MSRA Category: Paediatrics

MSRA-1798

A 6-year-old patient is brought to the emergency department by their mother due to a cough and low-grade fever that has been present for a week. The mother describes the cough as barking and confirms that the child has received all vaccinations up to this point. During the examination, suprasternal wall retraction is observed at rest, but the child appears alert and responsive. Strident breath sounds are heard while the child is at rest. What is the recommended course of action for management?

MSRA-1799

A 9-week-old girl is seen by a surgeon for a general evaluation. During the assessment, her head circumference is observed to be between the 0.4th and 2nd percentile. Which of the following options would NOT account for this observation?

MSRA-1800

What is the most effective examination to detect the potential complications of Kawasaki disease in children?

MSRA-1792

A 6-year-old girl is presented with a worsening of her asthma symptoms. Upon examination, she exhibits bilateral expiratory wheezing, but there are no indications of respiratory distress. Her respiratory rate is 24 breaths per minute, and her PEF is approximately 50% of normal. What is the best course of action regarding steroid treatment?

MSRA-1779

A 14-year-old patient presents to the emergency department with a cut sustained while helping her mother with gardening. The wound appears superficial and is closed with skin glue. During examination, her vital signs are recorded as a temperature of 36.9ºC, heart rate of 86 bpm, blood pressure of 115/87 mmHg, respiratory rate of 16/min, and oxygen saturation of 98% on room air. The patient’s mother is concerned about the need for a tetanus booster as she cannot recall if her daughter received the full course of vaccinations during childhood. How should the patient be managed?

MSRA-1780

A 32-year-old woman at 28 weeks gestation reports decreased fetal movements. Upon ultrasound, it is discovered that the fetus is hydropic. Her 5-year-old child had a fever and redness on the cheeks recently. What is the probable infectious agent responsible for this?

MSRA-1781

A 10-year-old child receives primary immunisation against hepatitis B. What should be checked four months later to ensure an adequate response to immunisation?

MSRA-1782

A mother brings her 14-year-old daughter to the general practice with concerns about her delayed onset of periods. During the examination, the daughter is found to be in the 9th percentile for her age in terms of height, has short ring fingers, poor breast development, and a high arched palate. While listening to her heart, a crescendo-decrescendo murmur is heard on the upper right sternal border that radiates to the carotids. What is the probable cause of this murmur?

MSRA-1783

A 7-week-old baby girl comes to her pediatrician with complaints of vomiting and regurgitation after feeding. Her mother also reports that she has been experiencing ongoing issues with diarrhea. The baby appears to be generally fussy, and her mother has noticed some dry patches of skin on the inside of her elbows. The mother mentions that the baby is being fed formula.

Upon examination, the baby appears to be an appropriate size and weight for her age, and the only notable finding is mild eczema in the elbow flexures.

What would be the most suitable course of action at this point?

MSRA-1784

A 3 day old infant who was delivered via ventouse presents with a swelling on the left parietal region of the head. The swelling was not present immediately after birth and the baby is otherwise healthy. Upon examination, the swelling does not cross suture lines and the fontanelles and sutures appear normal. What is the probable diagnosis?