MSFinals-4486
What is the most suitable method to confirm a diagnosis of pertussis in children?
Med Student Finals Category: Paediatrics
MSFinals-4487
During the baby check of Maya, a 4-day-old neonate delivered via Caesarean section due to a breech position, both Barlows and Ortolani’s tests are negative. What should be the next best step?
MSFinals-4488
A 4-week-old girl is brought to the paediatric emergency department with a fever, vomiting and reduced appetite for the past 48 hours. The baby’s growth and development have been normal so far. During the examination, the baby appears lethargic and fussy, with a respiratory rate that is faster than normal and a temperature of 39ºC. Blood pressure and pulse rate are within the normal range, and there are no signs of raised intracranial pressure. The medical team suspects bacterial meningitis and performs a lumbar puncture. What should be done while waiting for the lumbar puncture results?
MSFinals-4489
A 6-year-old boy arrives at the Emergency Department with a high fever, difficulty breathing, severe sore throat, and drooling of saliva. What is the best course of action for management?
MSFinals-4490
A 28-year-old woman has just had her 34 week check. The patient reported reduced fetal movements 3 days ago, but they are now back to normal. An ultrasound was performed to investigate any potential issues. The obstetrician informs her that a defect in the abdominal wall has been detected and the baby’s intestines are outside the body but enclosed in a membrane. Despite this, the baby is healthy. What is the best course of action for this patient?
MSFinals-4491
A 2-month-old infant is scheduled for a hearing screening test. She was born at 38 weeks without any pregnancy complications and delivered vaginally. Which hearing test would be most suitable for this child?
MSFinals-4492
A five-year-old boy is rescued with his asylum-seeking parents from a boat off the coast. The child is visibly malnourished, and his parents reveal that due to conflict in their home country, he has spent most of his life hidden indoors and in shelters.
Upon skeletal examination, the child displays bossing of the forehead, bowing of his legs, and significant kyphoscoliosis of the spine. What radiological feature is commonly associated with this condition?
MSFinals-4493
A 12-year-old boy comes to see his GP complaining of hip and knee pain on one side. He reports that the pain started 2 weeks ago after he was tackled while playing football. His limp has become more pronounced recently. During the examination, the doctor notes a reduced ability to internally rotate the leg when flexed. The boy has no fever and his vital signs are stable. What is the probable diagnosis?
MSFinals-4494
A 7-year-old is brought in by his father who is worried about his son’s right hip pain that has been ongoing for the past 7 weeks. The father reports that the pain has been getting worse and is now causing his son to wake up at night. Over the last week, he has noticed his son limping and having difficulty getting in and out of the car and bathtub.
What is the probable diagnosis?
MSFinals-4495
A 27-year-old woman who is 18 weeks pregnant comes for a routine antenatal check-up. During her last visit, she was advised to get vaccinated but cannot recall which ones. She has received all her childhood and school vaccinations but has not had any immunizations since becoming pregnant. What vaccines should be offered to her?