MSFinals-4524

A 4-week-old baby girl is brought to the GP with feeding difficulties, increased respiratory effort, and poor weight gain over the past two weeks. During the examination, the GP notes a parasternal heave and a loud systolic murmur at the lower left sternal border.
What is the true statement about this condition?

MSFinals-4525

A 4-year-old boy is brought to the paediatric assessment unit by his parents after they witnessed him having a seizure. He had been experiencing a fever and cold symptoms for the past three days. His father also noticed a rash on his chest and a swollen tongue yesterday. The boy has met all of his developmental milestones prior to this incident.

After being assessed, the medical team has determined that the boy is safe to go home. What advice should the parents be given?

MSFinals-4526

You are an FY1 on the neonatal ward round with your consultant. Whilst seeing a newborn that has been admitted with respiratory distress, the consultant you’re with decides to quiz you on the pathophysiology.
‘What is the most likely organism to cause respiratory distress syndrome in premature infants?

MSFinals-4527

You are participating in a morbidity and mortality meeting following the death of a patient on the 30th day after birth. The classification of the patient’s death is being debated. What is the appropriate classification for this case?

MSFinals-4528

The consultant requests your assessment of a 4-week-old girl in the neonatal ward who was born prematurely at 28 weeks gestation. The infant is thriving, gaining weight appropriately, and appears pink and warm. Oxygen saturation is within normal limits, and lung sounds are clear. During cardiac auscultation, you note a continuous machinery murmur heard over the upper left sternal edge that does not vary with position or radiation. What is the most likely cause of this murmur?

MSFinals-4529

A 7-year-old boy presents to the GP clinic with symptoms suggestive of a common cold. He is meeting his developmental milestones as expected, enjoys playing soccer, and has no other health concerns. During auscultation of his chest, you notice a soft, low-pitched murmur that occurs early in systole and is most audible at the lower left sternal border. S1 and a split S2 are both audible, with the latter becoming wider during inspiration. What is the likely diagnosis?

MSFinals-4530

A 28-year-old woman who has never given birth before goes into spontaneous labour and you are assisting in the vaginal delivery of a baby girl weighing 3.2 kg. To assess the newborn’s health, you use the Apgar score. Can you provide the correct components of the Apgar score?

MSFinals-4531

A 2-year-old boy is found to have a continuous murmur, with the loudest point at the left sternal edge. No cyanosis is observed, and a diagnosis of patent ductus arteriosus is suspected. What pulse abnormality is commonly linked with this condition?

MSFinals-4516

A 4-year-old patient is brought to the GP by their mother due to a high fever and sore throat. Upon examination, the child appears comfortable but feverish, with a rash on both arms that is more pronounced in the cubital fossas. The lesions are rough and erythematosus in texture, and the throat and tongue are both red in color. The child has no prior medical history. What is the appropriate course of action for this case?

MSFinals-4517

A 7-year-old boy is brought to his pediatrician by his father with a 2-week history of cough. His father reports that he had a few days of cold symptoms about 3 weeks ago, just before the cough started. He says that his son coughs frequently, sometimes leading to vomiting, and has noticed a ‘whooping’ sound when he inhales after a coughing episode. All vital signs are normal.
What is the recommended treatment for the probable diagnosis?