MSRA Category: Paediatrics

MSRA-1834

A 35-year-old woman with a 4-month-old baby expresses concern that her friend’s baby had a hip ultrasound but her own child has not. You inform her that hip ultrasounds are only offered to babies with certain risk factors for hip dysplasia.

What is one of the risk factors for hip dysplasia?

MSRA-1835

A 12-year-old boy visits his General Practitioner with complaints of a sore throat, fever and cervical lymphadenopathy. The doctor prescribes amoxicillin. After four days of taking the antibiotics, the boy develops a highly itchy, maculopapular rash. His blood tests from four days ago reveal a lymphocytosis. What is the most probable diagnosis?

MSRA-1836

A 6-year-old girl is brought to her General Practitioner by her mother. She reports that her daughter has been complaining of abdominal pain and has had loose stools for the past three weeks. Her weight was previously on the 75th centile but has now dropped to the 50th centile. She appears fatigued, pale and has a bloated abdomen.
Which of the following is the most appropriate initial investigation?

MSRA-1837

A 4-year-old boy is brought to his General Practitioner (GP) by his mother. She is concerned that he has had consistently delayed motor milestones and that he has severe behavioural difficulties. To stand up from a sitting position, he first kneels on all fours and then uses his hands to ‘walk himself up’. The GP notices that the child has hypertrophy of his calf muscles.
Which of the following tests is useful in the diagnosis of the underlying condition?
Select the SINGLE most useful test from the list below.

MSRA-1838

A 12-year-old girl has excessive bleeding after an adenotonsillectomy for recurrent tonsillitis. Physical examination reveals no abnormalities. The girl’s grandmother died of a postoperative bleeding complication at a young age.
Which of the following is the most important investigation to establish a diagnosis?

MSRA-1839

A four-year-old boy is brought to the emergency department by his parents due to a new rash on his abdomen. The parents deny any recent infections or injuries. Upon examination, you observe a widespread petechial rash on the anterior abdomen and right forearm. The child appears pale and uninterested in the toys provided. Additionally, you note hepatosplenomegaly and cervical lymphadenopathy. While waiting for blood test results, you perform a urinalysis, which is unremarkable, and record a tympanic temperature of 36.6º. What is the most probable diagnosis?

MSRA-1824

A 14-year-old female complains of persistent pain in her left knee. The pain usually occurs after running and is accompanied by occasional swelling and joint locking. What is the probable diagnosis?

MSRA-1825

A 6-month-old baby girl starts to experience frequent vomiting after feedings. Prior to this, she had been growing at a steady rate. What is the probable diagnosis?

MSRA-1810

A 9-year-old girl comes to the clinic with a one-month history of unusual facial movements noticed by her father. Her father reports that he first noticed her having twitching of left eye and face as well as drooling of saliva. This happens about twice a week, always at night. Each episode lasts for 1-2 minutes and after each episode, the girl is unable to speak properly for around 5 minutes. The girl is aware of these occurrences but reports unable to control them. The father reports that his daughter is otherwise normal with normal development.
What is the diagnosis?