Archives: Medical Student Finals

MSFinals-4638

A 9-year-old girl presents to a general practice appointment with her mother complaining of right-sided hip pain and occasional limp for the past month. The patient is feeling well, has no fever, and is in the 90th percentile for weight. She was born via spontaneous vertex vaginal delivery at term and had a normal newborn physical examination. On examination, there is limited range of motion in her right hip. A frog-leg hip x-ray is ordered, which reveals sclerosis of the right upper femoral epiphysis and moderate resorption of the femoral head. What is the most accurate diagnosis for this patient?

MSFinals-4639

Liam, a 13-year-old with learning difficulties, visits his GP clinic. Following a practice meeting, it is concluded that Liam does not possess the capacity to make decisions regarding his medical treatment. What principles should be prioritized when making decisions for Liam?

MSFinals-4640

A 2-month-old infant presents with intermittent episodes of cyanosis and tachypnoea, especially during times of distress. During examination, a harsh ejection-systolic murmur is detected. What is the most reliable indicator of the clinical severity of this condition?

MSFinals-4641

A 3-year-old boy was brought to his GP by his mother, who had noticed a slight squint in his left eye. During the examination, the GP observed that the red reflex was absent.
What is the most accurate description of this child’s condition?

MSFinals-4642

A loud systolic murmur, which extends into diastole and is ‘machinery-like’ in quality, is found in a toddler at his 18-month check-up. The murmur radiates to the back between the scapulae. His first heart sound is normal; the second sound is obscured by the murmur. He has bounding pulses. His mother reports that he is asymptomatic.
Which of the following is correct of this condition?

MSFinals-4643

A 12-year-old boy is presented by his father with a widespread skin rash. The boy has been experiencing itching for the past 3 days and has developed a fever along with the rash. During the examination, it is observed that the rash consists of macules, papules, crusted lesions, and vesicles that have spread across most of his body. The father has been administering ibuprofen to the boy for relief from fever and discomfort.
What is the probable diagnosis, and why is ibuprofen not recommended in this case?

MSFinals-4644

A 16-year-old female visits her GP seeking to begin taking the contraceptive pill. The GP takes into account the Fraser Guidelines before approving the prescription. What is one of the requirements that must be met?

MSFinals-4645

A 14 kg 2-year-old girl with a history of vomiting and diarrhea for 4 days is brought to the pediatric emergency department due to increasing fussiness and fatigue. The child has not eaten anything for the past 24 hours and has only been able to tolerate a small amount of fluids. The mother also noticed that the child has been urinating less frequently.

Upon examination, the child appears lethargic and unresponsive. The heart rate is 155 beats per minute (normal range: 90-140/min), respiratory rate is 30 breaths per minute (normal range: 20-30/min), and systolic blood pressure is 88 mmHg (normal range: 80-100 mmHg). The child’s temperature is within normal limits.

There are no skin rashes present. The capillary refill time is 3 seconds, and the child’s extremities are cold and pale. Skin turgor is decreased, and the mucous membranes are dry. What can you conclude about the hydration status of the girl and how would you manage the patient based on your conclusion?

MSFinals-4647

You are working as a Foundation Year 2 in a GP surgery. A mother brings her 4-year-old girl to see you with a cough. You notice an alert on her notes that states she is on a child protection plan.
Which of the following is true regarding a child protection plan?