1.Easy
Which asthma medicine is a reliever for quick relief of symptoms?
- AFluticasone inhaled twice daily as a preventer
- BMontelukast tablets taken once a day at night
- CSalbutamol (albuterol)
- DAn inhaled corticosteroid taken every morning
2.Easy
For which child is the FLACC scale most appropriate?
- AA 9-year-old who can use a numeric rating scale
- BA 2-year-old who cannot yet describe pain
- CAn adult after surgery
- DA 14-year-old who can rate pain from 0 to 10
3.Easy
How deep should chest compressions be during CPR on a child?
- AJust enough to see the chest move slightly
- BAs deep as possible, until the ribs can be felt to give
- CAbout one tenth of the depth of the chest
- DAt least one third of the depth of the chest
4.Medium
Which daily monitoring is most useful for a child with nephrotic syndrome?
- AHead circumference and fontanelle tension
- BWeight and urine dipstick for protein
- CPeak flow and oxygen saturation every morning
- DBlood glucose before and after every meal
5.Medium
Why should a child with diabetes rotate insulin injection sites?
- ATo make sure each part of the body gets the same amount of insulin
- BTo prevent lumpy fatty areas that absorb insulin unpredictably
- CTo stop the insulin from becoming less effective over the years
- DBecause the same site causes an allergy to insulin
6.Medium
How should a 4-month-old be protected from the sun?
- AApply a thick layer of high-factor sunscreen and allow full sun
- BUse a sunbed for a few minutes to build a protective tan
- CKeep the baby out of direct sun, in the shade, with light clothing and a hat
- DExpose the baby to midday sun for vitamin D, then cover up
7.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?
- AMassage and physiotherapy to loosen the muscle
- BRest, ice and an elastic bandage for a sprained ankle, with review in a week
- CBlood cultures and prompt IV antibiotics for possible osteomyelitis
- DA plaster cast and discharge home the same day
8.Hard
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
- AChlamydia always causes severe pain, so testing is only a formality
- BTesting is required by law before any young person can see a nurse or doctor for any reason
- CChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
- DChlamydia can only be caught from shared towels and toilet seats
Answer key
- 1. C · Salbutamol (albuterol)
- 2. B · A 2-year-old who cannot yet describe pain
- 3. D · At least one third of the depth of the chest
- 4. B · Weight and urine dipstick for protein
- 5. B · To prevent lumpy fatty areas that absorb insulin unpredictably
- 6. C · Keep the baby out of direct sun, in the shade, with light clothing and a hat
- 7. C · Blood cultures and prompt IV antibiotics for possible osteomyelitis
- 8. C · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
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