paeds372
A 12 year old boy with type I diabetes was reluctant to go to school. According to him, he was unhappy at the school. Which of the following is the next appropriate step?
Archives: MRCPCH FOP/TAS
paeds373
A 2 month old baby presents to the clinic with vomiting. On examination he has ambiguous genitalia. The labs are as follows: Na: 125mmol/L, K: 6mmol/L. Which of the following is the most likely diagnosis responsible for this patient’s presentation?
paeds374
A 16-year-old boy presents with poor development of secondary sex characteristics, colour blindness and a decreased sense of smell. On examination, his testes are located in the scrotum and are small and soft. What is the most likely diagnosis for this boy?
paeds375
A 40-week-old baby presented with a weak cry and failure to thrive. The mother gives a history of prolonged neonatal jaundice and says it is common in her family. On examination, a large tongue was noticed. What is the most likely diagnosis?
paeds376
An 18-year-old girl presents with complaints of primary amenorrhoea. Which of the following is the first sign of the onset of puberty?
paeds377
A 12-year old girl was brought to the hospital with recurrent headaches for 6 months. Her physical examination revealed no abnormality. A CT scan of the head revealed a suprasellar mass with calcifications, eroding the surrounding sella turcica. The lesion is likely to represent:
paeds378
A 16-year old boy was brought in an unconscious state to the emergency department. Clinical evaluation pointed in favour of acute adrenal insufficiency. On enquiry, it was revealed that he was suffering from a high grade fever 24 hours prior. On examination, extensive purpura were noted on his skin. The likely diagnosis is:
paeds379
A 13-year-old boy is brought to your clinic with a complaint of delayed puberty.While examining the patient which of the following features is most likely to indicate that pubertal change may have commenced?
paeds380
A 13-year-old girl presents with short stature, webbed neck, cubitus valgus and primary amenorrhea.Which of the following hormones is most important for long term replacement?
paeds364
Which of the following is the gold standard laboratory investigation for diagnosing central precocious puberty?