1.Easy
By about what age does the anterior fontanelle usually close?
- AAt birth
- B4 to 6 years
- C2 to 3 months
- D12 to 18 months
2.Easy
What is the usual normal range for the platelet count?
- AAbout 15 to 40 × 109/L
- BAbout 150 to 400 × 109/L
- CAbout 1,500 to 4,000 × 109/L
- DAbout 4 to 11 × 109/L
3.Easy
Which newborn scalp swelling typically crosses the suture lines?
- ACraniosynostosis
- BCephalohaematoma
- CCaput succedaneum
- DPositional plagiocephaly
4.Medium
A toddler with hand, foot and mouth disease refuses to drink because of painful mouth sores. What is the priority?
- ATreating the rash with steroid cream
- BPreventing hair loss
- CStarting antibiotics
- DPreventing dehydration
5.Medium
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt removes extra iron after blood transfusions
- BIt increases fetal haemoglobin, which reduces sickling
- CIt kills bacteria in the blood and prevents infections
- DIt replaces the missing clotting factors
6.Medium
Which advice is best for a baby with mild nappy rash?
- AApply talcum powder thickly at every nappy change
- BChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- CWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- DUse tighter nappies so that less urine reaches the skin
7.Hard
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- AMild dehydration that only needs a drink
- BNormal findings in a toddler who is upset
- CShock is unlikely while the blood pressure is normal
- DCompensated shock that needs urgent treatment
8.Hard
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- AA plaster cast and discharge home the same day
- BRest, ice and an elastic bandage for a sprained ankle, with review in a week
- CBlood cultures and prompt IV antibiotics for possible osteomyelitis
- DMassage and physiotherapy to loosen the muscle
Answer key
- 1. D · 12 to 18 months
- 2. B · About 150 to 400 × 109/L
- 3. C · Caput succedaneum
- 4. D · Preventing dehydration
- 5. B · It increases fetal haemoglobin, which reduces sickling
- 6. B · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 7. D · Compensated shock that needs urgent treatment
- 8. C · Blood cultures and prompt IV antibiotics for possible osteomyelitis
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