height only
- CBy the child's weight
- DThe same dose for every child
3.Easy
How deep should chest compressions be during CPR on a child?
- AAbout one tenth of the depth of the chest
- BAt least one third of the depth of the chest
- CAs deep as possible, until the ribs can be felt to give
- DJust enough to see the chest move slightly
4.Medium
How should an infant with heart failure be fed?
- ALying flat on the back so the baby does not need to hold the head up
- BLarge feeds every 6 hours so the baby can rest in between
- CSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
- DStop the feed when the baby tires and wait until the next scheduled feed
5.Medium
Which child should generally not receive a live vaccine such as MMR?
- AA child whose sibling has a cold
- BA child with a mild cold
- CA child who is currently taking oral antibiotics for an uncomplicated ear infection
- DA child with severe immune suppression, for example during chemotherapy
6.Medium
Which finding at an 18-month check requires referral for developmental assessment?
- AThe child is not yet walking independently
- BThe child is afraid of strangers
- CThe child says only a few words
- DThe child plays alongside other children rather than with them
7.Hard
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
- APotassium has no role in DKA; it is a routine test only
- BPotassium is needed to dissolve the insulin in the drip
- CInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
- DInsulin moves potassium into the cells, so blood potassium can fall sharply
8.Hard
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AStop all drinks after lunch and keep him in nappies
- BWake him every hour through the night and make him change his own sheets
- CWait, as no help is available until he is a teenager
- DStop punishing him, praise dry nights and consider a bedwetting alarm
Answer key
- 1. A · Autonomy versus shame and doubt
- 2. C · By the child's weight
- 3. B · At least one third of the depth of the chest
- 4. C · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 5. D · A child with severe immune suppression, for example during chemotherapy
- 6. A · The child is not yet walking independently
- 7. D · Insulin moves potassium into the cells, so blood potassium can fall sharply
- 8. D · Stop punishing him, praise dry nights and consider a bedwetting alarm
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