MSFinals-4437
What is the typical distribution of atopic eczema in a 12-month-old child?
Archives: Medical Student Finals
MSFinals-4438
A 9-month old infant is brought to the pediatrician by his parents. They report that he has had a runny nose and mild fever for the past week. Today, they noticed that he appeared paler than usual, has been increasingly lethargic, and seems to be struggling to breathe.
During the examination, the infant exhibits normal coloring, but there is moderate intercostal recession and nasal flaring. He only responds to chest rubbing after 5 seconds. His pulse rate is 140 beats per minute, respiratory rate is 40 breaths per minute, oxygen saturation is 94% on room air, and temperature is 37.9 ºC.
What is the most concerning aspect of this presentation as a sign of a serious illness?
MSFinals-4439
A 3-day-old infant is presenting with increased work of breathing. The baby was born via elective caesarean section at 38 weeks gestation and the pregnancy was uncomplicated. On examination, the infant has a respiratory rate of 70 breaths per minute (normal: 30-60) and an oxygen saturation of 94% (normal: >90%). Nasal flaring is also observed. A chest x-ray reveals hyperinflated lung fields and a line of fluid in the horizontal fissure of the left lung. Based on the likely diagnosis, what is the most appropriate course of action?
MSFinals-4440
A 5-day-old infant presents with feeding difficulties for the past day. The baby was born at 38 weeks, induced 48 hours after pre-labor spontaneous rupture of membranes. Following observation, there were no concerns and the baby was discharged. The infant is breastfed every 1-2 hours, but over the past 24 hours, has been less interested in feeding, occurring every 3-4 hours, sometimes being woken to feed. The baby appears uncomfortable during feeding and frequently pulls away. The mother also reports an unusual grunting sound after the baby exhales. Based on this information, what is the most likely diagnosis?
MSFinals-4441
You are requested to assess a preterm neonate in the neonatal unit. During the examination of the palate, you observe a white nodule on the roof of the mouth. The baby is alert and active, and there is no interference with feeding. What is the probable diagnosis?
MSFinals-4442
A 10-year-old child presented with headaches, vomiting and a staggering gait. A cerebellar neoplasm was identified.
What is the most frequent cerebellar neoplasm in childhood?
MSFinals-4443
A 2-week-old girl has her hearing checked through the Newborn Hearing Screening program. She had a normal delivery at 40 weeks and was discharged home with her parents. The hearing screening was abnormal and a follow-up test is required to confirm. What is the follow-up test in this scenario?
MSFinals-4444
A 6-year-old girl comes to the clinic with a widespread rash on her cheeks, neck, and trunk. The rash does not appear on her palms. The texture of the rash is rough and it appears red. The child’s mother reports that she has been experiencing a sore throat for the past 48 hours. The child has no known allergies. What is the recommended treatment for this condition?
MSFinals-4445
A 5-year-old girl presents to her general practitioner with fever and ear pain for the last 4 days. She is diagnosed as having left otitis media and was started on a course of oral amoxicillin. Over the next 24 hours, she develops high fevers and rigors, so presents to the Emergency Department. On examination, there is purulent fluid draining through the left tympanic membrane and she is also noted to have enlarged cervical lymph nodes. Further examination reveals left axillary and inguinal lymphadenopathy, with an enlarged spleen and liver and multiple bruises on her extremities. Blood results are pending.
What is the most likely diagnosis to explain all her symptoms?
MSFinals-4446
A 5-year-old girl is brought to the emergency department with a rash. Her parents deny any trauma and have no history with social services. She recently had a cold which resolved on its own.
The child has no medical history and was born at term through vaginal delivery. She has met all developmental milestones and is up-to-date with her vaccinations.
During examination, a petechial rash is observed on the child’s legs. She appears healthy without other signs of bleeding.
Her blood tests show:
Hb 140 g/L Female: (120-160)
Platelets 25 * 109/L (150 – 400)
WBC 8.0 * 109/L (4.0 – 11.0)
What is the recommended course of action?