MSRA-1895
Which of the following examples of infant jaundice from the list below is the most concerning?
MSRA Category: Paediatrics
MSRA-1896
A 5-year-old boy presents to the Paediatric Emergency Department with a fever and a rash. He has been feeling sick for 5 days with persistent high temperatures. During the examination, he displays cracked lips, a bright red tongue, a widespread erythematous maculopapular rash, and peeling of the skin on his hands and feet. Additionally, he has bilateral conjunctivitis. What is the necessary investigation to screen for a potential complication, given the most probable diagnosis?
MSRA-1897
A 6-year-old boy comes to the doctor’s office with a continuous fever and rash that has been present for the past 4 days. During the examination, the doctor observes that the boy has chapped, parched lips and flaking hands and fingers. Despite administering regular doses of paracetamol, the mother is worried as there has been no improvement. What is the probable diagnosis?
MSRA-1898
A mother brings in her 4-year-old daughter to the GP surgery. For the past 3 weeks, the girl has been experiencing discomfort while passing urine. She has a history of 3 previous urinary tract infections. During external examination, you notice thin semitranslucent adhesions that cover the vaginal opening between the labia minora but not the urethra opening. You prescribe a course of trimethoprim. What other treatment options would you consider initiating?
MSRA-1899
You are an F2 treating an 8 year-old patient with acute epiglottitis in the emergency department.
Which is the most appropriate initial management?
MSRA-1900
A 5-year-old boy is brought to the Emergency Department by his parents with a 3-day history of diarrhoea; he has also vomited twice today. He is alert and responsive and his observations are within normal limits.
On examination, he has moist mucous membranes, normal skin turgor, normal skin colour, normal peripheral pulses and a normal capillary refill time. His abdomen is soft and nontender and his peripheries are warm.
What is the most appropriate initial management option for this patient?
MSRA-1888
A father brings his 18-month-old son in for review. He started walking five months ago. The father has noticed that his son seems to be ‘bow-legged’ when he walks.
Examination of the knees and hips is unremarkable with a full range of movement. Leg length is equal. On standing the intercondylar distance is around 7cm.
What is the most appropriate action?
MSRA-1889
A mother brings in her 2-day-old baby girl to the GP surgery. She expresses concern about some white discharge from the baby’s vagina. Upon examination, a small amount of mucoid white discharge is observed at the entrance of the vagina. The external appearance of the genitalia is otherwise normal. What is the recommended next step in management?
MSRA-1876
A three-year-old child with uncontrolled asthma visits the GP clinic with his mother as his asthma exacerbations are becoming more frequent. The child is currently using a salbutamol inhaler as needed and a beclometasone inhaler 200mcg/day with a spacer, and his inhaler technique is good. What is the most appropriate course of action for his management?
MSRA-1877
A mother brings in her 8-year-old daughter to the pediatrician’s office. She is worried because she has noticed that her daughter has been showing signs of breast development for the past 3 months. The mother is concerned that her daughter may be experiencing early puberty. What course of action would you recommend?