1.Easy
Which practice most increases the risk of early childhood tooth decay?
- APutting a baby to bed with a bottle of milk or juice
- BHaving a first dental visit by about the first birthday
- CBrushing the teeth with a smear of fluoride toothpaste
- DOffering water to drink between meals
2.Easy
What causes respiratory distress syndrome in preterm babies?
- AInhaling meconium-stained fluid during birth
- BAn allergy to the oxygen used in the incubator
- CA viral infection caught from the mother
- DA lack of surfactant in the immature lungs
3.Easy
Egocentrism and magical thinking are typical of which of Piaget's stages?
- AFormal operational stage (about 11 years onwards)
- BPreoperational stage (about 2 to 7 years)
- CSensorimotor stage (birth to about 2 years)
- DConcrete operational stage (about 7 to 11 years)
4.Medium
A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?
- AGive the child's usual dose of insulin
- BLet the child sleep and check again in an hour
- CGive glucagon and call emergency services
- DGive a glass of orange juice by mouth
5.Medium
Which growth chart finding in a 10-month-old most needs further evaluation?
- AWeight that has fallen across two major percentile lines since the last visits
- BLength on the 50th percentile and weight on the 40th percentile
- CHead circumference that follows the 75th percentile curve
- DWeight that has stayed on the 10th percentile since birth
6.Medium
Why are IV fluids for young children given with an infusion pump or a volume-control set?
- ATo remove bacteria from the fluid
- BTo allow the child to adjust the rate
- CTo prevent accidental fluid overload
- DTo make the fluid warmer before it enters the vein
7.Hard
Which finding helps to distinguish epiglottitis from croup?
- ADrooling, high fever and a toxic look, without a barking cough
- BA barking cough that is worse at night after a cold
- CSymptoms that improve within hours after a single dose of oral corticosteroid
- DA hoarse voice with mild fever and a runny nose
8.Hard
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- AA faulty probe or a cold foot; repeat the whole test at the 6-week check
- BNormal transition; no further checks are needed
- CA normal result, because foot readings are always lower
- DAn abnormal screen that must be followed up promptly under the screening protocol
Answer key
- 1. A · Putting a baby to bed with a bottle of milk or juice
- 2. D · A lack of surfactant in the immature lungs
- 3. B · Preoperational stage (about 2 to 7 years)
- 4. C · Give glucagon and call emergency services
- 5. A · Weight that has fallen across two major percentile lines since the last visits
- 6. C · To prevent accidental fluid overload
- 7. A · Drooling, high fever and a toxic look, without a barking cough
- 8. D · An abnormal screen that must be followed up promptly under the screening protocol
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