MSFinals-4491
A 2-month-old infant is scheduled for a hearing screening test. She was born at 38 weeks without any pregnancy complications and delivered vaginally. Which hearing test would be most suitable for this child?
Archives: Medical Student Finals
MSFinals-4492
A five-year-old boy is rescued with his asylum-seeking parents from a boat off the coast. The child is visibly malnourished, and his parents reveal that due to conflict in their home country, he has spent most of his life hidden indoors and in shelters.
Upon skeletal examination, the child displays bossing of the forehead, bowing of his legs, and significant kyphoscoliosis of the spine. What radiological feature is commonly associated with this condition?
MSFinals-4493
A 12-year-old boy comes to see his GP complaining of hip and knee pain on one side. He reports that the pain started 2 weeks ago after he was tackled while playing football. His limp has become more pronounced recently. During the examination, the doctor notes a reduced ability to internally rotate the leg when flexed. The boy has no fever and his vital signs are stable. What is the probable diagnosis?
MSFinals-4494
A 7-year-old is brought in by his father who is worried about his son’s right hip pain that has been ongoing for the past 7 weeks. The father reports that the pain has been getting worse and is now causing his son to wake up at night. Over the last week, he has noticed his son limping and having difficulty getting in and out of the car and bathtub.
What is the probable diagnosis?
MSFinals-4495
A 27-year-old woman who is 18 weeks pregnant comes for a routine antenatal check-up. During her last visit, she was advised to get vaccinated but cannot recall which ones. She has received all her childhood and school vaccinations but has not had any immunizations since becoming pregnant. What vaccines should be offered to her?
MSFinals-4496
A 3-year-old girl with several small bruise-like lesions is brought to the emergency department by her father. He reports first noticing these lesions on his daughter’s arm when dressing her three days ago, despite no obvious preceding trauma. The bruising does not appear to be spreading.
Notably, the child had mild cough and fever symptoms two weeks ago, though has now recovered.
On examination, the child appears well in herself and is playing with toys. There are 3 small petechiae on the patient’s arm. The examination is otherwise unremarkable.
What would be an indication for bone marrow biopsy, given the likely diagnosis?
MSFinals-4497
A mother brings her 6-year-old daughter to see you at the General Practice surgery where you are working as a Foundation Year 2 doctor. The daughter had a runny nose and sore throat for the past few days but then developed bright red rashes on both her cheeks. She now has a raised itchy rash on her chest, that has a lace-like appearance, but feels well. She has no known long-term conditions and has been developing normally.
What is the most likely diagnosis?
MSFinals-4498
Which diagnostic test is most effective in identifying the initial stages of Perthes’ disease?
MSFinals-4499
A 14-year-old boy comes to the GP complaining of gradual onset right groin pain and a limp. He has no significant medical or family history. During the examination, the right leg appears shortened and externally rotated, with limited range of motion. No joint swelling or warmth is detected. The patient’s vital signs are normal, and he is in the 50th percentile for height and 90th percentile for weight. What is the most suitable initial investigation to perform?
MSFinals-4500
A 31-year-old woman who is 39 weeks pregnant reaches out to you seeking details about the newborn hearing screening program. She expresses concerns about potential harm to her baby’s ears and is uncertain about giving consent for the screening. What specific test is provided to all newborns as part of this screening program?