MSFinals-4510
Which of the following does not result in feeding challenges during the neonatal phase?
Archives: Medical Student Finals
MSFinals-4511
What is the probable outcome if a fetus has homozygous alpha-thalassaemia, assuming it is at an early stage of development?
MSFinals-4512
A 14-year-old girl presents to the emergency department with symptoms of a cold. She has been experiencing a fever, runny nose, headache, and a dry cough for a few days. Despite taking paracetamol and ibuprofen, her temperature has not gone down, which worries her mother. The patient is alert, comfortable, and well-hydrated. During the examination, her temperature is 38.9ºC, heart rate is 110 bpm, blood pressure is 90/70 mmHg, and respiratory rate is 26 breaths per minute. Her chest is clear, throat is slightly red, and there are no signs of tonsillitis. Otoscopy shows no abnormalities, and her ears are non-tender. There are no rashes, photophobia, or neck stiffness. What is the appropriate management for this patient?
MSFinals-4513
A 10-week-old baby is brought to the Emergency department by her mother. She has been extremely fussy for the past day, crying loudly and not feeding well. During the examination, her temperature is found to be 38.2C and her left tympanic membrane is red and inflamed. The diagnosis is acute otitis media without effusion. What is the most suitable course of action in the emergency department?
MSFinals-4514
A 6-year-old boy is brought to the GP by his father due to a loud, harsh cough that has persisted for the past 2 weeks. The child has also been more lethargic than usual. Although he appears to be in good health, you observe 2 coughing fits during the consultation, which cause the child distress and difficulty breathing, resulting in a loud, harsh inspiratory noise between coughing fits. The patient has no known allergies or medical history, but his vaccination record is unclear since he moved to the UK from another country 3 years ago. The patient’s temperature is 37.5ºC.
What is the most appropriate course of action?
MSFinals-4515
A 6-year-old girl is brought to the paediatric clinic by her father with a sore throat that worsens with swallowing, headaches, and malaise. He reports no coughing.
Upon examination, her temperature is 38.5ºC, her heart rate is 100 bpm, and her tonsils are symmetrically enlarged and red, with white patches present. There is tender anterior cervical lymphadenopathy. The doctor’s overall impression is that of an ill child.
The patient has no medical history but is allergic to penicillin. What is the most appropriate immediate step in her management?
MSFinals-4516
A 4-year-old patient is brought to the GP by their mother due to a high fever and sore throat. Upon examination, the child appears comfortable but feverish, with a rash on both arms that is more pronounced in the cubital fossas. The lesions are rough and erythematosus in texture, and the throat and tongue are both red in color. The child has no prior medical history. What is the appropriate course of action for this case?
MSFinals-4517
A 7-year-old boy is brought to his pediatrician by his father with a 2-week history of cough. His father reports that he had a few days of cold symptoms about 3 weeks ago, just before the cough started. He says that his son coughs frequently, sometimes leading to vomiting, and has noticed a ‘whooping’ sound when he inhales after a coughing episode. All vital signs are normal.
What is the recommended treatment for the probable diagnosis?
MSFinals-4518
Sophie is a 15-year-old who has visited her GP seeking advice on contraception. She discloses that she has been sexually active with a 15-year-old male partner for the past 3 months. Sophie has done her research on various contraceptive methods and expresses her interest in trying the combined oral contraceptive pill (COCP). She has a history of depression due to childhood abuse and is currently receiving treatment from the Child and Adolescent Mental Health Services. However, she reports feeling much better since starting her relationship with her partner. Sophie’s parents are unaware of the situation, and she is unwilling to inform them. What is the appropriate course of action?
MSFinals-4519
You are working at a Saturday morning clinic and a mother brings in her 10-year-old daughter who has developed new pustular, honey-coloured crusted lesions over her chin. She is systemically well with all observations in the normal range and no evidence of lymphadenopathy on examination. She has no allergies to any medications and is normally fit and well.
You diagnose localised non-bullous impetigo.
The daughter is due to go on a school trip to the Natural History Museum in London the following day and is extremely excited about this. The mother asks if she is allowed to go on this school trip.
What is your management plan?