MSRA Category: Paediatrics

MSRA-1941

You are conducting the eight-week baby check on a healthy infant who was born at term. As part of health promotion, you are discussing ways to minimize the risk of Sudden Infant Death Syndrome (SIDS) with the mother. She is already aware of the significance of placing the baby on its back while sleeping and does not smoke. What is the most crucial additional risk factor for SIDS?

MSRA-1942

What is a risk factor for the development of surfactant deficient lung disease in a neonate?

MSRA-1943

A 10-year-old girl is brought to the emergency room due to worsening asthma symptoms over the past 48 hours. Her parents are worried that her breathing is not improving with the usual inhaled salbutamol treatment. What signs indicate a potentially life-threatening asthma attack?

MSRA-1944

The parents of a 15-month-old boy visit their GP with concerns about his eyes. They have noticed that in some photos there is no ‘red eye’ on the right side. Upon examination, the boy is found to have an esotropic strabismus and a loss of the red-reflex in the right eye. There is a family history of a grandparent who had an enucleation as a child.

What is the probable diagnosis?

MSRA-1945

At what age would a typical infant develop the capability to sit upright without assistance?

MSRA-1946

You are called to attend a premature delivery. The neonate is born at 34 weeks gestation via emergency Caesarean section. The neonate is having trouble starting to breathe and needs resuscitation. They are dyspnoeic and tachypnoeic at a rate of 85 breaths/min. Upon listening to the chest, there is decreased breath sounds on both sides. Heart sounds are displaced towards the middle. The abdominal wall looks sunken. What is the probable diagnosis?

MSRA-1947

As a foundation doctor on the postnatal ward, you conduct a newborn examination on a two-day-old baby girl. She was delivered normally and in good condition. During the hip examination, you observe that the left hip can be dislocated. What is the name of the examination you have conducted?

MSRA-1948

In a 40-year-old woman, what is the probability of having a child with Down syndrome? Please choose one option from the list provided.

MSRA-1949

A 5-year-old girl is brought to the emergency room by her father. She has been lethargic and feverish for the past 2 hours. While waiting to be seen, she becomes unconscious. A physician performs an urgent evaluation while the nurse contacts 911. The child is not breathing, so 5 rescue breaths are administered. As you enter the room, the physician cannot detect a pulse in the brachial or carotid artery. What is the best course of action?