MSFinals-4207
As a healthcare professional, you are requested to address a family who have recently been informed of a diagnosis of pulmonary hypoplasia on fetal MRI. What is the most frequent cause of pulmonary hypoplasia?
Archives: Medical Student Finals
MSFinals-4208
A 4-year-old child was admitted with a high fever, cervical lymph node enlargement, conjunctival congestion, redness of lips and palms, and desquamation of fingertips. Upon examination, erythema of the oral cavity was observed. Blood tests showed a hemoglobin level of 110 g/l and a platelet count of 450,000. The symptoms resolved after two weeks, but during the third week, the child unexpectedly passed away. An autopsy revealed vasculitis of the coronary arteries and aneurysm formation. What is the most likely diagnosis?
MSFinals-4209
A 3-month-old baby girl has just been registered with the surgery. Her parents have recently arrived in the UK from Syria, seeking refuge. She received a Hepatitis B vaccination before leaving Syria.
What other vaccinations should she be provided with now?
MSFinals-4210
As an FY1 on a paediatric ward, you are faced with a 13-year-old female patient who is suffering from anorexia and is refusing to be tube fed. After assessing her capacity, you have determined that she has the ability to refuse. However, her parents are in disagreement with her decision. What steps do you take in this situation?
MSFinals-4185
A 3-month-old infant is brought in with progressive noisy breathing that is particularly noticeable during feeding. The baby is below average in weight gain and has a poor appetite. What is the probable diagnosis?
MSFinals-4186
A three-year-old child is admitted to the hospital with a high fever of 39ºC that has persisted for the past five days. The parents are worried as they have noticed redness in the child’s eyes, swelling in the neck, and a new rash.
During the examination, the child is found to have a widespread maculopapular rash and bilateral conjunctivitis. Additionally, there is unilateral cervical lymphadenopathy, cracked and erythematosus lips, and a strawberry tongue.
What is the initial treatment that should be given to this three-year-old child?
MSFinals-4187
A 5-year-old boy comes to his pediatrician with a complaint of daily nosebleeds for the past week. During the examination, the doctor notices petechiae and bruises on the child’s legs. Apart from these symptoms, the child appears to be healthy and does not report any other issues. Blood tests reveal low platelet count, but no other abnormalities are detected. The child’s symptoms disappear entirely after four months. What is the likely precursor to these symptoms?
MSFinals-4188
As an F1 in the emergency department, you receive a 15-year-old girl who has been brought in from her high school due to complaints of abdominal pain and nausea. Upon examination, you discover that she is septic and can only provide a brief medical history before becoming drowsy. The surgical team suspects that she may have a perforated appendicitis and requires immediate surgery. Unfortunately, the patient’s parents cannot be reached with the contact numbers provided by the school, and the patient is not in a state to provide consent for the operation. What would be the most appropriate course of action in this situation?
MSFinals-4189
A 6-month-old girl is brought to the emergency department with a persistent dry cough and difficulty feeding for the past week. Her medical history is unremarkable, but she had a mild fever and coryzal symptoms a week ago. On examination, bilateral wheezing is heard with a respiratory rate of 58/min. However, there are no signs of increased work of breathing and chest expansion is symmetrical. The infant’s temperature is 37.6ºC and oxygen saturation is 99% on room air. What is the most appropriate next step in management?
MSFinals-4190
A five-year-old boy has been brought to the clinic by his worried mother due to an unusual walking pattern and lower limb weakness. After conducting a thorough medical history, physical examination, and further tests, the child is diagnosed with Duchenne muscular dystrophy. What is the prevailing cardiac pathology linked to this disorder?