1.Easy
Which statement about head lice is correct?
- AThey spread by head-to-head contact and are not a sign of poor hygiene
- BThey only affect children with dirty hair who do not wash it often
- CThey jump or fly from one child to another across the classroom
- DThey mainly live on pets and pass to children from dogs and cats
2.Easy
Which congenital heart defect causes cyanosis?
- APatent ductus arteriosus
- BAtrial septal defect
- CSmall ventricular septal defect with a left-to-right shunt
- DTransposition of the great arteries
3.Easy
Egocentrism and magical thinking are typical of which of Piaget's stages?
- ASensorimotor stage (birth to about 2 years)
- BConcrete operational stage (about 7 to 11 years)
- CPreoperational stage (about 2 to 7 years)
- DFormal operational stage (about 11 years onwards)
4.Medium
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- ALay the child flat in a cool room so the airway can relax
- BGive an over-the-counter cough syrup every hour until the barking cough stops
- CHold the child over a bowl of hot, steaming water to loosen the cough
- DKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
5.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly after the baby weighs 5 kg
- BOnly after the first birthday
- COnly when the baby reaches 2 months corrected age
- DNow, according to the baby's chronological age
6.Medium
Which finding at a 2-year check most needs a speech and language referral?
- AThe child says "no" to most suggestions
- BThe child prefers to play beside other toddlers
- CThe child is not yet combining any two words
- DThe child uses about 50 words or more
7.Hard
A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?
- AStop the physiotherapy, since she does not want it
- BWarn her firmly that she will die soon if she does not do what she is told
- CExplore her reasons and plan treatment with her that fits her daily life
- DTell her parents to supervise every session until she is 18
8.Hard
A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?
- AAn urgent full blood count to look for leukaemia
- BA course of antibiotics for a viral infection
- CReassurance that these are growing pains that will pass with time
- DIron supplements for 3 months, then review
Answer key
- 1. A · They spread by head-to-head contact and are not a sign of poor hygiene
- 2. D · Transposition of the great arteries
- 3. C · Preoperational stage (about 2 to 7 years)
- 4. D · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 5. D · Now, according to the baby's chronological age
- 6. C · The child is not yet combining any two words
- 7. C · Explore her reasons and plan treatment with her that fits her daily life
- 8. A · An urgent full blood count to look for leukaemia
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