Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email or call +27 76 657 0353.

Visit for information.

Test 1: History and examination

  1. What is the first step in the general examination of a child?
    • Introduce yourself.
    • Take a brief history.
    • Do a physical examination.
    • Get a chest X-ray.
  2. How should you address a child?
    • Speak to the mother rather than to the child.
    • It is best to call all children ‘kid’ so that you do not frighten them.
    • Speak directly to the child using the child’s name.
    • It is better if a nurse rather than a doctor speaks to the child.
  3. Is it important to listen to what mothers have to say?
    • Yes, as the mother knows the child best.
    • Yes, as the mother will be paying for the visit.
    • No, as the mother expects you to tell her what the symptoms are.
    • No, as mothers do not give an accurate history.
  4. What is the value of a referral letter?
    • Of little value as the information is often incorrect.
    • Only important if it was written by a doctor.
    • Useful documentation to keep in the patient’s folder.
    • Helpful in drawing your attention to the presenting problem.
  5. The Road-to-Health Card should be asked for:
    • Only at an immunisation clinic.
    • At all clinic visits but not at a hospital visits.
    • Only when the child is seen by a nurse.
    • Always look at the Road-to-Health Card when a child attends any clinic or hospital.
  6. Knowing the child’s age is important because:
    • A doctor rather than a nurse should see all children under 3 months of age.
    • An accurate age is needed to plot the child’s weight on the growth chart.
    • Head circumference should be routinely measured in all children older than 2 years.
    • Notes should be recorded in the Road-to-Health Card only in children younger than 2 years.
  7. How should you measure a child’s temperature?
    • The axillary temperature is best in young children.
    • The oral temperature should be recorded in all children.
    • A rectal temperature is best in older children.
    • Digital thermometers should not be used in children as they are inaccurate.
  8. Who should give the history?
    • The child if possible.
    • The mother or guardian.
    • The referring doctor or nurse.
    • The nurse should take the history from the mother and then tell the doctor the important points.
  9. An immunisation history is important:
    • Only in children from a poor home.
    • Only in children younger than 3 years.
    • If the child attends a clinic but not needed for hospital admissions.
    • Important for all children.
  10. A social history should be taken:
    • Only if you suspect child abuse.
    • Always, as the home situation is often the cause of the child’s problem.
    • Always, as you need not examine the child if there is an obvious social problem.
    • Only in children who are not able to give a history themselves.
  11. How should you start a physical examination?
    • With a general inspection of the child.
    • Always listen to the heart first before the child starts to cry.
    • Always examine the ears and throat first to get the worst part over.
    • There is no need for any special order in performing the examination.
  12. When you examine a child’s abdomen you should first:
    • Auscultate (listen).
    • Palpate (feel).
    • Percuss (both listen and feel).
    • Inspect (look).
  13. When performing the examination:
    • It is best if the parents are asked to leave the room.
    • It is important to have warm hands.
    • A nurse should hold the child still.
    • Always place the child on an examination table.
  14. Should children be undressed for a physical examination?
    • Only if the child appears to be ill.
    • All children must be fully undressed.
    • It may be best to undress only part of the child at a time.
    • Children can be examined without undressing them.
  15. What are danger signs?
    • Signs that the child may vomit.
    • Signs that the child is about to pass a stool.
    • Signs that the child may have a serious illness.
    • Signs that the child has started puberty.
  16. What special investigation is usually needed?
    • Urinalysis with a dipstick.
    • Chest X-ray.
    • Stool culture.
    • ESR (erythrocyte sedimentation rate).
  17. What is a problem list?
    • A list of the main points in the history.
    • A list of the important findings on physical examination.
    • A list of the patient’s problems after a full general examination.
    • A list of abnormal special investigation results.
  18. What is an action plan?
    • The order in which the examination should be performed.
    • The method of taking a present, past and social history.
    • How the special investigations should be booked or arranged.
    • The plan to address each of the patient’s identified problems.
  19. Good clinical notes:
    • Take too much time for a busy clinic.
    • Help to one to think and develop a clear idea of the child’s problems.
    • Are only important in hospitals.
    • Are only important in private practice.
  20. How should continuation notes be written?
    • Always use the SOAP system.
    • Continuation notes are not needed unless a new problem is identified.
    • Continuation notes are not required if the child always sees the same nurse or doctor who knows the problem.
    • Detailed notes of both past and present problems should be written.