Archives: Medical Student Finals

MSFinals-4691

A 5-month-old baby presents with symptoms of shortness of breath and difficulty taking feeds. During examination, a systolic murmur is heard at the left lower sternal edge, and a thrill is felt in the pulmonary area. A rough ejection systolic murmur is best heard in the same area. An ECG shows right ventricular hypertrophy with right axis deviation, and the liver is palpable. The baby’s oxygen saturation intermittently drops to 88%, causing cyanotic spells. What is the most probable diagnosis?

MSFinals-4693

A 3-year-old child presents with a large bruise on the thigh after a fall. His mother notes that he has always been prone to bruising. Tests reveal: haemoglobin (Hb) 112g/l, platelets 186 × 109/l, prothrombin time (PT) 10 s, activated partial thromboplastin time (APTT) 70 s and normal bleeding time.
What is the most probable diagnosis?

MSFinals-4695

A 10-month-old infant is brought to the ward following a visit to the emergency department due to seizures. The parents present a video of the contractions that seem to resemble colic. They also express worry about their child’s development, noting a change. An EEG and MRI head are conducted, revealing hypsarrhythmia and an abnormality, respectively. What is the probable diagnosis?

MSFinals-4696

A healthy toddler is playing outside but suddenly stops breathing. The toddler’s heart rate is over 100 bpm, but the skin colour is blue and the toddler is not moving. After calling for help and checking for a pulse, what is the most appropriate action to take?

MSFinals-4697

A 14-year-old high school student comes to your office with symptoms of depression. During the consultation, she reveals that she has been bullied for having sex with an 18-year-old boy in the same school. The sexual encounter was consensual and occurred only once, without the influence of drugs or alcohol.

What is the best immediate step to take?

MSFinals-4698

You are requested to assess an infant in the neonatal unit. The baby was delivered at 39 weeks gestation without any complications. The parents are hesitant to give their consent for vitamin K administration, citing their preference for a more natural approach. How would you advise the parents on the recommended practice for neonatal vitamin K?

MSFinals-4699

Among the patients listed below, which one would benefit the most from hospice care involvement?

Patients:

1. A 25-year-old with a broken leg
2. A 45-year-old with stage 2 breast cancer
3. An 80-year-old with end-stage Alzheimer’s disease
4. A 60-year-old with a mild case of pneumonia