paeds1053

A 10 hour old baby who was born by emergency caesarean section, is being observed for foetal distress. She has a displaced apex beat and decreased air entry on the left side of her chest. A scaphoid abdomen is seen on abdominal examination but all else is unremarkable. What is the probable diagnosis?

paeds1057

A 12 year old boy is shot in the abdomen with a pellet gun. He hides the injury for over a week before he is taken to his doctor. CT scan shows that the pellet is lodged in his liver’s left lobe. His abdomen is soft and non-tender on examination and he seems well. What is the most appropriate course of action?

paeds1058

A 13 year old girl presents to the clinic with weight loss and bloody diarrhoea. Examination of the abdomen is unremarkable. What is the most likely diagnosis?

paeds1047

Congenital cataracts are NOT a known complication of which of the following conditions?

paeds1060

An infant, 5 weeks and 6 days old born with a large sub-aortic ventricular septal defect, is prepared for pulmonary artery banding through a left thoracotomy (the child is not fit for a surgical closure). The surgeon initially passes his index finger immediately behind two great arteries in the pericardial sac to mobilise the great arteries in order to pass the tape around the pulmonary artery. Into which space is the surgeon’s finger inserted?

paeds1056

A 12 hour old baby is seen to be cyanotic whilst feeding and crying. A diagnosis of congenital heart disease is suspected by the team of doctors. Which of the following is the most likely cause?

paeds1048

Leukocoria does NOT occur in association with which of the following conditions?

paeds1054

A 10 year old child presents with enlarged tonsils that meet in the midline. Oropharyngeal examination confirms this finding and you also notice petechial haemorrhages affecting the oropharynx. On systemic examination he is noted to have splenomegaly. What is the most likely cause?

paeds1052

A 1 year old baby is taken to the A&E with colicky abdominal pain and an ileo-ileal intussusception is found on investigation. What is the most appropriate course of action?

paeds1059

A 17 year old girl presents with enlarged tonsils that meet in the midline. Examination confirms the finding and petechial haemorrhages affecting the oropharynx are observed. Splenomegaly is seen on systemic examination. Which of the following is the most likely cause?