Med Student Finals Category: Paediatrics

MSFinals-4511

What is the probable outcome if a fetus has homozygous alpha-thalassaemia, assuming it is at an early stage of development?

MSFinals-4512

A 14-year-old girl presents to the emergency department with symptoms of a cold. She has been experiencing a fever, runny nose, headache, and a dry cough for a few days. Despite taking paracetamol and ibuprofen, her temperature has not gone down, which worries her mother. The patient is alert, comfortable, and well-hydrated. During the examination, her temperature is 38.9ºC, heart rate is 110 bpm, blood pressure is 90/70 mmHg, and respiratory rate is 26 breaths per minute. Her chest is clear, throat is slightly red, and there are no signs of tonsillitis. Otoscopy shows no abnormalities, and her ears are non-tender. There are no rashes, photophobia, or neck stiffness. What is the appropriate management for this patient?

MSFinals-4513

A 10-week-old baby is brought to the Emergency department by her mother. She has been extremely fussy for the past day, crying loudly and not feeding well. During the examination, her temperature is found to be 38.2C and her left tympanic membrane is red and inflamed. The diagnosis is acute otitis media without effusion. What is the most suitable course of action in the emergency department?

MSFinals-4514

A 6-year-old boy is brought to the GP by his father due to a loud, harsh cough that has persisted for the past 2 weeks. The child has also been more lethargic than usual. Although he appears to be in good health, you observe 2 coughing fits during the consultation, which cause the child distress and difficulty breathing, resulting in a loud, harsh inspiratory noise between coughing fits. The patient has no known allergies or medical history, but his vaccination record is unclear since he moved to the UK from another country 3 years ago. The patient’s temperature is 37.5ºC.
What is the most appropriate course of action?

MSFinals-4515

A 6-year-old girl is brought to the paediatric clinic by her father with a sore throat that worsens with swallowing, headaches, and malaise. He reports no coughing.

Upon examination, her temperature is 38.5ºC, her heart rate is 100 bpm, and her tonsils are symmetrically enlarged and red, with white patches present. There is tender anterior cervical lymphadenopathy. The doctor’s overall impression is that of an ill child.

The patient has no medical history but is allergic to penicillin. What is the most appropriate immediate step in her management?

MSFinals-4501

A worried father brings his 12-month-old son to the GP because he is worried about his development.

You conduct a developmental evaluation.

What results in the child would be worrisome?

MSFinals-4502

Which one of the following vaccines is not given routinely in the first 6 months of life?

MSFinals-4503

A 5 month old baby boy is brought to the Emergency Department by his parents after they found him unresponsive. The baby was healthy prior to this incident. Despite advanced life support efforts, the baby could not be revived. His temperature upon arrival was 37.2ºC. The child had received all of his vaccinations and was up-to-date. During the post-mortem examination, bilateral retinal hemorrhages were discovered. What is the most probable cause of the baby’s death?

MSFinals-4500

A 31-year-old woman who is 39 weeks pregnant reaches out to you seeking details about the newborn hearing screening program. She expresses concerns about potential harm to her baby’s ears and is uncertain about giving consent for the screening. What specific test is provided to all newborns as part of this screening program?