1.Easy
When should a child with cystic fibrosis take pancreatic enzyme capsules?
- AWith every meal and snack
- BOnce a day at bedtime
- COnly when stools are loose
- DOn an empty stomach in the morning only
2.Easy
Which simple test is used to screen for scoliosis?
- AOrtolani test
- BRomberg test with the eyes closed
- CAdams forward bend test
- DBabinski test
3.Easy
What is the most common cause of bronchiolitis in infants?
- AGroup A streptococcus
- BStaphylococcus aureus
- CHaemophilus influenzae type b
- DRespiratory syncytial virus (RSV)
4.Medium
How should an infant with heart failure be fed?
- ASmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
- BLying flat on the back so the baby does not need to hold the head up
- CStop the feed when the baby tires and wait until the next scheduled feed
- DLarge feeds every 6 hours so the baby can rest in between
5.Medium
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
- ATo widen the outer ear canal and reduce the build-up of wax
- BTo give antibiotics directly into the inner ear
- CTo ventilate the middle ear and let fluid drain
- DTo replace the damaged eardrum permanently
6.Medium
Which set of findings is typical of nephrotic syndrome in a child?
- AFever, painful urination and back pain
- BBlood in the urine, high blood pressure and a recent sore throat
- CHeavy proteinuria, low serum albumin and generalised oedema
- DFrequent urination, thirst and weight loss
7.Hard
How should a child who is still drowsy after a tonsillectomy be positioned?
- AFlat on the back with the head tilted backwards
- BProne with the face directly in the pillow
- COn the side or semi-prone, so secretions can drain from the mouth
- DSitting fully upright with the head bent forward on the chest
8.Hard
The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?
- AHe may feel worried, jealous or left out and needs attention and information
- BHe has developed attention deficit hyperactivity disorder and needs medicine
- CIt is unrelated to the illness and is normal for his age
- DHe is copying behaviour from other children in his class
Answer key
- 1. A · With every meal and snack
- 2. C · Adams forward bend test
- 3. D · Respiratory syncytial virus (RSV)
- 4. A · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 5. C · To ventilate the middle ear and let fluid drain
- 6. C · Heavy proteinuria, low serum albumin and generalised oedema
- 7. C · On the side or semi-prone, so secretions can drain from the mouth
- 8. A · He may feel worried, jealous or left out and needs attention and information
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