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?

paeds31

A dental surgeon infiltrates local anaesthetic at the mandibular foramen to carry out a block of the right inferior alveolar nerve. Which of the following might occur as a result of the procedure?

paeds32

A patient was diagnosed with a fast-growing pituitary adenoma. Magnetic resonance image (MRI) scanning reveals a suprasellar extension. Which structure is most likely to be affected?

paeds33

A young female who carries the abnormal RET oncogene has her recurrent laryngeal nerve accidentally divided during a thyroidectomy. Which clinical features are likely to result from this?

paeds34

A young male sustains a skull-base fracture at the middle cranial fossa which injures his right abducent (VI) nerve.Which signs are most likely to be present on clinical examination?

paeds23

Which of the following does not have an increased incidence in adolescence for patients with Klinefelter’s syndrome?

paeds24

Anorexia nervosa is associated with which of the following skin and nail related changes?

paeds25

Anorexia nervosa leads to which of the following blood chemistry derangement?

paeds26

An 18 year old girl presented with dysmenorrhea and irregular menstrual cycles. The most appropriate management in this case would be?

paeds27

A 15 year old girl is brought to the emergency after collapsing at a shopping mall. She is accompanied by her mother who reveals that she has had amenorrhea for the past 7 consecutive months. There is fine hair on her body. Which of the following investigations is mandatory in this case?