MSFinals-4539
What is the preferred investigation to detect renal scarring in a pediatric patient with vesicoureteral reflux?
Med Student Finals Category: Paediatrics
MSFinals-4555
A mother brings her 3-year-old son to see the GP as his walk has changed. She explains that he started walking shortly after 13 months old. She has noticed that, over the last 3 days, his walking has been different. There is no history of trauma.
The GP assesses him and notices an asymmetric gait. He appears well otherwise and basic observations are within normal limits. He is up-to-date with his immunisations and is developing normally.
What would be the most suitable course of action to take next?
MSFinals-4540
A 10-day old infant is brought to the emergency department by his mother due to poor feeding and drinking for the past 48 hours. The mother is concerned about the baby’s weight gain and has noticed pale stools. During the examination, the baby appears jaundiced and has an enlarged liver. The medical team performs a newborn jaundice screen and considers biliary atresia as a possible diagnosis. What clinical finding would be most indicative of biliary atresia?
MSFinals-4556
A 2-year-old girl is brought to the emergency department by her father due to pain in her left hip and a new limp. She has no past medical history except for a recent cold she had 2 weeks ago, from which she has recovered. There is no history of trauma to the hip. Her developmental milestones have been normal so far.
Upon examination, she is not running a fever. She tolerates slight movement of her left hip, but excessive motion causes her to cry.
The following investigations were conducted:
– Hemoglobin (Hb) level: 125 g/L (normal range for females: 110-140)
– Platelet count: 220 * 109/L (normal range: 150 – 400)
– White blood cell (WBC) count: 9.5 * 109/L (normal range: 4.0 – 11.0)
What is the most appropriate next step in managing this patient?
MSFinals-4541
A 2-year-old child is brought to the emergency department by his parents. The parents have noticed that he is clutching his stomach. He has not eaten or drank any fluids for the entire day and he has vomited twice. His mother states the vomit was green in colour.
The doctor suspects a diagnosis of intestinal malrotation due to the child’s symptoms and orders an abdominal ultrasound. The ultrasound shows a whirlpool sign, confirming the diagnosis. On examination, the child appears distressed and has a distended abdomen with absent bowel sounds. He looks unwell.
What is the appropriate management for this patient?
MSFinals-4542
A 4-week-old girl presents with vomiting, jaundice and dehydration. Investigations reveal hypokalaemia and metabolic alkalosis.
What is the most appropriate initial management?
MSFinals-4543
A 5-year-old girl is brought to the Emergency Department by her father who is concerned about her recent limp. She had a cold recently, but is otherwise healthy and has not experienced any injuries. The child has met all developmental milestones and there were no complications during pregnancy or birth. What is the probable reason for her current condition?
MSFinals-4544
A 6-year-old girl is brought to the Emergency Department by her parents. She has been experiencing pain in her left hip for the past two weeks and has been limping. Upon examination, there is a slight decrease in the range of motion in her left hip joint, but no signs of swelling or effusion. Her right hip appears normal. Blood tests, including cultures, are negative. What is the most suitable initial management option for the underlying diagnosis?
MSFinals-4545
A 29-year-old primiparous woman who is 20 weeks pregnant comes in for a consultation after her foetal anomaly scan revealed polyhydramnios and a midline sac containing bowel. She has no significant medical history and is not taking any regular medications. She had planned for a home birth and is now concerned about how this condition will affect her delivery.
What is the best course of action for managing this condition?
MSFinals-4546
A 7-year-old boy comes to the doctor’s office with his mother, reporting pain in his left hip. The mother mentions that he had a recent bout of the flu. Upon examination, the boy appears alert with a heart rate of 80 bpm, respiratory rate of 20 breaths/min, temperature of 38.5ºC, blood pressure of 120/80 mmHg, and oxygen saturations of 98% on room air. What is the best course of action for management?