MSRA Category: Paediatrics

MSRA-1962

A 3-week-old Somali male infant was brought to the paediatric Emergency Department by his mother who recently arrived in the UK. Due to inadequate antenatal care in their home country, the baby has been experiencing rapid breathing, poor feeding, and weight loss for the past 3 weeks. During examination, the baby displayed upslanting palpebral fissures, prominent inner epicanthal folds, a protuberant tongue, and single palmar creases. Additionally, an atypical murmur was heard. An urgent echocardiogram was performed, and the diagnosis was revealed. What is the most likely congenital cardiac abnormality in this baby?

MSRA-1963

At what point in the childhood immunisation schedule is the Meningitis B vaccine administered?

MSRA-1964

A 5-year-old girl comes to the GP with her father. He is concerned that she is not growing as well as her classmates. The father reports that the child experiences foul-smelling diarrhoea about 3-4 times a week and complains of abdominal pain.
During the examination, the girl has a distended belly and thin buttocks. She has fallen 3 centile lines and now falls on the 15th centile.
What would be the most suitable first test to perform?

MSRA-1950

A 9-year-old boy with asthma comes to the clinic with his mother, who is worried about his breathing problems. He has an oxygen saturation of 90%, his chest is slightly wheezy, but there is weak inspiratory effort, and his lips are pale.
What is the probable classification of the acute asthma exacerbation?

MSRA-1951

A 6-month-old infant is brought to his General Practitioner by his concerned mother. He has been crying after every feed for several weeks and regurgitating milk. He has also been failing to gain weight.
Which of the following is the most likely diagnosis?

MSRA-1937

Which of the following causes Scarlet fever?

MSRA-1938

A 6-week-old infant presents to the clinic with a red rash on their scalp accompanied by yellow flakes. What is the probable diagnosis?

MSRA-1939

You are a foundation year 2 doctor on your GP placement. You see 8-year-old Lily whose mother has brought her to see you as she feels Lily is snoring very loudly and wonders whether this is affecting her quality of sleep. Lily is overweight and has a background of childhood asthma.
What is a frequent cause of snoring in childhood?