paeds42

A 7 year old boy who never had a history of incontinence presented with bed-wetting. Which of the following is the best approach?

paeds43

A 8 year old boy who had not wet his bed for the past 3 and half years, presented with bed wetting for 2 weeks. Which of the following is the most appropriate management?

paeds44

From the options provided, which statement would most likely points towards Munchausen’s syndrome by proxy?

paeds45

A 16-year-old has a right sided aortic arch which is visible on the echocardiography. Which of the following condition most likely predisposes to this finding?

paeds35

A 10-year-old boy sustained a fracture of his right elbow, which damaged the ulnar nerve behind the medial epicondyle of the humerus. A month later, he still has a total ulnar nerve paralysis. Which of the following can be observed on examination?

paeds36

Which among the following neurological signs is likely to be present on examination following the successful administration of a median nerve block?

paeds37

An 12 year old boy presents with a 2 day history of a tree climbing accident in which a small branch gave way, leaving him suspended by one arm. He can move his arm into any position but is unable to use his hand effectively.Which of the following structures has he most likely damaged in the accident?

paeds38

A 17 year old patient, who reports to the clinic following an apparent transient ischaemic attack, is demonstrated to have a small right homonymous hemianopia with partial sparing of central vision.Where is the lesion most likely to have occurred?

paeds39

Where would you visualise the azygous lobe on an antero-posterior (A-P) chest X-ray?

paeds30

An 8 year old male child presents with an injury to his right brachial plexus in a motor vehicle accident. Clinical examination reveals a right shoulder weakness when it comes to abduction and flexion of the forearm. His lateral aspect of the right upper arm seems to have some sensory loss as well. All reflexes are present except for the right biceps and brachioradial ones. What is the level of brachial plexus injury?