1.Easy
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ATo protect fertility and allow the testis to be checked for cancer
- BBecause an undescended testis leads to kidney failure if left untreated
- CTo stop the testis from producing too much testosterone in puberty
- DBecause an undescended testis causes severe daily pain in infancy
2.Easy
Why should honey not be given to babies under 12 months?
- AIt causes tooth decay within days in a baby's new teeth
- BIt can contain spores that cause infant botulism
- CIt is too low in calories
- DIt causes jaundice
3.Easy
For about how long does the World Health Organization recommend exclusive breastfeeding?
- AAbout the first 12 months
- BAbout the first 6 months
- CAbout the first 6 weeks
- DAbout the first 3 months
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
- BNephrotic syndrome
- CWilms tumour
- DAcute post-streptococcal glomerulonephritis
5.Medium
Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?
- ASlow the transfusion and give paracetamol (acetaminophen)
- BGive an antihistamine and continue
- CFinish the unit quickly, then report it
- DStop the transfusion
6.Medium
Which stool pattern is typical of Hirschsprung disease in an older child?
- ANormal stools with occasional itching around the anus at night
- BFrequent bloody diarrhoea with fever after eating chicken
- CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
- DPale, bulky, fatty stools that float and are hard to flush, with a large appetite
7.Hard
Which finding at a 6-month check most needs referral?
- AThe baby puts every toy and object into the mouth
- BThe baby is not crawling yet
- CThe baby does not turn towards sounds or voices
- DThe baby is wary of a stranger
8.Hard
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
- AArm floats whenever the child is near the pool
- BSwimming lessons from age 2, so that close supervision is no longer needed
- CExplaining to the child that the pool is dangerous
- DA four-sided fence with a self-closing, self-latching gate, plus constant supervision
Answer key
- 1. A · To protect fertility and allow the testis to be checked for cancer
- 2. B · It can contain spores that cause infant botulism
- 3. B · About the first 6 months
- 4. D · Acute post-streptococcal glomerulonephritis
- 5. D · Stop the transfusion
- 6. C · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
- 7. C · The baby does not turn towards sounds or voices
- 8. D · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
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