paeds436

A 16 year old boy presented, complaining that an insect had lodged in his left ear. Which of the following can be considered as the most appropriate method to remove the insect?

paeds437

A 2 year old boy was brought to the physician by his mother with a history of a swelling on the right side of his neck that is extending from the angle of mouth to the middle 1/3rd of sternocleidomastoid muscle. On examination the swelling was on the anterolateral aspect of the muscle and was found to be brilliantly transilluminant. Which of the following is the most likely diagnosis?

paeds429

A 6 year old boy has been taken to his local hospital for his third sore throat in one month. Doctors have discovered bleeding from his gums and nose. He is also presenting with pale conjunctiva. From the list of options, what is the single cell type most likely to be seen on microscopy?

paeds430

A child presents with a history of recurrent tonsillitis. His mother claims he had three attacks in one year. What is the best management?

paeds431

A mother came to the clinic, with her 7 month old baby. She anxiously explained that he was not responding to loud sounds. He was vocalizing at the presentation and he had normal motor milestones. Which of the following is the most appropriate management?

paeds432

An 8-year-old girl presented to the outpatient clinic with fever, pain and discharge from her left ear. Which of the following antibiotics should be used first?

paeds427

A 5 year old boy presents with tonsillitis, from which he has suffered three times last year. His symptoms include fever, lymphadenopathy and a sore throat. What is the next most appropriate step?

paeds426

A 3-year-old girl was accompanied by her mother to the hospital due to a change in speech, which is now an indistinct nasal speech. She is always tired by day, has restless sleep and even snores at night. What is the best management strategy?

paeds425

A 3-year-old girl presents to A&E following a few days of being lethargic, having runny nose, sore throat, and fever. She has unceasing stridor and drooling of saliva while her body is inclined forward. What is the most important next step in her management?

paeds424

A 3-year-old child choked on a foreign object, which was removed at the hospital. The parents are now asking for advice on how to manage future occurrences at home. What do you advise?