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Chapter: 19 / Q: 141
A 5 year old previously healthy child has a 1-day history of severe pain in the throat, breathing difficulties and fever. On examination you find an anxious, septic-looking child with drooling of saliva and stridor. Which is the most appropriate initial management?
Chapter: 19 / Q: 142
A previously healthy, 10 months female child presents to your clinic with a 1-day history of high fever, runny nose and conjunctivitis. The child looks unwell and is irritable. Examination: child's oropharynx shows that it is inflammed and there are small white spots the oral mucosa. Which is t
Chapter: 19 / Q: 143
A 3 day term, breast-fed infant is brought by the mother who reports that the child has not been active and not feeding well. She also notices jaundice, which was not present at birth and is increasing. Examination: the temperature 35.4°C, and the liver is palpable cm below the costal margin. Whic
Chapter: 19 / Q: 144
A 6 year old boy presented about 4 hour ago with acute severe pain on the testis with the left half slightly higher than the right. Pain was not relieved by any strong analgesic. What is the initial management?
Chapter: 19 / Q: 145
A healthy 2 year old boy is brought to the emergency department having cut his hand playing in the garden. He has a 2cm clean laceration. He has not received any routine immunizations as his parents are concerned about possible side effects. There are no contraindications immunizations. What is t
Chapter: 19 / Q: 146
A 6 weeks child has history of frequent vomiting which became worse during the last weeks. He has no fever, recently he has passed stool only once every 2-3 days. What investigation will you do to confirm the diagnosis?
Chapter: 19 / Q: 147
A healthy baby boy is born at term to a woman who was unwell with confirmed acute hepatitis B during pregnancy. The mother is very concerned that she may have infected the baby with hepatitis B. What SINGLE preventative intervention should be given to the baby?
Chapter: 19 / Q: 148
A 4 year old girl has had a temperature 38.5C for 2 days and has not wanted to eat her food. Yesterday she developed a sore throat and small, painful ulcers inside her mouth. Today she has small blisters on the palms SINGLE most likely underlying cause?
Chapter: 19 / Q: 149
An 8 year old girl is complying with her asthma treatment of low-dose inhaled corticosteroid prophylaxis and short-acting bronchodilators as required. Her inhaler technique is good. She now has a frequent night cough and mild exercise-induced wheeze. What would the SINGLE most appropriate change
Chapter: 19 / Q: 150
A 4 year old boy complains of pain around his right eye. He is unwell, febrile and also suffers from pain on the right side of his face. What is the most probable diagnosis?
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