MSFinals-4569
What are the common symptoms exhibited by a child with recurring upper urinary tract infections?
Med Student Finals Category: Paediatrics
MSFinals-4570
A 16-year-old girl comes to her family doctor complaining of bilateral knee pain that has been bothering her for the past four weeks. She mentions that she is a member of her school’s track and field team but denies any recent injuries or falls. During the physical examination, the doctor notes tenderness in both of her tibial tuberosities. However, her anterior and posterior cruciate ligament stress tests, as well as the Apley’s and McMurray’s tests, all yield normal results.
What would be the most appropriate next step?
MSFinals-4571
A toddler is diagnosed with a ventricular septal defect. What is true about VSD?
MSFinals-4572
A preteen visits the sexual health clinic complaining of painful urination and penile discharge. He suspects he may have contracted a sexually transmitted infection. Upon further inquiry, you discover that he is just 10 years old, despite appearing older. When you ask about his sexual partner, he refuses to provide any additional details and insists that you keep this encounter confidential from his parents and others. What is the most appropriate course of action in this situation?
MSFinals-4573
You are asked to evaluate a 3 day-old neonate who was born 2 weeks premature after a premature rupture of membranes. The infant has not passed meconium in the first 24 hours and has started vomiting. During the examination, you observe one episode of vomiting that is green in color, indicating bile. The baby appears irritable with a visibly distended abdomen, but has normal oxygen saturation and no fever. Palpation of the abdomen causes further discomfort, but no discrete mass is detected. What is the most probable underlying condition?
MSFinals-4557
As a doctor, you have been requested by a midwife to conduct a newborn examination on a 24-hour old infant. During the examination, the parents express concern about their baby’s penis appearing abnormal and request your assistance. Upon inspection, you observe that the urethral meatus is situated on the ventral aspect of the glans and the prepuce is hooded. However, the baby has already passed urine with a strong stream, as noted by the midwife earlier in the day. What should be the doctor’s next course of action?
MSFinals-4558
A newborn is 24 hours old and was born at term. The mother had gestational diabetes during her pregnancy. The mother has chosen to exclusively formula feed the baby. The infant is currently comfortable on the postnatal ward, and the latest capillary blood glucose reading is 2.3mmol/L. The physical examination shows no abnormalities.
What is the recommended course of action for management?
MSFinals-4559
A 14-year-old boy comes to your clinic with a complaint of right groin pain that has been bothering him for the past 6 weeks. You observe him walking into the consultation room with an antalgic gait. He reports that the pain started after he jumped down from a tree and landed on his right leg.
During the examination, you notice that the boy has been in the 90th percentile for weight for several years. He has a reduced ability to internally rotate his right leg when flexed, and it appears slightly shorter than his left. Based on these findings, what is the most likely diagnosis, and what would be the appropriate management?
MSFinals-4560
A 24-hour-old neonate requires a detailed examination on the Postnatal Ward. It was a forceps delivery at 41+3 weeks’ gestation. The detailed examination is normal, except you notice slight reduced tone in the right leg and reduced Moro reflex on the right. The leg is resting in a slightly extended position. The examination is otherwise normal.
What is the most appropriate management?
MSFinals-4561
A 3-year-old child is brought by her mother to the general practice surgery with a 3-day history of fever, irritability and right ear pain, which suddenly became more severe 12 hours ago and then resolved with the onset of a discharge from the right ear. On examination, you find a tympanic membrane with a central perforation.
What is the most appropriate management plan?