paeds276

What is the most probable diagnosis for an infant presenting with prolonged neonatal jaundice, dark urine, and pale stools?

paeds277

A child is brought to the hospital by his mother, who complains that he has been running a fever and associated with a headache.Which of the following clinical features, if present, is suggestive of raised intracranial pressure?

paeds278

A 16-year-old girl has ingested a pesticide in a suicide attempt. She presented with bronchoconstriction, excessive salivation, and diarrhoea. On examination, a drop in heart rate and blood pressure was noted.What is the mechanism by which the substance causes these effects?

paeds267

A young child is successfully treated for meningitis. Two months later his parents take him to their GP, worried that he isn’t communicating with them like he used to.What is the most likely complication of meningitis that he developed?

paeds268

Which of the following does not cause painless gastrointestinal bleeding?

paeds269

A 12-year-old boy sustains a fracture to the medial third of his clavicle following a fall from his bicycle.Which vessel is at the highest risk of injury?

paeds270

An 11-month-old child was given breakfast cereal containing cashew nuts following which he suddenly developed stridor and is struggling to breathe. The patient was brought to the emergency room tired and unable to cough. On examination, he is found to be conscious, and there is no rash. Auscultation did not reveal any abnormal breath sounds.What is the most appropriate next step in the management of this child?

paeds271

A 15-month-old boy was brought to the hospital following a high-velocity road traffic accident. His car seat was thrown forward into the front passenger seat. He has sustained multiple injuries, including a fractured pelvis and suspected skull fracture.On initial assessment in the emergency department, the child was lying supine with c-spine immobilized. His eyes were closed, and he was motionless. He did not respond to voice commands. He cried and produced weak vocal sounds to pain but did not open his eyes. He tries to move away from the examining hand.What is the Paediatric Glasgow Coma Scale score of this child?

paeds264

A child is admitted with a febrile illness. Which of the following is of concern?

paeds265

A male child presents with pallor and bruising. He is deaf and his thumbs are dysplastic. Clinical and paraclinical exams suggest an acute myeloid leukaemia. What is the most probable diagnosis?