MSRA Category: Paediatrics

MSRA-2017

A 9-year-old girl comes to the GP with her father. Her father explains that she is still experiencing bed-wetting almost every night. She has undergone thorough investigations in the past year for this issue and has no physical abnormalities to explain her enuresis. She is otherwise healthy and active.

Her father has attempted to limit her fluid intake before bedtime, encourage regular and timely toileting, and wake her up during the night, but none of these methods have been successful.

What is the most appropriate course of action to manage her enuresis?

MSRA-2018

You assess a 10-month-old infant with parents of Jamaican descent. The parents have observed a minor bulge near the belly button. The child is healthy and falls on the 50th percentile. During the examination, you observe a small umbilical hernia that is less than 1 cm in size and can be reduced. What is the best course of action for this situation?

MSRA-2019

The mother of a 3-month-old boy presents to the clinic with concerns about a soft lump in his right groin area. The baby has been breastfeeding well and having regular bowel movements. There is no significant medical history. Upon examination, a 1 cm swelling is noted in the right inguinal region, which is reducible and disappears when the baby is laid flat. Scrotal examination reveals no abnormalities. What is the best course of action in this situation?

MSRA-2020

Which one of the following statements regarding congenital inguinal hernias is accurate?

MSRA-2021

A 3-day old baby boy was delivered vaginally at full term after two cycles of In vitro fertilization (IVF). All antenatal scans were normal. Initially, he was feeding well, but over the past 24 hours, he has been feeding poorly, and his tummy has become larger. He has not had a bowel movement yet, and his mother has noticed multiple green/yellow vomits in the last few hours. There is no projectile vomiting. What is the probable diagnosis?

MSRA-2022

Which of the following neonatal complications is least frequently observed in pregnancies of women with diabetes?

MSRA-2023

As a junior doctor on the neonatal ward, you are called to a forceps delivery. During the delivery, the midwives notice shoulder dystocia in a newborn. What is the initial management approach for shoulder dystocia in a neonate?

MSRA-2024

Which one of the following drugs is safe to use while breastfeeding?

MSRA-2025

A 6-year-old boy is brought to the Emergency Department by his parents. He has been feeling unwell for 6 days with diarrhoea and is now lethargic and pale. Despite drinking enough fluids, he has not urinated in over 14 hours.

The child has no medical history and has received all of his vaccinations. His symptoms began 3 days after he ate a chicken burger at a fair. During the examination, the doctor noticed multiple petechiae on his torso and limbs, and his feet were swollen.

What is the likely diagnosis, and what is the organism responsible for this patient’s illness?