Archives: Medical Student Finals

MSFinals-4467

A 7-year-old girl is brought to the Emergency Department (ED) by her parents due to a painful knee. The knee is swollen, red, hot, and tender. The patient experiences extreme pain when the joint is moved, and resists any attempts to flex it passively. Upon examination, you notice a cut on the affected knee, which the parents explain was caused by a fall on the playground. The patient has a mild fever but is otherwise healthy, without other areas of pain or additional joint involvement.
What is the most probable diagnosis?

MSFinals-4468

A 9-year-old girl presents with symptoms of left knee pain. The pain has been present on most occasions for the past four months and the pain typically lasts for several hours at a time. On examination; she walks with an antalgic gait and has apparent left leg shortening. What is the most likely diagnosis?

MSFinals-4469

A 5-year-old girl presents to the emergency department with a fever and a blotchy rash. According to her mother, the rash started behind her ears and has now spread all over her body. During the examination, you observe clusters of white lesions on the buccal mucosa. The child has not received any vaccinations. What is the potential complication that this child may face?

MSFinals-4470

A 16-month-old boy has been diagnosed with roseola infantum. What is the most frequent complication associated with this illness?

MSFinals-4471

A 6-year-old girl has recently started primary school in the UK. Her father has been informed that she can undergo school entry health screening, which will involve a hearing test. She had undergone the full newborn screening program and is up to date on her vaccinations. Her father has no health concerns and agrees to her participation in the school entry health screening program.
What technique will be employed to test the child’s hearing as part of the screening program?

MSFinals-4472

A paediatrician is conducting a ward round and comes across a 20-hour-old neonate without apparent issues. During the round, the mother expresses concern about her child’s hearing, citing her own deafness as a potential risk factor. Which screening tool would be most suitable for this patient?

MSFinals-4473

A 6-year-old boy has started first grade and is struggling with reading and writing. The teacher has expressed concerns that it may be due to his poor vision as he often squints and complains of headaches. He was a full-term, vaginal delivery infant who had a normal newborn screening, and progressed well throughout infancy on growth charts. He is up-to-date with his immunisations. As part of his school entry, what tests are likely to be conducted to assess the impairment that his teacher is concerned about?

MSFinals-4474

A 7-year-old girl sits close to the TV and watches her mother’s mouth when speaking. Her mother gave the history of child’s irritation due to ear pain along with intermittent fever for the last 5 days. Her teacher reports that her speech is developmentally delayed. There is no past medical history or family history of illness. Audiogram shows conductive hearing loss.
What is the most likely diagnosis?

MSFinals-4475

A 22-year-old woman brings her 8-week-old baby to an emergency GP appointment. The mother reports that her baby is extremely fussy in the evenings, crying incessantly and pulling up their legs. The baby was delivered vaginally at full term and is exclusively breastfed. The baby’s weight is normal and there are no other health concerns. Upon examination, everything appears to be normal. What course of action would you suggest?

MSFinals-4476

A 7-year-old girl presents with a 3-day history of an itchy rash, initially on her abdomen and now spreading across the rest of her torso and limbs. She is usually healthy and is not taking any other medications, and the rest of her family is also healthy. There is a widespread vesicular rash with some papules and crusting, as well as newer papules. Her temperature is 37.6 °C and her other vital signs are normal.
What is the next appropriate step in managing this patient?