paeds1101

What serious side effect would you expect, after giving IV lorazepam to a 4-year-old boy suffering from febrile convulsions?

paeds1102

A 11-year-old boy has a history of tonsillitis followed by haematuria and hypertension about 10 days later.What would be the characteristic blood test finding in this condition?

paeds1066

A 17 year old girl is taken to the hospital with a 10 hour history of pelvic pain. Her last normal menstrual cycle was 14 days ago and she is otherwise well. Her abdomen was soft with mild suprapubic pain on examination. What is the underlying cause?

paeds1067

A 15-week-old baby boy is brought to the emergency by his parents due to vomiting and weight loss. Physical examination reveals a central palpable mass in the abdomen. Ultrasound examination shows a pylorus 8mm long and a target sign centrally. What is the most likely diagnosis?

paeds1068

A 1-year old child is brought to the ER with abdominal distension and bilious vomiting. Radiological examination shows distended bowel loops and gas in the rectum. Her mother reveals that the baby had surgery at the two days of age for a twisted intestine. Blood gas analysis from a sample drawn from a capillary shows a pH of 7.34 and lactate of 2. Which of the following is the most appropriate management step?

paeds1069

A 2-day old neonate is brought to the hospital with complaint of not having opened his bowels. On examination, the anus is not visible, and meconium is coming out of the urethra. Which of the following statements regarding this patient is most accurate?

paeds1070

A 5 month old boy presents with a history of one episode of green vomiting. Upon clinical examination, doctors notice an acutely swollen mass located in the groin, extending to the scrotum. What is the most probable diagnosis and what’s the most appropriate management?

paeds1071

A 5 month old baby presents with bilious vomiting. Doctors notice a palpable mass and drawing up of legs. They treat the baby with an air reduction enema, suspecting intussusception. However, the procedure is interrupted as the baby develops abdominal distention and starts to drop their saturations. What would be the single most appropriate next step?

paeds1072

A 6 year old child presents with acute scrotal pain. Clinical examination reveals scrotal tenderness, redness, swelling, and associated hydrocele. What is the most likely diagnosis?

paeds1073

An 8 year old male child of Afro-Caribbean descent complains of acute abdominal pain. Clinical examination reveals a soft abdomen. The boy is tachycardic and has an Hb of 6 g/dl. His mother says she noticed fresh rectal bleeding. What is the most probable diagnosis?