Archives: Medical Student Finals

MSFinals-4113

A 16-year-old girl from Manchester is presented to the emergency room by her father with complaints of abdominal discomfort for the past 48 hours. Upon examination, there is a suspicion of appendicitis and a recommendation for hospitalization is made. However, the patient refuses to be admitted as she has a concert to attend tonight. Despite being fully informed of the potential consequences of untreated appendicitis, she insists on leaving. What is the best course of action in this scenario?

MSFinals-4114

A 22-month-old toddler has been hospitalized after experiencing a significant rectal hemorrhage that necessitated a blood transfusion. Despite the bleeding, the child seems calm and free of discomfort.
What is the probable diagnosis?

MSFinals-4115

A 6-year-old girl arrives at the emergency department with complaints of pain in the right iliac fossa. Upon examination, there is no rebound tenderness or guarding. Routine bloods and urine dipstick tests show normal results. The child’s mother mentions that her daughter had a viral infection a few days ago. What is the most probable diagnosis?

MSFinals-4116

A 6-year-old girl presents to the GP clinic complaining of abdominal pain that has been ongoing for 3 days. She has been eating and drinking normally, has no urinary symptoms, and her bowel habits have not changed. She had a mild cold last week, but it has since resolved. Other than this, she is a healthy and happy child. On examination, her abdomen is soft but tender to the touch throughout. Her temperature is 37.5 degrees Celsius. Her chest is clear, and her heart sounds are normal. What is the most probable cause of this girl’s abdominal pain?

MSFinals-4098

A 3-year-old girl is brought to the paediatric emergency department by her father. She has been very fussy for the past 6 hours, crying out every 20 minutes, and her father suspects she is in pain. She has vomited twice during this time, and her father noticed a red jelly-like substance in her diaper 2 hours ago. The little girl is very uncooperative during examination and refuses to let anyone touch her abdomen. Her vital signs show a mild tachycardia, but no fever is present. What is the most appropriate diagnostic test to determine the cause of her symptoms?

MSFinals-4099

A 9-year-old girl presents with a 1-day history of abdominal pain. Her mother reports that the pain woke the child up this morning, with one episode of vomiting this afternoon, and she has since lost her appetite. She has had no fever or diarrhoea. There is no history of foreign travel and no ill contacts. On examination, the temperature is 37.5 °C and heart rate (HR) 123 bpm, and there is generalised abdominal tenderness, without guarding or rigidity. Urine dip is negative, and blood tests show white cell count (WCC) of 15 with C-reactive protein (CRP) of 10.
What would the next best step in management be?

MSFinals-4100

You are evaluating the growth of a 6-week-old infant. Her length is at the 35th percentile, weight at the 42nd percentile, and head circumference at the 4th percentile. What is the probable reason for her microcephaly?

MSFinals-4080

Which of the following statements is true regarding X-linked recessive inheritance?

MSFinals-4082

When do most children begin to say mama and dada? Is there a typical age range for this milestone?