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?

paeds708

A 10-month-old girl is brought to the hospital by her mother. The family moved to the UK three months ago from The Congo. The baby’s mother explains that she is HIV positive and took combination antiretrovirals throughout her pregnancy. She was unable to attend follow-up for her baby as the family was displaced. The baby was breastfed until the age of six months and is thriving. A physical examination revealed no significant findings.What would be the most appropriate action concerning the baby’s HIV exposure?

paeds709

A 10-year-old boy presents with bilaterally enlarged parotid glands for more than 9 months. On examination, both parotid glands are firm and non-tender and are not warm to touch.What is the most probable infectious cause for chronic parotitis in the given scenario?

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?

paeds714

A 15-year-old girl known with HIV develops lipoatrophy over her thighs and abdomen. Which of the following medications can cause this side effect?

paeds692

Which of the following changes can be seen on a blood film post-splenectomy?