Professional Documents
Culture Documents
MEQ:
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(6) What 2 organs are particularly susceptible to
permanent damage from very
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stage?
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(3 marks)
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At one year old the child presents acutely to the
Emergency Department.
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MEQ:
Peter is a previously healthy 4 year old. He presents to his
GP with a fever, sore neck and will not eat but is managing
to drink. There is no meningism but he does have tender
cervical lymphadenopathy. He has a diffuse sandpaper-like
erythematous rash on his face, neck, trunk and especially in
his axilla. There is peri-oral pallor, a strawberry tongue and
marked tonsillitis.
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How is it treated?
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not a range)?
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rate be?
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MEQ:
Helen, a 13 year old with a six year history of hay fever, is taken by
ambulance to her local hospital with sudden onset of shortness of
breath and wheeze following a game of hockey at her school. When
she arrives, she is struggling to speak and looks centrally cyanosed.
A pulse oximeter reads 87%. A medical colleague suggests doing an
arterial blood gas to check if she is hypoxic and what amount of
oxygen to give.
A staff nurse gives Helen some oxygen through a mask and sits her
on an examination bed.
Helen responds well to this treatment and is now able to speak but
has a loud wheeze heard throughout her chest. She still needs
oxygen to maintain her peripheral saturations above 93%.
What information from the brief history above would support the
diagnosis of an acute asthma attack in Helen and why?(2 marks)
Helen is taking her blue reliever inhaler directly into her mouth.
Who can give Helen advice about her inhaler technique?(1 mark)
What is the most appropriate way for her to take her inhalers?(1
mark)
End
MEQ:
Six year old Bradley arrived in outpatients unable to move. For the
last 10 months he been increasingly immobile and had seen his GP,
gone to A&E, and seen an Orthopaedics doctor who had diagnosed
irritable hip, viral infections and growing pains. He was now being
carried everywhere and had fixed flexion deformities in his knees
and elbows. He wasnt gaining weight and had stopped growing
3. What are the main actions the doctor did when examining his
joints?2 points
MEQ:
Dean is six years of age. He was born at 28 weeks gestation and
was in hospital for the first 4 months of his life. At eighteen
months, he is diagnosed with cerebral palsy.
With support from the child development unit, Dean has made
excellent progress. Dean can now walk but occasionally needs
support. He has excellent understanding but his speech is poor.
When Dean is five years old the family move and he attends a new
school. The school feel that although Dean is able to do the work
given, he has a limited attention span and is very disruptive in class.
5. What can the school apply for to help with Deans education (2
marks)
MEQ:
A mother brings her 10 month old son to the GP, because she is
worried about his weight. Jake was born at term and is her first
child. She is a single parent but gets good support from her family,
in particular her elder sister, who has three children. She works full-
time and Jake is looked after by another sister during the day. He
has always been a vomiting baby but this improved when he was
weaned onto solid food. Over the past month however the vomiting
has worsened and is three or four times a day (particularly after a
bottle of milk).
He weighs 7.5 kg and the Practice Nurse measures his length which
is 73 cm. His birth weight was 3.9 kg.
5. What can the GP ask for that might contain more information on
his weight pattern?
(1 mark)
The GP feels Jake is very pale and organises for him to have some
blood tests. The results show a haemoglobin of 7.2 G/dL and a MCV
of 72
The GP refers Jake and his mother to a Paediatrician, who sees them
the following week. The Paediatrician is worried about the mothers
relationship with Jake and feels that she handles him roughly.
7. Who, aside from the GP, could the Paediatrician contact to gain
more information on the family situation (1 mark)