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Pediatrics · Diarrhoea: plan B
Sample itemA 10 kg child has some dehydration with restlessness, sunken eyes and skin pinch going back slowly. What volume of ORS is to be given in the first 4 hours?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. About 750 ml (75 ml/kg)
Some dehydration is treated by Plan B with ORS at 75 ml/kg over 4 hours. The child is then reassessed and the plan decided accordingly. Small frequent sips are given, and vomiting is managed by pausing for 10 minutes.
Option by option
A. About 1500 ml
Fifteen hundred ml would be 150 ml/kg.
B. About 750 ml (75 ml/kg) (correct)
Correct. 75 ml/kg gives 750 ml for 10 kg.
C. About 200 ml
Two hundred ml is too little.
D. About 100 ml
One hundred ml is maintenance only.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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