1.Easy
How much fluoride toothpaste is usually advised for a child under 3 years?
- AA pea-sized amount on a soft brush
- BA full strip along the length of the brush
- CA smear about the size of a grain of rice
- DNone until all the baby teeth have come through
2.Easy
At about what age do most children say their first meaningful words?
- AAbout 12 months
- BAbout 4 months
- CAbout 2 years
- DAbout 6 months
3.Easy
What causes respiratory distress syndrome in preterm babies?
- AInhaling meconium-stained fluid during birth
- BA lack of surfactant in the immature lungs
- CA viral infection caught from the mother
- DAn allergy to the oxygen used in the incubator
4.Medium
Which child should generally not receive a live vaccine such as MMR?
- AA child whose sibling has a cold
- BA child who is currently taking oral antibiotics for an uncomplicated ear infection
- CA child with severe immune suppression, for example during chemotherapy
- DA child with a mild cold
5.Medium
A child has cola-coloured urine, puffy eyes and high blood pressure two weeks after a sore throat. What is the likely diagnosis?
- AUrinary tract infection
- BNephrotic syndrome
- CAcute post-streptococcal glomerulonephritis
- DWilms tumour
6.Medium
At about what age does a pincer grasp (picking up small objects between thumb and index finger) typically develop?
- AAbout 3 months
- BAbout 18 months
- CAbout 2 years
- DAbout 9 to 10 months
7.Hard
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
- AAn allergy to the saline flush
- BA catheter-related bloodstream infection
- CA normal reaction to the chemotherapy
- DA blocked line that needs more forceful flushing
8.Hard
A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?
- ADocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
- BReport them straight away to the safeguarding team as suspected physical abuse
- CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
- DApply cold packs several times a day to reduce the discoloration
Answer key
- 1. C · A smear about the size of a grain of rice
- 2. A · About 12 months
- 3. B · A lack of surfactant in the immature lungs
- 4. C · A child with severe immune suppression, for example during chemotherapy
- 5. C · Acute post-streptococcal glomerulonephritis
- 6. D · About 9 to 10 months
- 7. B · A catheter-related bloodstream infection
- 8. A · Document them with size and location as congenital dermal melanocytosis (Mongolian spots)
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