paeds263
A severe asthma exacerbation according to the British Thoracic Society suggests an oxygen saturation that is less than:
Archives: MRCPCH FOP/TAS
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?
paeds266
6 day old twins are being exclusively breastfed. They are both jaundiced, requiring admission for phototherapy, and have lost 12% and 13% of their birthweights, respectively. They both have serum sodium levels of 145 mmol/L. What is the best advice about fluid management over the next 48 h?
paeds255
A 5 year old boy fell and hit his head. The parents say that after the fall he cried immediately and then vomited four times. They brought him to the emergency department one hour after the event. His Glasgow Coma Scale (GCS) is 15 and he has a 6 cm haematoma on the right side of his head. Neurological examination is normal and he has full memory of what happened. What would you do next?
paeds256
A 6 year old boy presents with a tibial fracture in a cast and continuous pain. You suspect a compartment syndrome injury. Which of the following represents a late sign of the condition?
paeds257
A 6 year old girl presents with a history of palpitations and light headedness. Her heart rate is 200 beats per minute so you try with vagal manoeuvres and repeated boluses of adenosine up to a maximum dose of 500mcg/kg. What would you do next?
paeds258
A 6 month old baby presents with a sausage-shaped abdominal mass and a history of green vomit a few hours earlier. The baby was born at 38 weeks of gestation and immigrated recently form the Philippines with his parents. What is the most probable diagnosis?
paeds259
A 6 year old boy is admitted following a motor vehicle collision (MVC). He presents with tachycardia and it is indicated that he might be in shock. Upon immediate management with fluid bolus, his condition becomes improves, only to worsen again after a while, as he becomes more tachycardia and his pulse pressure starts decreasing. Which of the following is the most probably cause of shock?
paeds260
An 8 year old male was just hit by a car and brought by a helicopter to the emergency department. He is intubated and you want to avoid secondary brain injury. Which of the following measures is not indicated to prevent secondary brain injury?