paeds981
Which of following statements with regards to the developmental problems found in Fragile X syndrome is the most accurate?
Archives: MRCPCH FOP/TAS
paeds978
The blood supply to which of the following structures is NOT compromised due to an occlusion in the anterior cerebral artery?
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.
paeds983
Damage to which of the following nerves may cause an absent jaw jerk reflex?
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?
paeds971
A 9-year-old boy presented with a history of sleep disturbance for the past year. According to the parents, he has episodes in the middle of the night where he sits up in bed, unresponsive, eyes wide open, arms outstretched, and thrashing. During these episodes, he usually looks frightened, will cry out, and then goes back to sleep again. The event lasts for 2-3 minutes and can occur up to three times a night. The following day, he is tired and falls asleep at school. What is the most appropriate next step to be taken 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?
paeds967
A hyperkinetic gait is most likely associated with which condition?
paeds966
A 2-year and 10 months-old-girl presents to the outpatient clinic with delayed acquisition of speech and developmental delay. She babbles but does not speak any identifiable words. Her receptive language is relatively preserved but she is severely delayed in all developmental domains and is not yet walking. On examination, she is an excitable girl who laughs frequently and is keen to crawl around the room and engage in social interaction. Her eye contact is good. She makes flapping movements of the hands when she is excited. Her purposeful upper limb movements are rather ataxic. What is the most likely explanation for this child’s speech and language delay?
paeds949
A 17-year-old boy is brought to the emergency department by his friends after he collapsed at a dance club and developed jerky movements of his upper limbs. On further questioning, it is revealed that the boy has been clumsier than usual and has frequently been dropping his toothbrush while brushing his teeth in the morning. From the drugs provided below, which one should be avoided in this patient?