paeds249

A 1-year old infant is brought to the emergency by her parents with difficulty breathing. Examination reveals stridor from an oedematous airway, bilateral wheezing and low blood pressure. Which of the following medications would result in the reversal of these symptoms?

paeds250

A 13-year-old child who is undergoing assisted ventilation following traumatic brain injury develops new-onset bradycardia and hypertension.Which of the following can improve his current condition?

paeds251

A 21-day old infant is brought to the paediatric clinic by his mother with complaints of fever, lethargy and a reduction in feeds. On examination, the infant is hypotonic, tachypnoeic and has a CRT of 4 seconds, with the femoral pulse being barely palpable. Venous access is obtained with difficulty by inserting an interosseous needle and blood sugar level is 13. His saturation is found to be 98%. Which of the following is the most likely diagnosis?

paeds252

A 2-month-old child is brought to the paediatric emergency by his parents. Which of the following would be a contraindication for the baby’s discharge from the hospital?

paeds253

A 6 months old girl presents with a history of vomiting, colic pain, fever, and listlessness. She doesn’t want to eat and the doctors noticed a bloody nappy. Upon clinical examination she’s found to be tachycardic and with cool peripheries. What is the most appropriate management?

paeds254

A 5 year old boy falls into the swimming pool whilst playing and almost drowns. His parents start BLS and transfer him to the emergency department. You attach him to the cardiac monitoring and you notice ventricular fibrillation. You immediately start on CRP algorithm for shockable rhythms. Which of the following may result in a poor defibrillation response?

paeds244

A 14-year-old boy suffers a blow to the right side of his head with a hammer. On arrival at the emergency department, he is pronounced dead. Post-mortem findings will show which of the following features?

paeds245

A 15-month-old infant is brought to the clinic by his parents following a minor fall. He was initially unable to bear weight on his legs but after ibuprofen he can walk and run with a minor limp. X-ray of the leg shows no abnormality. However, ten days later a repeat x-ray is done due to persistent limp and it reveals a spiral fracture. How do you explain this?

paeds246

A 17-year-old boy presents to the emergency after being involved in a fight outside a club and being beaten with a baseball bat. Under observation his GCS deteriorates, and he becomes comatose. Which of the following parameters are most likely to be present during this condition?

paeds247

A 16-year-old boy is brought to the ER by his friends. He fell off his quad bike while riding it at a high speed. He complains of neck pain and paraesthesia in his limbs. On examination, there are multiple bleeding contusions on the body. There is a handlebar bruise on his chest. And oxygen saturations are low, but heart rate is normal. Which of the following is the most likely causing his shock?