1.Easy
Which symptom is typical of scabies?
- AIntense itching, worse at night, with burrows between the fingers
- BDry, flaky scalp with dandruff but no itching
- CPainless red patches that slowly spread outward over months
- DLarge blisters on the soles of the feet after walking
2.Easy
What is a positive Brudzinski sign?
- AThe toes fan out when the sole of the foot is stroked
- BThe pupils become unequal in size after a head injury
- CThe child cannot straighten the knee when the hip is flexed
- DBending the neck forward causes the hips and knees to flex
3.Easy
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 4 to 6 months
- BAbout 2 to 3 years
- CAbout 12 to 15 months
- DAbout 2 to 4 weeks
4.Medium
Which measure should be avoided in a sickle cell pain crisis?
- AGenerous fluids by mouth or IV
- BWarm packs and gentle positioning
- CRegular pain assessment and analgesia
- DCold packs on the painful area
5.Medium
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AWeight gain of more than 10 kg in the first month
- BA drop in the platelet count
- CA sudden rise in blood glucose
- DWorsening mood or new suicidal thoughts
6.Medium
What is a normal capillary refill time in a child?
- A5 seconds or less
- B8 to 10 seconds
- C15 to 20 seconds
- D2 seconds or less
7.Hard
A formula-fed infant is diagnosed with cow's milk protein allergy. Which formula is usually advised?
- AA lactose-free cow's milk formula
- BA goat's milk formula
- CA rice milk drink fortified with calcium
- DAn extensively hydrolysed formula
8.Hard
A 2-year-old has swallowed several of his mother's iron tablets. Why is this treated as an emergency even if he looks well?
- AIron tablets cause an immediate allergic reaction in young children
- BIron poisoning can cause gut bleeding, shock and liver failure hours later
- CIron tablets dissolve to form a gas that blocks the airway
- DIron poisoning causes only constipation, which needs an enema
Answer key
- 1. A · Intense itching, worse at night, with burrows between the fingers
- 2. D · Bending the neck forward causes the hips and knees to flex
- 3. A · About 4 to 6 months
- 4. D · Cold packs on the painful area
- 5. D · Worsening mood or new suicidal thoughts
- 6. D · 2 seconds or less
- 7. D · An extensively hydrolysed formula
- 8. B · Iron poisoning can cause gut bleeding, shock and liver failure hours later
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