Child can skip,ride a cycle, understand in.1 ●
front of/behind, fasten but not unfasten
buttons/ knows 4 colours – age?
2.Vaccines C/I in HIV
3.Vasculitis :Kawasaki/ HSP/ ITP/ Behcet”s
4.Floppy baby with absent LL reflexes,
smiles, feeds poorly—what investigation to
do
5.Hypoglycemia found during illness in
otherwise normal child-?MCAD
6.Systemic onset JIA- steroids Rx/ RF +ve/
seen in under 5?
7.Autism- hand wringing/night terrors/
“elective” mutism
8.Enuresis in horseshoe kidney/duplex rt.
Kidney/renal pelvis dilatation/ single kidney
9.”H” TOF – commonest /ass. With
characteristic cough/best assessed by Ba
swallow/ maternal polyhydramnios/ ass.
With hemivertebrae
10.Short stature from birth with learning
difficulty- ?Russel Silver
11.Cleft palate, truncus arteriosus,
microcephaly- ?Patau /?di George
12.Distal not proximal RTA if---
aminoaciduria/ glycosuria/pH < 5.6/
hyperchloremia/ hypokalemia
13.6 mth old Kid with polyuria, polydipsia
compared to elder sibling : low K+, Normal
1
, Cl-, sugar and prt + in urine--?DM / RTA? / ?
Nephro.DI
14.Facial dermatitis 3 mo. Ago, now jt.
Pains,what investing--?anti DS DNA
15.Violaceous scrotal swelling, no pain,
extending to perineum and groin ?idiopathic
16.Hirschsprung’s—as. With Down’s/
diarrhea prsnt in enterocolitis/ absent Ach
esterase in affected bowel
17.Low grade fever,malaise, loss of appt,
shoulder and chest pain 1 wk., worse at
night, not relieved by ibuprofen, low
platelets, normal WBC, low neutrophils, low
Hb, painful shins, film—lymphocytosis, x- ray
shoulders normal—what inv? BM aspiration/
blood c/s / joint aspiration
18.EMQ stats tests
a)to test new drug launched for acne
b)celiac disease-improvement with one Rx or
another - ?single blind RCT
c)small group with constipation- to test .18
effect of som drug ?cohort
19.At birth, pH 7.31, low HCO3, low pO2, min.
improvement wth O2 -?TGA / ?hypoplastic heart
20.AT birth,pH 7.31,low HCO3, diab. Mother,
looks cyanosed, pO2 =75 ,increased to 135 wth
2
front of/behind, fasten but not unfasten
buttons/ knows 4 colours – age?
2.Vaccines C/I in HIV
3.Vasculitis :Kawasaki/ HSP/ ITP/ Behcet”s
4.Floppy baby with absent LL reflexes,
smiles, feeds poorly—what investigation to
do
5.Hypoglycemia found during illness in
otherwise normal child-?MCAD
6.Systemic onset JIA- steroids Rx/ RF +ve/
seen in under 5?
7.Autism- hand wringing/night terrors/
“elective” mutism
8.Enuresis in horseshoe kidney/duplex rt.
Kidney/renal pelvis dilatation/ single kidney
9.”H” TOF – commonest /ass. With
characteristic cough/best assessed by Ba
swallow/ maternal polyhydramnios/ ass.
With hemivertebrae
10.Short stature from birth with learning
difficulty- ?Russel Silver
11.Cleft palate, truncus arteriosus,
microcephaly- ?Patau /?di George
12.Distal not proximal RTA if---
aminoaciduria/ glycosuria/pH < 5.6/
hyperchloremia/ hypokalemia
13.6 mth old Kid with polyuria, polydipsia
compared to elder sibling : low K+, Normal
1
, Cl-, sugar and prt + in urine--?DM / RTA? / ?
Nephro.DI
14.Facial dermatitis 3 mo. Ago, now jt.
Pains,what investing--?anti DS DNA
15.Violaceous scrotal swelling, no pain,
extending to perineum and groin ?idiopathic
16.Hirschsprung’s—as. With Down’s/
diarrhea prsnt in enterocolitis/ absent Ach
esterase in affected bowel
17.Low grade fever,malaise, loss of appt,
shoulder and chest pain 1 wk., worse at
night, not relieved by ibuprofen, low
platelets, normal WBC, low neutrophils, low
Hb, painful shins, film—lymphocytosis, x- ray
shoulders normal—what inv? BM aspiration/
blood c/s / joint aspiration
18.EMQ stats tests
a)to test new drug launched for acne
b)celiac disease-improvement with one Rx or
another - ?single blind RCT
c)small group with constipation- to test .18
effect of som drug ?cohort
19.At birth, pH 7.31, low HCO3, low pO2, min.
improvement wth O2 -?TGA / ?hypoplastic heart
20.AT birth,pH 7.31,low HCO3, diab. Mother,
looks cyanosed, pO2 =75 ,increased to 135 wth
2
