Group E remake 2023

MCQ
1.

2. 13 yr old girl, emergency for seizures how long after would you give seizure
medication
A. 20mins
B. 15mins
C. 10mins
D. 5mins
4. Appropriate age for children using tablets. Answers had age and if it was for educational
purposes and or video chatting.
A. 12 months educational purposes only
B. 18months educational and video chatting
C. 24 months for entertainment purposes

5. A 14 yr old girl with SLE presents with left sided weakness, slurred speech and trouble
swallowing saliva. What is the reason behind her presentation?
Hb 9.3
INR 1.4
Cr 1.4
(All other lab results were normal)

A. TCP
B. Impaired clotting factor synthesis
C. Lupus anticoagulant

6) black tarry stool in a boy-all low hemoglobin

Low platelets, low mcv
Low platelets, high mcv
High platelets, high mcv
High platelets, low mcv

7) features of angular chelitis, glossitis, ulcers in mouth in a vegan of 10 years. What is

responsible
-b12 deficiency
-folate deficiency
-iron deficiency

8 )according to the hygiene hypothesis which Carrie’s the highest risk factor for developing
the disease associated with the hypothesis?
- small family
- Farm exposure
- Lack of antibiotic use
- Multiple infections
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Kid
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49 The patient has chorea. Was hypotonic but is hypertonic when you examine. What type of
cerebral palsy do they have?
A. Ataxic
B. spastic
C. dyskinetic
D. Hypotonic

50. What should a 3 year old be able to do?

A. draw circle
B. draw line
2 2 5yrs
 C. draw rhombus
D. draw square
4yrs
HISTORIES
Age PC and important findings Diagnosis
Questions asked after
(optional)

4yrs Dry cough x5/7 worse at night, Dyspnea x 1/7, Asthma, Pneumonia
subjective fever x 2/7, abnormal sound on expiration What from your history
(wheeze) and rhinorrhea, sister w/ asthma points you to your
differentials?

3yrs Shaking x1/7. 1 episode(5mins) all limbs were shaking Febrile seizures. What
and stiff, fever 38.5 (x1/7), runny nose, dry cough(x2/7), type of febrile seizure is
7yo brother and aunt with history of seizures not it? Why do you think
epilepsy so?

6m Rhinorrhea x 4/7 Fever, Dry cough, Fast breathing x 1/7 Bronchiolitis (supportive
No audible wheeze (according to parent) findings). Definition and
Causes

3.5 Dry cough worse @ night x 5/7 with difficulty breathing x Asthma. Why would you
y/o 1/7, intercostal recessions, sick contact (cousin) and dad diagnose asthma? How
had dust allergies. sister had asthma and social history would you advise
included pets, living nearby a road and carpets in the parents?
house. had one past exacerbation of similar symptoms 9 NB: Diagnosis can be
months ago and was taken to a private doctor and given made even before 5y/o
nebs if there are enough
exacerbations

4yrs Bilateral peri-orbital and pedal edema x 1/52 that Nephrotic

worsened over the last 2 days. Frothy urine, hematuria What’s the main cause
in children? What
investigations would you
like to do? What’s the
range of protein value
on urinalysis you’re
looking for? What other
blood test you’d like to
do besides CBC?

3 Abdominal pain for three weeks which worsened in the Constipation

yrs past 3/7, soiling of underwear for three weeks, referred Asked about why the
to PED from GP. ROS: frequent urination: light coloured, soiling is happening in
no fever, She had poor diet in nutrition Hx: High fat, low terms of
fiber, poor water intake. She was on lactulose but pathophysiology as well
noncompliant because mum didnt think it works. as why she had
frequent urination
Define functional
constipation
What would you advise
this mother?
 Examiner was nice.

EXAMS

Abdominal exams on the LEFT SIDE OF CLINIC

Age Findings Diagnosis (optional)

9 Nyla, nil abdo findings Normal abdo exam (she had

*She had a hyperpigmented rash on both hands CP)
*knuckles and her knees: a likely diagnosis was
asked

Lower limb exams on LEFT SIDE OF CLINIC

Age Findings Diagnosis (optional)

15 Alexandria, hyperreflexia, upgoing plantars, UMN lesion- spastic diplegic

hypertonia, ⅘ power at thighs and knees, ⅗ power CP
at ankles and feet, couldn't walk, had decreased
coordination

She also had planovarus and feet facing outward,

with tendon release scars on ankles and knees.
She also had exopthalmos as an additional
unrelated finding, decreased power and
decreased/absent ankle reflexes.

Lower limb exams on RIGHT SIDE OF CLINIC

Age Findings Diagnosis (optional)

Caitlyn. Hyporeflexia, neurogenic bladder (in LMNL- Spina Bifida

diapers).

Cardiovascular exams on RIGHT SIDE OF CLINIC

Age Findings Diagnosis (optional)

13 I Aleem, similar to hemant. Large midline sternotomy VSD

think scar. Pansystolic murmur on tricuspid valve (LLSB)
Abdominal exams on the LEFT SIDE OF CLINIC
Age Findings Diagnosis (optional)

12yr David, Distended abdomen on inspection, Scleral Sickle cell, Thal

icterus, jaundice under tongue, hepatomegaly

16yr Joshua Samuel, hyperpigmented lesions Sickle cell

throughout entire body with scars, scleral icterus,
conjunctival pallor, hepatomegaly

Cardiovascular exams on LEFT SIDE OF CLINIC

Age Findings Diagnosis (optional)

9 yrs Mickah, no findings Normal

Lower limb exams on RIGHT SIDE OF CLINIC

Age Findings Diagnosis (optional)

12yr Hadara? Scars under ankle, feet deformity, LMN lesion ?

tone - N/hypotonic,
power -decreased throughout,
reflexes - absent/decreased
babinski
coordination

gait