MSRA Category: Paediatrics

MSRA-1973

A 12-year-old boy comes to the clinic with a history of headaches for the past 6 months. He reports experiencing these headaches once every few weeks, with each episode lasting for a day. Prior to the onset of the headache, he sees zig-zag lines. The headaches are typically on the right side of his head, accompanied by nausea and occasional vomiting. He finds some relief by sleeping in a dark, quiet room. Apart from this, he is healthy.
What is the initial approach to managing his condition?

MSRA-1974

Which one of the following is not included in the core Adolescent Health Promotion Program as outlined in the National Service Framework for Children?

MSRA-1975

What is the likelihood of a 44-year-old mother having a child with Down’s syndrome?

MSRA-1976

A 7-year-old boy comes to the clinic with his father, complaining of a rash. The father reports that his son has been feeling unwell for approximately 6 days. Three days ago, he noticed some red rash behind his son’s ears and it has now spread to his face and body. He also observed some white spots in his son’s mouth before the rash appeared. During examination, there is a widespread maculopapular rash with regions of confluence.

What is the probable diagnosis?

MSRA-1977

A grandfather visits you as his grandson has been diagnosed with hypospadias. He wants to know what treatment options are available and if there are any measures he can take to prevent the condition from worsening.

MSRA-1978

A 3-year-old boy is taken to his pediatrician by his father due to constant scratching of his bottom at night. The father reports observing some unusual white particles when cleaning his son’s bottom after a bowel movement. What would be the best course of action for management?

MSRA-1979

A 3-month-old baby boy is brought to the hospital with suspected meningitis. His parents report that he has been feverish and lethargic for the past day. During the examination, his temperature is recorded as 39.5ºC, heart rate is 165/min, and respiratory rate is 52/min. The anterior fontanelle is visibly swollen, but no petechial rash is observed. Apart from cefotaxime, what other intravenous antibiotic should be administered?

MSRA-1980

You encounter the mother of a 9-month-old baby who was born premature (at 30 weeks) and has recently been discharged from hospital after being admitted for ‘breathing difficulties’. During the hospital stay, the baby received an injection called palivizumab, but the mother cannot remember the purpose of this medication. Can you explain the medication and its indication?

MSRA-1965

You are speaking to a 26-year-old man who is known to have haemophilia A. His wife has had genetic testing and was found not to be a carrier of haemophilia. He asks you what the chances are of his future children developing haemophilia. What is the correct answer?

MSRA-1966

A mother brings in her 3-month old male baby to the pediatrician’s office. She reports that for the past two weeks, the baby has been experiencing poor feeding, with intermittent rapid breathing, wheezing, and sweating. Additionally, the baby’s weight has dropped off the initial centile. During the examination, the pediatrician discovers hepatomegaly.
What could be the probable reason for these symptoms?