MSFinals-4588
A 5-year-old girl was released from the hospital eight weeks ago following an episode of viral gastroenteritis. She has been experiencing 4-5 loose stools per day for the past six weeks. What is the probable diagnosis?
Archives: Medical Student Finals
MSFinals-4557
As a doctor, you have been requested by a midwife to conduct a newborn examination on a 24-hour old infant. During the examination, the parents express concern about their baby’s penis appearing abnormal and request your assistance. Upon inspection, you observe that the urethral meatus is situated on the ventral aspect of the glans and the prepuce is hooded. However, the baby has already passed urine with a strong stream, as noted by the midwife earlier in the day. What should be the doctor’s next course of action?
MSFinals-4558
A newborn is 24 hours old and was born at term. The mother had gestational diabetes during her pregnancy. The mother has chosen to exclusively formula feed the baby. The infant is currently comfortable on the postnatal ward, and the latest capillary blood glucose reading is 2.3mmol/L. The physical examination shows no abnormalities.
What is the recommended course of action for management?
MSFinals-4559
A 14-year-old boy comes to your clinic with a complaint of right groin pain that has been bothering him for the past 6 weeks. You observe him walking into the consultation room with an antalgic gait. He reports that the pain started after he jumped down from a tree and landed on his right leg.
During the examination, you notice that the boy has been in the 90th percentile for weight for several years. He has a reduced ability to internally rotate his right leg when flexed, and it appears slightly shorter than his left. Based on these findings, what is the most likely diagnosis, and what would be the appropriate management?
MSFinals-4560
A 24-hour-old neonate requires a detailed examination on the Postnatal Ward. It was a forceps delivery at 41+3 weeks’ gestation. The detailed examination is normal, except you notice slight reduced tone in the right leg and reduced Moro reflex on the right. The leg is resting in a slightly extended position. The examination is otherwise normal.
What is the most appropriate management?
MSFinals-4561
A 3-year-old child is brought by her mother to the general practice surgery with a 3-day history of fever, irritability and right ear pain, which suddenly became more severe 12 hours ago and then resolved with the onset of a discharge from the right ear. On examination, you find a tympanic membrane with a central perforation.
What is the most appropriate management plan?
MSFinals-4562
A 14-year-old boy comes to the doctor’s office with his mother. His father passed away two weeks ago. He is feeling very emotional and is hesitant to return to school. He has no known risk factors for depression.
What is the most suitable course of action for managing his situation?
MSFinals-4563
A 16-year-old boy attends the Emergency Department (ED) with his father. They are both heavily intoxicated with alcohol. The boy’s records show that this is the fourth time in eight months that he has attended the ED with alcohol-related problems. The safeguarding lead has advised you to contact social services.
What is the most suitable course of action in this scenario?
MSFinals-4564
A 2-year-old toddler is brought to the GP by concerned parents who have noticed swelling of the foreskin during urination and inability to retract it. What is the most appropriate initial approach to manage this condition?
MSFinals-4565
A 3-year-old girl is brought to the emergency department after experiencing a seizure. Once she is observed and tested, she is diagnosed with febrile convulsions. What advice should be given to her parents before they take her home?