1.Easy
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- AClubfoot on both sides
- BCleft lip and palate
- CCataract only in old age
- DCongenital heart defects
2.Easy
How is cystic fibrosis inherited?
- AAutosomal dominant
- BAutosomal recessive
- CThrough mitochondrial DNA from the mother
- DX-linked recessive
3.Easy
At about what age can most children hop on one foot?
- AAbout 8 years
- BAbout 18 months
- CAbout 2 years
- DAbout 4 years
4.Medium
Which factors can trigger a sickle cell crisis?
- AEating a high-iron diet and taking daily multivitamins
- BSleeping for long periods in a warm room
- CDrinking plenty of water during hot weather
- DDehydration, infection, cold and low oxygen
5.Medium
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt kills bacteria in the blood and prevents infections
- BIt replaces the missing clotting factors
- CIt removes extra iron after blood transfusions
- DIt increases fetal haemoglobin, which reduces sickling
6.Medium
Which finding in a newborn suggests Hirschsprung disease?
- AProjectile vomiting at 4 weeks
- BA barking cough
- CBright yellow, loose stools
- DFailure to pass meconium within 48 hours of birth
7.Hard
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- AListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- BAsk detailed, leading questions to find out exactly what happened
- CPhone the uncle straight away to ask for his side of the story before reporting anything
- DPromise to keep the secret, so that she keeps trusting the nurse and tells more later
8.Hard
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
- AChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
- BChlamydia always causes severe pain, so testing is only a formality
- CTesting is required by law before any young person can see a nurse or doctor for any reason
- DChlamydia can only be caught from shared towels and toilet seats
Answer key
- 1. D · Congenital heart defects
- 2. B · Autosomal recessive
- 3. D · About 4 years
- 4. D · Dehydration, infection, cold and low oxygen
- 5. D · It increases fetal haemoglobin, which reduces sickling
- 6. D · Failure to pass meconium within 48 hours of birth
- 7. A · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- 8. A · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
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