Med Student Finals Category: Paediatrics

MSFinals-4547

A 4-year-old girl with cerebral palsy comes to the GP with her father for a check-up. Upon examination, she has a delay in her overall development. She is not yet able to walk or crawl, but she can use her fingers to pick up objects and is happily playing with toys during the visit. She can say a few words, such as mom and dad. During the examination, you notice some bruises on her abdomen, left elbow, and right forearm. Her father explains that these bruises are due to her clumsiness and he is concerned that she will continue to hurt herself. He mentions that her mother had a similar condition that required oral steroids and wonders if his daughter has developed the same condition.

What is the next step in managing this patient?

MSFinals-4532

You are requested to assess a 3-month-old infant who has a significant, solitary ventricular septal defect (VSD). What clinical manifestation might be observed?

MSFinals-4533

You are a nurse in the pediatric ward and you assess a 7-year-old girl with a sprained ankle. During your examination, you observe some bruises on her arms. When you ask her about it, she becomes quiet and avoids eye contact. Her father quickly intervenes and explains that she fell off her bike. However, you have a gut feeling that something is not right. What steps do you take next?

MSFinals-4534

A mother presents with her 3-month-old baby boy to ask advice about his failed newborn hearing screening. Further tests were normal; however, she has been advised to seek medical advice if she has any concerns about his hearing in the future. Which one of the following would warrant referral for a further hearing test?

MSFinals-4535

A mother gives birth to her first baby. The baby begins vomiting persistently during the fourth week of life. The paediatrician performs a physical examination of the baby and feels a small mass about the size of an olive in the epigastrium.
Which of the following is this child likely to exhibit?

MSFinals-4536

A mother brings her 9-month-old son to the general practitioner. She is concerned, as he has had an unusually high-pitched cry and has been drawing his legs up and vomiting. His last nappy revealed some bloody, slimy stools. She has recently started to wean him.
Which is the most likely diagnosis?

MSFinals-4521

A 4-week-old baby has been brought in by his mother after she is concerned about his movement. He is diagnosed as having developmental dysplasia of the hip on ultrasound.
Which statement is correct regarding the management of developmental dysplasia of the hip?

MSFinals-4537

A 4-month-old boy is brought to the clinic by his parents as they are concerned about a possible heart condition. The baby was born full-term and has had no major health issues except for a mild cold. After examining the child, the consultant paediatrician suspects the presence of a patent ductus arteriosus (PDA).

What is a clinical feature that would indicate the presence of a PDA in this infant?

MSFinals-4522

A 6-year-old Chinese boy is brought to the Emergency Department by his parents because his skin and face turned blue after playing with his friends. The boy was born in China, and soon after his birth he and his parents moved to the United Kingdom. An ultrasound examination revealed a large gap in the upper portion of the ventricular septum and a slightly enlarged right ventricle. The doctor explained to the parents the severity of the disease and the importance of a surgical intervention.
If the parents decide not to go ahead with surgery to correct this condition, which of the following is most likely to happen to their child in the future?

MSFinals-4523

A 6-year-old child is brought to see you by his parents, who are concerned because he wets his bed every night. A urine culture is normal; urine is negative for glucose and protein.
What would be the most appropriate approach to managing this child’s bedwetting?