Archives: Medical Student Finals

MSFinals-4520

During your ward round on the paediatric unit you review a 7-year-old African American male who has been admitted for chemotherapy as he has recently been diagnosed with acute lymphoblastic leukaemia (ALL). His father anxiously asks you what his chance of survival is and how you determine this.

Upon reviewing the patient’s medical records, you notice that he is on the 10th percentile for weight and the 25th percentile for height. His white cell count at diagnosis was 15 * 10^9/l and there were no noted T or B cell markers on his blood film.

What is the poor prognostic factor in this case?

MSFinals-4501

A worried father brings his 12-month-old son to the GP because he is worried about his development.

You conduct a developmental evaluation.

What results in the child would be worrisome?

MSFinals-4502

Which one of the following vaccines is not given routinely in the first 6 months of life?

MSFinals-4503

A 5 month old baby boy is brought to the Emergency Department by his parents after they found him unresponsive. The baby was healthy prior to this incident. Despite advanced life support efforts, the baby could not be revived. His temperature upon arrival was 37.2ºC. The child had received all of his vaccinations and was up-to-date. During the post-mortem examination, bilateral retinal hemorrhages were discovered. What is the most probable cause of the baby’s death?

MSFinals-4486

What is the most suitable method to confirm a diagnosis of pertussis in children?

MSFinals-4487

During the baby check of Maya, a 4-day-old neonate delivered via Caesarean section due to a breech position, both Barlows and Ortolani’s tests are negative. What should be the next best step?

MSFinals-4488

A 4-week-old girl is brought to the paediatric emergency department with a fever, vomiting and reduced appetite for the past 48 hours. The baby’s growth and development have been normal so far. During the examination, the baby appears lethargic and fussy, with a respiratory rate that is faster than normal and a temperature of 39ºC. Blood pressure and pulse rate are within the normal range, and there are no signs of raised intracranial pressure. The medical team suspects bacterial meningitis and performs a lumbar puncture. What should be done while waiting for the lumbar puncture results?

MSFinals-4489

A 6-year-old boy arrives at the Emergency Department with a high fever, difficulty breathing, severe sore throat, and drooling of saliva. What is the best course of action for management?

MSFinals-4490

A 28-year-old woman has just had her 34 week check. The patient reported reduced fetal movements 3 days ago, but they are now back to normal. An ultrasound was performed to investigate any potential issues. The obstetrician informs her that a defect in the abdominal wall has been detected and the baby’s intestines are outside the body but enclosed in a membrane. Despite this, the baby is healthy. What is the best course of action for this patient?