paeds699

A 6-year-old male was brought to the OPD with complaints of weight loss and fatigue for the last few months. On examination he was pale and had hepatosplenomegaly. A full blood count was ordered and it revealed immature white blood cells. Which of the following is the most likely diagnosis?

paeds700

A Blood group A-ve mother gives birth to a baby who develops severe jaundice within the first 24 hours of delivery. What is the most probable diagnosis?

paeds704

The mother of 6 months old girl tests positive for HIV. Doctors test her daughter as well and the results turn out to be positive for HIV, both by polymerase chain reaction (PCR) and serology. The girl is clinically healthy and seems to attain normal developmental milestones. Which of the following is the most appropriate next step?

paeds705

A new-born delivered at term with a birth weight of 2.5kgs was admitted to the NICU with suspected congenital TB. Her mother is HIV positive and is on HAART, recently diagnosed with tuberculosis 1 week ago. All of the following are features of congenital tuberculosis EXCEPT?

paeds706

A 13-year-old girl takes a deliberate, unknown number of paracetamol tablets in one go. She immediately regrets her actions and calls for help. She was brought to the hospital 2 hours after consuming the tablets. She has a history of HIV and is on antiretroviral therapy, though she cannot recall the name of the medication. Which of the following management options is most appropriate for this patient?

paeds707

A 19-year-old male newly diagnosed with HIV is initiated on highly active antiretroviral therapy (HAART). He was previously well and had no past medical or psychiatric history. A few days after starting the medication, he develops poor sleep and nightmares, with low mood and suicidal ideation. Which antiretroviral agent is most probably responsible for the side effects mentioned?

paeds710

Which of the following immunological components is deficient in a 5-year-old HIV positive child who develops Pneumocystis jiroveci pneumonia?

paeds711

Which of the following is true of mother to child transmission in the case of a mother with HIV infection?

paeds712

A 14-year-old girl with HIV develops jaundice while being treated for overwhelming sepsis. Blood investigations reveal:ALT: 50 IU/L (0-45) Alkaline phosphatase (ALP): 505 IU/L (0-105)Which of the following medications has she most likely been administered in the course of her treatment?

paeds713

A 12-month-old baby with HIV is scheduled for his MMR vaccine. What is the most appropriate action?