1. With reference to the traffic light system for identifying risk of serious illness in a child with a fever (NICE, 2013), which signs/symptoms would indicate high risk?

1. Pallor reported by parent/carer. No smile
2. Nasal flaring. Awakes only with prolonged stimulation
3. Skin, lips or tongue appear pale, mottled, ashen or blue
4. Normal colour. Responds normally to social cues

2. Philip is 4 years old and has a 2-day history of diarrhoea and vomiting. What signs would suggest that he is clinically dehydrated (NICE, 2009)?

1. Warm extremities, decreased urine output, skin colour unchanged, sunken eyes
2. Warm extremities, normal urine output, skin colour unchanged, eyes not sunken
3. Decreased level of consciousness, cold extremities
4. Normal skin turgor, moist mucous membranes

3. Which is NOT a red flag for sepsis in a child?

1. Raised respiratory rate for age
2. Tachycardia
3. Core temperature of 38°C
4. Bradycardia

4. In a child with a seizure, what drug and dosage would you give for a seizure lasting longer than 5 minutes:

1. Phenytoin 20mg/kg IV or IO over 20 minutes. Max dose 2g
2. Phenobarbitone 20mg/kg IV or IO over 5 minutes. Max dose 1g
3. Lorazepam IV/IO 0.1mg/kg. Max dose 4mg
4. Buccal midazolam 0.5mg/kg. Max dose 4mg

5. On the Glasgow Coma Scale which of the following options would give a total score of 8?

1. Eyes open spontaneously. Orientated. Obeys commands
2. Eyes open to sound. Confused. Localised response to pain
3. Eyes do not open to verbal or painful stimuli. No response to verbal or physical stimuli
4. Eyes open in response to pressure (pain) only. Incomprehensible sounds. Withdraws from pain