Archives: MRCPCH FOP/TAS

paeds100

An infant born at 34 weeks was kept in the incubator for almost a month. Physical examination revealed a heart murmur, which however was not present at discharge. What is the most probable cause of this murmur?

paeds101

Absence of which of the following milestones warrants further assessment in a 15-month-old child?

paeds102

A 12-year-old boy presents with increasing unsteadiness on his feet. He also complains that he is unable to see the board at school. His mother notices that he sleeps with his light on these days and stumbles a lot in low light. Which of the following symptoms would suggest that the boy has a peroxisomal disorder?

paeds103

Which of the following can be expected from a 12-month-old child assuming he has achieved normal developmental miles stones so far?

paeds98

A 4 year old boy presented in the sixth day of fever, with erythema of the palms and soles and maculopapular rash. His eyes and tongue were red. Which of the following is the most probable diagnosis?

paeds99

A child on 70% O2 suddenly crouches down whilst playing to help with breathing. What is the most likely diagnosis?

paeds94

A 13-year-old girl is brought by her mother to the A&E with breathlessness, fatigue and palpitations. Anamnesis does not reveal any syncope or chest pain in the past. on the other hand, these symptoms were present intermittently for a year. Clinical examination reveals a pan-systolic murmur associated with giant V waves in the jugular venous pulse. Chest auscultation and resting ECG are normal. 24 hour ECG tape shows a short burst of supraventricular tachycardia. What is the most probable diagnosis?

paeds95

A 13 year old girl presented with signs of shortness of breath, chest pain, non-productive cough, oedema of the lower extremities and cyanosis of the fingertips. She has a history of a ventricular septal defect not surgically corrected. The most probable cause of these symptoms is:

paeds96

A 15-day old male baby was brought to the emergency department with sweating and his lips turning blue while feeding. He was born full term. On examination, his temperature was 37.9°C, blood pressure 75/45 mmHg, pulse was 175/min, and respiratory rate was 42/min. A harsh systolic ejection murmur could be heard at the left upper sternal border. X-ray chest showed small, boot-shaped heart with decreased pulmonary vascular markings. He most likely has: