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Chapter: 19 / Q: 111
A 9 year old girl with weekly abdominal pain and occasional headaches but not along with vomiting or diarrhea. She maintains a good appetite. Laboratory findings: normal. CBC, BUE, etc are normal. Examination: no abnormality found and the abdomen was soft and non- tender. What would you for her
Chapter: 19 / Q: 112
A 6 weeks old baby has been diagnosed as HIV+ve. Which immunization plan will you opt for him?
Chapter: 19 / Q: 113
A 2 year old girl has had a temperature of 39C, poor appetite, abdominal pain and urinary frequency for 3 days. What is the single most appropriate investigation?
Chapter: 19 / Q: 114
A child with T1DM who is not compliant with medicines and eats a lot. He thinks that he is short in his class. He is not happy. What would you do next?
Chapter: 19 / Q: 115
An 8 year old boy with a BMI of 28 was admitted to a surgical ward following a MVC (motor vehicle collision). He was found to have glycosuria. When he recovered from his injury the glycosuria resolved. What is the single most appropriate follow-up investigation?
Chapter: 19 / Q: 116
At birth, a baby boy at 38 weeks GA (gestational age) weighs 1.8kgs. He has hepato- splenomegaly and a rash. Blood test show raised level of bilirubin and liver enzymes. What is the most likely diagnosis?
Chapter: 19 / Q: 117
A 12 year old boy with T1DM (type1 diabetes mellitus) has poor long-term control. He is unconscious, hyperventilating and dehydrated. His blood glucose is 28mmol/l. What is the single most important initial treatment?
Chapter: 19 / Q: 118
A 14 year old boy presents with recurrent abdominal pain, malaise and weight loss over 6 months. Examination: vague mass is felt in RIF. Colonoscopy shows transmural inflammation and granulomata. What is the most appropriate management?
Chapter: 19 / Q: 119
A 13 year old boy with umbilical pain for the last 12 hours presents with anorexia, nausea and has not passed a bowel motion for 24 hours. What is your diagnosis?
Chapter: 19 / Q: 120
A 10 year old boy with lower abdominal pain for the last 10 days presents with a history of passing 6-8 loose stools. Temperature 38.8C. He is tender in the right lower quadrant and has an anal fistula. Choose the single most likely cause of abdominal pain
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