1.Easy
What is the first-line treatment for anaphylaxis in a child?
- AAn oral antihistamine
- BAn inhaled corticosteroid via a spacer
- COral paracetamol (acetaminophen)
- DIM adrenaline (epinephrine)
2.Easy
What is usually the first sign of puberty in girls?
- AFirst menstrual period
- BRapid weight loss
- CBreast budding
- DUnderarm hair
3.Easy
Which early sign may suggest autism in a toddler?
- ABeing shy with strangers at 9 months
- BNot pointing to show interest and little eye contact by about 18 months
- CPreferring to play next to other toddlers rather than with them
- DSaying "no" often and having tantrums at 2 years
4.Medium
How should the nurse measure the heart rate of a 9-month-old?
- ACount the apical pulse for a full minute
- BCount the radial pulse for 15 seconds and multiply by 4
- CRead it from the pulse oximeter only
- DCount the carotid pulse for 30 seconds and multiply by 2
5.Medium
Which instruction about a child's new plaster cast is correct?
- AKeep the limb raised and report increasing pain, numbness or pale or blue fingers
- BLet the child walk on a leg cast as soon as it is applied
- CKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
- DPush a knitting needle inside the cast to scratch an itch
6.Medium
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- AChange the subject quickly so the child is not upset
- BTell the child that only the doctor is allowed to talk about this subject with children
- CFind out what prompted the question, then answer honestly and simply, with the family
- DTell the child firmly that this will not happen
7.Hard
A child with cystic fibrosis has bulky, greasy, foul-smelling stools and is not gaining weight despite a good appetite. What does this most likely indicate?
- AA normal finding that needs no action
- BThe child is eating too much fat, so all fat should be removed from the diet
- CA sign that the lungs are improving
- DPoor fat absorption; the pancreatic enzyme dose or timing needs review
8.Hard
A 6-year-old boy has had a limp and mild hip pain for several weeks. Imaging shows avascular necrosis of the femoral head. What is the diagnosis?
- ADevelopmental dysplasia of the hip
- BLegg–Calvé–Perthes disease
- CTransient synovitis
- DSlipped capital femoral epiphysis
Answer key
- 1. D · IM adrenaline (epinephrine)
- 2. C · Breast budding
- 3. B · Not pointing to show interest and little eye contact by about 18 months
- 4. A · Count the apical pulse for a full minute
- 5. A · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 6. C · Find out what prompted the question, then answer honestly and simply, with the family
- 7. D · Poor fat absorption; the pancreatic enzyme dose or timing needs review
- 8. B · Legg–Calvé–Perthes disease
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