A 6-year-old boy comes to his General Practitioner with his mother and stepfather. He has a 2-month history of intermittent abdominal pain. The pain is colicky in nature and periumbilical. His appetite is slightly reduced. He is not constipated. The pain is causing him to miss some school, but he also experiences it at the weekend. The patient is otherwise normal and his height and weight are on the 50th centile.
What is the most likely diagnosis?
A 6-year-old child presents clinically with mumps and has not been immunised.
Which statement is true of notifiable diseases?
A 6-month-old, full-term boy presents with a four-week history of regurgitation of feeds. He is otherwise well, with a normal growth chart. Examination is also normal.
What is the most appropriate diagnosis?
A 4-month-old boy presents with an eight-hour history of vomiting and inconsolable crying. He has a tender, irreducible lump in the right groin that extends into the scrotum.
What is the most likely diagnosis?
A 5-year-old girl comes to your clinic after her mother notices a lump in her abdomen while getting her dressed. During the examination, you find a mass in her left upper quadrant. You collect a urine sample, which shows positive results for blood on dipstick testing. Other than that, she appears to be healthy.
What is the probable diagnosis? Choose ONE answer only.
During an out of hours session a 6-year-old girl is seen with croup. She doesn’t need to be admitted to hospital but you decide to treat her with a stat dose of dexamethasone.
She weighs 25 kg. Dexamethasone for croup is prescribed at a dose of 150 micrograms/kg. Dexamethasone oral solution is dispensed in a concentration of 2 mg/5 ml.
What is the correct stat dosage of dexamethasone in millilitres to prescribe?
A 6-year-old girl with Down’s syndrome who has a congenital heart defect has been prescribed furosemide by the paediatric cardiologists. Her parents have come to get a refill.
Looking at the prescription, she has been prescribed furosemide at a dose of 0.5 mg/kg twice daily. Her current weight is 16 kg. Furosemide oral solution is available at a concentration of 20 mg/5 ml.
What is the appropriate amount in millilitres to prescribe?
A mother brings in her 8-year-old boy to see you who has Down syndrome.
Recently she has noticed he is lethargic with a tendency to bleeding gums. On examination he looks a bit pale but not unduly so. His diet is poor, including a lot of fast food.
Which of the following conditions would you be most concerned about in terms of his symptoms and increased risk?
A 5-year-old boy presents with his first febrile convulsion.
Which of the following is appropriate information for his parents?
A 16-year-old student presents with a three week history of a flu-like illness, which progressed after a week to paroxysms of coughing.
He was previously healthy and believes he received all the recommended childhood vaccinations.
Upon examination, he has no fever and his chest sounds clear. You suspect he may have pertussis.
What is the most suitable test to confirm the diagnosis?