paeds1036

A 15-year-old male presents with a depressed skull fracture, which was surgically managed. Over the next few days, he complains of double vision on walking downstairs and reading. On testing ocular convergence, the left eye faces downward and medially, but the right side does not.Which of the following injured nerves is most likely responsible for the patient’s symptoms?

paeds1037

A 10-month-old boy was brought to the emergency department with bilateral watery discharge from both eyes with occasional mucoid discharge. The presentation is highly suggestive of a nasolacrimal duct dysfunction.Which of the following would be the most appropriate advice to be given to the boy’s parents?

paeds1038

A 10-year-old boy is struck on the left eye by a tennis ball. Following the event, he immediately complains of eye discomfort and dimming of vision in the affected eye. Three hours later, in the emergency department, the assessment of his visual acuity revealed that he can see 6/24 on a Snellen chart.Which of the following is the most probable diagnosis of this boy?

paeds1039

A 6-year-old girl is brought to the hospital by concerned parents. The teachers of her school have brought to their attention that she struggles to see the whiteboard in class. The parents have also noticed that she has difficulty when looking at the computer.Except for being a nervous reader at times, the parents haven’t noticed anything else unusual. She’s otherwise healthy and plays well with her friends.What is the most probable diagnosis for this child?

paeds1040

Retinopathy of prematurity (ROP) is a potentially blinding disease if not managed adequately. Which of the following is a complication of ROP in an infant?

paeds1041

Which of the following is the first symptom or sign of a congenital cataract in a 1-year old?

paeds1042

A mother and her 2 year old girl is referred to a paediatrician on account of concerns over a possible squint. On examination the doctor uses a pen torch to assess the symmetry of the light reflex on each cornea. The following test was used to assess the child:

paeds1043

Which of the following conditions is most likely to permanently impair visual development in a 2-year-old child?

paeds1044

Which of the following conditions is not associated with corneal opacities?

paeds1021

What is the ideal growth rate of a new-born baby when receiving appropriate nutritional input?