paeds533

A 13-year-old boy presents with a two-week history of malaise, sore throat, odynophagia, and dysphagia. On examination, patchy white spots were noted in his oropharynx. An upper GI endoscopy revealed similar lesions in the oesophagus. Which of the following is most likely to identify the underlying pathology in this patient?

paeds534

A 7-week-old infant is brought to the emergency department by his mother. She complains that the child is having episodes of non-bilious vomiting for the past 10 days. She observed that the episodes typically occur directly after feeding and notes that the volume brought up varies, but that her baby does seem to be very hungry and has not gained much weight. What is the most probable diagnosis for this infant?

paeds535

Which of the following conditions can be present in a 12-year-old boy diagnosed with coeliac disease?

paeds527

A new-born baby develops vomiting 9 hours after birth. He has tolerated two prior feeds. His mother tells you that the mid-wives were concerned that there was lots of fluid around the baby in the uterus. What is the most likely genetic disorder associated with this presentation?

paeds528

What is the most likely cause for bloody diarrhoea of 3 days duration in a 10-year-old child?

paeds529

A 16-year-old girl experienced nausea, vomiting and abdominal cramps 4 h after eating a hamburger in a local restaurant. Watery diarrhoea began a few hours later.The most likely organism causing her disease is?

paeds530

An 11-year-old girl with developmental delay was brought to the clinic with symptoms of abdominal pain, loss of appetite, vomiting and constipation. Her parents notice that she has been eating substances like soil, soap and paper recently. Her blood count and peripheral smear examination reveal a microcytic-hypochromic anaemia with basophilic stippling of RBCs. What is the most probable diagnosis?

paeds531

Which of the following statements is false regarding H. pylori?

paeds524

A male infant is brought to the emergency department by his parents. He was born at 34 weeks by spontaneous vaginal delivery and was discharged 4 weeks ago. He is not on any regular medication. Parents said that he brings up small volumes of milk after feeds. This happens approximately twice a day. Observations are all within normal range and examination is unremarkable.Which of the following is the most likely diagnosis?

paeds525

A male term infant was admitted to the neonatal unit on day 4 for severe jaundice. The bilirubin at that time was 320 mmol/l, which decreased with phototherapy. At day 30, the baby still required phototherapy to keep the bilirubin below the treatment line. On examination, the skin had a tanned appearance and his sclerae were icteric. Mother’s blood group was A+, the baby’s blood group was A+, direct Coombs test (DCT) was negative. What is the MOST likely diagnosis?