TOPIC: 2014 INTEGRATED MANAGEMENT OF CHILDHOOD noted burrows in web space and wrists, face

ILLNESS spared. What is your diagnosis?

a. Prurigo
1. A 2 month old baby boy came in with complaints
b. Scabies
of difficulty feeding for 5 days. No noted
c. Tinea
convulsions, no nasal discharge. Upon physical
8. What is your treatment for the above case?
exam, patient was irritable, he was febrile at 38C,
a. 25% topical Benzyl Benzoate at night,
HR 112, RR 65. The rest of the physical exam was
repeat for 3 days after washing and or 1%
unremarkable. How would you classify his
lindane cream or lotion once wash off
condition?
after 12 hours
a. Very severe disease
b. Apply whitfield ointment or anti-fungal
b. Local bacterial infection
cream
c. Severe disease or local infection unlikely
c. 1% hydrocortisone cream
2. What would be your management for the above
9. A 2 year old boy was noted to have skin lesions on
case?
the trunk. Upon physical exam, you noted skin
a. Give first dose of intramuscular
coloured white papules with a central
antibiotics
umbilication on the face and trunk. What is your
b. Teach the mother to treat local infection
diagnosis?
at home
a. Warts
c. Follow-up in 2 days
b. Molluscum contagiosum
3. A newborn infant was brought by her mother to
c. Seborrhea
the health center. The baby was noted to be
10. A 5 year old girl came in with nonpruritic vesicular
yellow eyes and skin. Upon interview of the
lesions on the palms, soles and dorsum of the
mother, she said that the symptoms were noted
hand. Upon interview of the mother, the girl was
to appear after 12 hours that the baby was born.
on medication of Cotrimoxazole given to her by
a. Severe Jaundice
her mother for the fever and difficulty of
b. Jaundice
urination. You assessed target lesions on her skin.
c. No jaundice
What is the most likely diagnosis?
4. What would be your management for the above
a. Steven Johnson Syndrome
case?
b. Eczema
a. Refer urgently to hospital
c. Fixed drug reaction
b. Advise the mother to give home care for
the young infant
c. Advise the mother to return immediately
if palms and soles appear yellow
5. A 1 month old baby girl was brought to your clinic
due to loose watery stools. The baby was noted to
be irritable and restless. Upon physical
examination, she was noted to have sunken
eyeballs, skin pinch goes back slowly. How would
you classify her condition?
a. Severe dehydration
b. Some dehydration
c. No dehydration
6. A 4 week old baby girl was born to a HIV positive
mother. The baby was tested and result showed
negative virological test. The baby was exclusively
breastfed. How would you manage the patient?
a. Give HIV ART and care
b. Give cotrimoxazole prophylaxis
c. HIV infection unlikely
7. An infant was brought in to your clinic with noted
rash and excoriation on torso. There were also
TOPIC: 2014 INTEGRATED MANAGEMENT OF CHILDHOOD noted burrows in web space and wrists, face
ILLNESS spared. What is your diagnosis?
a. Prurigo
11. A 2 month old baby boy came in with complaints
b. Scabies
of difficulty feeding for 5 days. No noted
c. Tinea
convulsions, no nasal discharge. Upon physical
18. What is your treatment for the above case?
exam, patient was irritable, he was febrile at 38C,
a. 25% topical Benzyl Benzoate at night,
HR 112, RR 65. The rest of the physical exam was
repeat for 3 days after washing and or
unremarkable. How would you classify his
1% lindane cream or lotion once wash
condition?
off after 12 hours
a. Very severe disease
b. Apply whitfield ointment or anti-fungal
b. Local bacterial infection
cream
c. Severe disease or local infection unlikely
c. 1% hydrocortisone cream
12. What would be your management for the above
19. A 2 year old boy was noted to have skin lesions on
case?
the trunk. Upon physical exam, you noted skin
a. Give first dose of intramuscular
coloured white papules with a central
antibiotics
umbilication on the face and trunk. What is your
b. Teach the mother to treat local infection
diagnosis?
at home
a. Warts
c. Follow-up in 2 days
b. Molluscum contagiosum
13. A newborn infant was brought by her mother to
c. Seborrhea
the health center. The baby was noted to be
20. A 5 year old girl came in with nonpruritic vesicular
yellow eyes and skin. Upon interview of the
lesions on the palms, soles and dorsum of the
mother, she said that the symptoms were noted
hand. Upon interview of the mother, the girl was
to appear after 12 hours that the baby was born.
on medication of Cotrimoxazole given to her by
a. Severe Jaundice
her mother for the fever and difficulty of
b. Jaundice
urination. You assessed target lesions on her skin.
c. No jaundice
What is the most likely diagnosis?
14. What would be your management for the above
a. Steven Johnson Syndrome
case?
b. Eczema
a. Refer urgently to hospital
c. Fixed drug reaction
b. Advise the mother to give home care for
the young infant
c. Advise the mother to return immediately
if palms and soles appear yellow
15. A 1 month old baby girl was brought to your clinic
due to loose watery stools. The baby was noted to
be irritable and restless. Upon physical
examination, she was noted to have sunken
eyeballs, skin pinch goes back slowly. How would
you classify her condition?
a. Severe dehydration
b. Some dehydration
c. No dehydration
16. A 4 week old baby girl was born to a HIV positive
mother. The baby was tested and result showed
negative virological test. The baby was exclusively
breastfed. How would you manage the patient?
a. Give HIV ART and care
b. Give cotrimoxazole prophylaxis
c. HIV infection unlikely
17. An infant was brought in to your clinic with noted
rash and excoriation on torso. There were also