Archives: MRCPCH FOP/TAS

paeds976

A 12-year-old boy presented to the hospital with sudden onset of a generalized tonic-clonic seizure. The seizure stopped spontaneously after 5 minutes. There was no preceding aura. His parents recall that he had a fever for the past three days that resolved after taking paracetamol. On examination, he was found to be febrile with a temperature of 38.5°C, and throat examination revealed bilateral exudative tonsillitis. He has previously been treated for febrile seizures, once at the age of 16 months, subsequently at three years of age, and again at 5 years. Detailed family history revealed that his mother also suffered from repeated febrile seizures when she was young. His growth and development are up to age, and he is an above-average student at school. What is the most probable diagnosis for this child?

paeds981

Which of following statements with regards to the developmental problems found in Fragile X syndrome is the most accurate?

paeds972

A 10-year-old boy presents to the hospital with an 18-month history of intermittent eye blinking, facial grimacing, grunting, and sniffing. He has enough control to suppress them at times, but not always. They are happening at school, and his classmates are starting to notice.Which among the following would be the best initial step in the treatment of the child?

paeds973

A 16-month-old boy presented following a 20 min seizure. He was given 5 mg per rectum (PR) diazepam to terminate the seizure and is still only responding to voice 6 hours later. He was diagnosed with measles five days prior to this episode.Which of the following is the most probable cause of his symptoms?

paeds986

Where does the spinal cord terminate in neonates?

paeds975

A 10-year-old boy is brought to the hospital by his mother. She has noticed that the boy has become tired quicker than normal for the past two months. She also noticed a reduction in the boy’s appetite. He no longer enjoys football and often complains of aches and pains. He has a faint rash on his arms and has to ‘climb up’ his legs to get up from a supine position.What is the most probable diagnosis for this boy?

paeds974

A 10-year-old boy presents to the neurology clinic with complaints of unsteady gait and dysarthria. On examination, he is found to have ataxia, absent tendon reflexes, and nystagmus. His intelligence is well preserved. Additionally, distal muscle weakness was noted in hands and feet. He is also diagnosed with hypertrophic cardiomyopathy. What is the most probable diagnosis for this patient?

paeds970

A 16-year-old boy presents with left-sided hemi-sensory loss and ipsilateral sensory inattention. The doctor suspects a space-occupying lesion.Where is this likely to be?

paeds977

Which of the following is the most likely cause of microcephaly in an asymptomatic 3-year-old child whose head circumference is on the 3rd centile? Note that his height and weight are in the 75th centile.