MSRA Category: Paediatrics

MSRA-1908

You are consulted by the parents of a 5-year-old girl. She has a lifelong history of bedwetting at night, and they are becoming increasingly concerned that the problem is not getting any better. She never has accidents in the day and opens her bowels at least once a day. She has been potty-trained since the age of two. Apart from hay fever, there is no relevant family history. Physical examination is normal. Urinalysis reveals no abnormality. Things have come to a head as she is starting school in two weeks’ time, and they do not want her to wet the bed.
What is the most appropriate management plan?

MSRA-1909

Which of the following is the least acknowledged complication of measles infection?

MSRA-1910

An 8-year-old girl is brought in by her father, who reports that the child experiences constant urinary dribbling and dampness. A urine dipstick was negative.
Which of the following is the most appropriate drug to prescribe?

MSRA-1911

A 3-day-old infant is presented to the Emergency Department due to increased irritability, poor feeding, and decreased muscle tone as observed by the mother in the last 24 hours. Meningitis is confirmed through lumbar puncture. What is the probable causative agent in this scenario?

MSRA-1912

When is the infant blood spot screening test typically performed in the United Kingdom?

MSRA-1913

Which of the following conditions is not screened for in the blood spot screening test for infants?

MSRA-1914

A 33-year-old pregnant woman arrives with preterm labor at 32 weeks gestation. What is the primary intervention to prevent neonatal respiratory distress syndrome?

MSRA-1915

As a foundation doctor on the neonatal ward, you are updating a prescription chart for a premature baby born at twenty-seven weeks who is in poor condition. While reviewing the chart, you come across caffeine as one of the medications prescribed. Can you explain the purpose of caffeine in neonatal care?

MSRA-1916

A 9-year-old boy is being evaluated at the Enuresis clinic. Despite using an enuresis alarm for the past three months, he continues to wet the bed at night. He has no issues with urination during the day and has a daily bowel movement. What treatment option is most probable to be suggested?

MSRA-1917

Sophie, a 9-month-old with a confirmed non-IgE mediated allergy to cow’s milk protein, is seen in your allergy clinic. Her parents are worried about her long-term milk avoidance. At present, she is not consuming any milk-based products. What recommendations would you provide for treatment?