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Chapter: 19 / Q: 41
A 10 year old boy who takes regular high dose inhaled steroids for his longstanding asthma has been advised to use bronchodilators to control his acute attacks. His parents are unsure when should he use his bronchodilator. What is the single most appropriate investigation?
Chapter: 19 / Q: 42
A 6 weeks formula fed baby boy is found at the child health surveillance to be deeply jaundiced. His weight gain is poor and his stools are pale. What is the most likely diagnosis?
Chapter: 19 / Q: 43
An 18 month old boy has been brought to the emergency department because he has been refusing to move his left arm and crying more than usual for the past 24 hours. He has recently been looked after by his mother’s new boy friend while she attended college. Assessment multiple bruises and a fr
Chapter: 19 / Q: 44
A 15 month old child is due for his MMR vaccine. There is a family history of egg allergy. He is febrile with acute OM. What is the single most appropriate action?
Chapter: 19 / Q: 45
A 3 month baby was miserable and cried for 2hour following his 1st routine immunization with DTP, HiB and meningitis. What is the single most appropriate action?
Chapter: 19 / Q: 46
A mother is concerned that her 18 month old son has a vocabulary of ten words but can’t form a sentence. What is the best management strategy?
Chapter: 19 / Q: 47
A 9 month old child is brought to the emergency department with an irreducible firm swelling which descended into the left groin when the child has been crying. Exam: both testicles are palpable in the scrotum. What is the most appropriate management strategy?
Chapter: 19 / Q: 48
A mother presents with her 12 month old daughter. The child has no meaningful words, is unable to sit unaided and can’t play with her toys. She doesn’t laugh and has poor interaction with her siblings. What is the best management strategy?
Chapter: 19 / Q: 49
A 6 year old girl has had 2 short episodes of cough and wheeze over the last 12 months. These 2 acute episodes responded quickly to bronchodilator, she has no symptoms or abnormal physical signs. She has slight eczema and her mother has asthma. What is the single most appropriate investigation?
Chapter: 19 / Q: 50
A 4 year old boy is brought by his parents with complains of wetting his bed at night and whenever he gets excited. What would be the most appropriate management for this child?
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