1.Easy
Which practice most increases the risk of early childhood tooth decay?
- ABrushing the teeth with a smear of fluoride toothpaste
- BPutting a baby to bed with a bottle of milk or juice
- CHaving a first dental visit by about the first birthday
- DOffering water to drink between meals
2.Easy
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
- AProstaglandin E1
- BFurosemide
- CDigoxin
- DIntravenous indomethacin
3.Easy
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- ABright yellow, seedy stools
- BGreen stools after starting iron drops
- CPale, clay-coloured stools and dark urine
- DPale, watery urine and frequent wet nappies
4.Medium
How is a child's weight status (for example overweight) assessed?
- AWeight alone, compared with the average weight of children in the same class
- BWaist size compared with the parents' waist size
- CBMI plotted on an age- and sex-specific centile chart
- DBMI compared with the adult cut-off points
5.Medium
Which factor can make a pulse oximeter reading inaccurate in a child?
- ALying on the back instead of sitting up
- BHaving eaten a meal in the last hour
- CHolding a parent's hand during the reading
- DCold hands, movement or a poorly fitting probe
6.Medium
How is threadworm (pinworm) infection usually confirmed?
- AA tape test on the skin around the anus first thing in the morning
- BA urine sample collected in the evening
- CAn abdominal X-ray to look for the worms in the gut
- DA blood test for worm antibodies taken an hour after an evening meal
7.Hard
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
- AAsk them to leave, because their presence always harms the team's work
- BAllow them to stay only if they help with the compressions
- CTell them to wait outside in the corridor until the resuscitation is over
- DAllow them to stay if they wish, with a staff member to support and explain
8.Hard
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
- AFormal operational level
- BPostconventional level
- CConventional level
- DPreconventional level
Answer key
- 1. B · Putting a baby to bed with a bottle of milk or juice
- 2. A · Prostaglandin E1
- 3. C · Pale, clay-coloured stools and dark urine
- 4. C · BMI plotted on an age- and sex-specific centile chart
- 5. D · Cold hands, movement or a poorly fitting probe
- 6. A · A tape test on the skin around the anus first thing in the morning
- 7. D · Allow them to stay if they wish, with a staff member to support and explain
- 8. D · Preconventional level
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