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Chapter: 19 / Q: 31
A 1 month old boy has been brought to the emergency department, conscious but with cool peripheries and has HR 222bpm. He has been irritable and feeding poorly for 24 hour. CXR borderline enlarged heart with clear lung fields. ECG regular narrow complex tachycardia, difficulty identifying p wav
Chapter: 19 / Q: 32
A child living with his stepfather is brought by the mother with multiple bruises, fever and fractures. What do you suspect?
Chapter: 19 / Q: 33
A child during operation and immediately after showed glycosuria, but later his urine sugar was normal. Choose the most probable diagnosis
Chapter: 19 / Q: 34
A child was woken up from sleep with severe pain in the testis. Exam: tenderness on palpation and only one testis was normal in size and position. What would be your next step?
Chapter: 19 / Q: 35
A 6 months old boy has been brought to emergency department following an apneic episode at home. He is now completely well but his parents are anxious as his cousin died of SIDS (Sudden Infant Death Syndrome) at a similar age. The parents ask for guidance on (basic life support) for a baby of hi
Chapter: 19 / Q: 36
A 3 year old child brought to the emergency department with a swelling over the left arm. X- ray shows multiple callus formation in the ribs. Exam: bruises on childs back. What is the most appropriate next step?
Chapter: 19 / Q: 37
A 17 year old man has acute pain and earache on the right side of his face. Temperature 38.4C and has extensive pre-auricular swelling on the right, tender on palpation bilaterally. What is the single most likely diagnosis?
Chapter: 19 / Q: 38
A 6 year old boy is clinically obese, his BMI >95th centile. He has no other medical problems, examination is unremarkable. His mother says that she has tried everything to help him lose weight. What is the most probable diagnosis?
Chapter: 19 / Q: 39
A 10 year old boy is clinically obese and the shortest in his class. He had a renal transplant last year and his mother is worried that he is being bullied. What is the most probable diagnosis?
Chapter: 19 / Q: 40
An 8 year old boy has longstanding asthma. He has admitted with a severe episode and is tired and drowsy. He has not improved on oxygen, inhaled B2 agonist and IV hydrocortisone. CXR shows bilateral hyperinflation. He is too breathless to use a peakflow meter and is O2 <90%. What is the single m
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