paeds317
A 10-year-old girl with type 1 diabetes presents with a history of recurrent early morning non-ketotic hyperglycaemia. Which of the following statements regarding the phenomenon described is correct?
Archives: MRCPCH FOP/TAS
paeds318
A 6 year old female presents with an increase in the size of her breasts and light hair on the border of the labia majora. Her mother worries she might be having premature puberty. What is her Tanner stage?
paeds319
A 6 year old female child with a history of controlled type 1 diabetes, presents with recurrent nightmares due to hypoglycaemia and early morning glycosuria. Her parents are well informed about the child’s condition and adjust her insulin requirements according to carbohydrate counting. What is the cause of the hypoglycaemia during the night in association with early morning glycosuria?
paeds320
A child presents for an endocrinological work-up. The doctors perform blood tests, an X-ray, a pelvic U/S and a brain MRI. Which of the following reasons would result in an advanced bone age?
paeds321
A child presents with signs of hypothyroidism. The doctors suggest a combined pituitary function test to evaluate his responses to an IV injection of thyroid-releasing hormone (TRH). Which of the following would suggest secondary hypothyroidism?
paeds322
A child presents with signs of a hormonal abnormality due to an abnormality of the G protein. What is the most likely diagnosis?
paeds323
A neonate presents with hypospadias and impalpable testes.Which of the following statements is true?
paeds324
An 11-year-old boy was brought by his mother because she noticed that his blood sugar level was high this morning.The boy was diagnosed with type-1 diabetes mellitus at the age of 6, following which his sugars have been under control with insulin. His mother insists that his mental, social, and physical development were all normal for his age.His is currently on a basal-bolus regime, where he takes insulin glargine at 9 pm every evening. What is the most likely explanation for the pattern shown by the boy’s blood sugars?
paeds325
A short 17-year-old girl with primary amenorrhea has pulmonary stenosis.What is the most likely diagnosis?
paeds326
A 16 year old girl presents with excess hair and amenorrhoea. She is normotensive. Her prolactin levels are normal. She has a raised 17 α-hydroxyprogesterone level.What is her diagnosis?