MSFinals-4675
A 17 month old girl comes to your GP clinic with symptoms of a viral URTI. While examining her, you notice some developmental concerns. What would be the most worrying sign?
Med Student Finals Category: Paediatrics
MSFinals-4660
A 32-year-old woman who is 39 weeks pregnant ingests an excessive amount of lithium. After being stabilised, her baby is delivered without complications. However, during routine neonatal examinations, a pansystolic murmur is detected. Further evaluation through cardiac echocardiogram shows tricuspid incompetence with a large right atrium, a small right ventricle, and a low insertion of the tricuspid valve. What is the probable diagnosis?
MSFinals-4661
A seven-week-old baby presents to the emergency department with a 3-day history of feeding difficulties and worsening respiratory distress. The infant has no significant medical history. During examination, a precordial ejection systolic murmur is heard and the lips appear bluish in color. What is the probable underlying diagnosis?
MSFinals-4662
A female infant is presenting with dyspnea and cyanosis. The mother attempted to feed her but noticed milk coming out of her nose and difficulty breathing during feeding. Upon examination, the infant was found to be tachypneic and tachycardic with intercostal recession. A bulge was observed on the praecordium and an early systolic murmur was heard along the left sternal edge. The chest x-ray revealed cardiomegaly, a loss of the normal thymus shadow, and a right aortic notch. Blood tests were normal except for low corrected serum calcium. What is the most likely diagnosis?
MSFinals-4663
A 4-year-old child presents with a 4-month history of recurrent episodes of cough and wheeze. The cough is worse at night. Chest examination is normal between episodes of wheeze, but there is prolonged expiratory wheeze during an episode.
What is the most appropriate course of action?
MSFinals-4664
A 6-week-old baby girl is brought to her pediatrician’s office by her mother who is worried about her poor feeding over the past 24 hours. The mother has noticed that the baby feels warm but has not observed any signs of cough or cold. The baby is scheduled to receive her vaccinations next week. She has had a wet and dirty diaper today and her urine has a strong odor.
During the examination, the baby has a fever of 38.9ºC and is fussy, but her chest and abdomen appear normal.
What is the most appropriate course of action for this infant?
MSFinals-4665
A 6-month-old infant, one of twins born at term, presents with central cyanosis. What is the most probable cause?
MSFinals-4650
A 10-year-old girl is brought to the attention of a psychiatrist by her father with complaints of difficulty concentrating at home and at school. She is reported by the teachers to be easily distracted which is adversely affecting her learning. She also shows repeated outbursts of anger and her father thinks she has ‘too much energy’. The psychiatrist diagnoses her with attention-deficit hyperactivity disorder (ADHD) and starts her on methylphenidate (Ritalin).
What parameter must be monitored every 6 months in this patient?
MSFinals-4666
As a paediatrician, you are reviewing a 1-month-old who was delivered at 39+2 weeks vaginally and without any complications. The parents of the child have a concern that their child might have achondroplasia as the child’s father has been diagnosed with this condition. Apart from measuring the child’s length, what other physical characteristic should you look for to determine if the child has achondroplasia?
MSFinals-4651
A 7-year-old boy is brought in by his father for symptoms of upper respiratory tract infection. During examination, you observe multiple bruises on his arms with a circular pattern. Which type of bruising is more frequently associated with physical abuse in children?