c.

US
d. IVU
e. Suprapubic catch of urine
851. A 2yo girl presents with a 4d hx of fever that started with a cough. Her RR=45bpm, sat=94%,
temp=38.9C, capillary refill time=1s. There are crepitations at the left base on auscultation.
Urine shows negative dipstick. What is the single inv most likely to lead to dx?
a. Blood for C&S
b. ESR
c. CXR
d. Urine for C&S
e. CSF analysis
852. A 3yo girl presents with fever for 2d. She is drowsy and had a seizure causing twitching of the
right side of the body for 4mins. Her RR=30bpm, sat=90%, temp=38.9C, capillary refill time=2s.
Urine negative on dipstick. What is the single inv most likely to lead to dx?
a. Blood for C&S
b. ESR
c. CXR
d. Urine for C&S
e. CSF analysis
853. A 6m boy is admitted with persistent irritability. He is lethargic and is not feeding as well as
usual. His RR=30bpm, sat=97%, temp=38.0C, capillary refill time=2s. Urine reveals leucocytes on
dipstick. What is the single inv most likely to lead to dx?
a. Blood for C&S
b. ESR
c. CXR
d. Urine for C&S
e. CSF analysis
854. A 3yo boy presents with a 1d hx of being unwell. He appears shocked and has 3h old rash made
up of urticarial and purpural spots. His RR=30bpm, sat=94%, temp=39C, capillary refill time=1s.
Urine is clean on dipstick. What is the single inv most likely to lead to dx?
a. Blood for C&S
b. ESR
c. CXR
d. Urine for C&S
e. CSF analysis
855. A child is dx with VUR. What would you tell his parents?
a. Requires antibiotic prophylaxis
b. Most will require surgery
c. Most will have kidney scarring by 5yo
d. Nothing can be done
e. Reassure
856. A 2yo child presents with severe vomiting. Exam: mass felt in abdomen. What inv is most
appropriate?
a. US
b. XR
c. CT
d. CBC
857. A 13yo girl complains of a 2d hx of hoarseness of voice a/w dry cough. She feels feverish. On
direct laryngoscopy, her vocal cords are grossly edematous. What is the single most appropriate
inv?
a. None req
b. Sputum for AFB
c. Laryngoscopy
d. Bronchoscopy
e. XR cervical spine
858. A 7yo girl is brought by her mother with bright red staining of her underpants. She also gives a
hx that her daughter recently started taking horse riding lessons. What is the single most
appropriate next action?
a. Local exam
b. Exam under GA
c. Continue regular child care
d. Inform child protection services
e. Coag profile
859. A 7d baby whose birth weight was 3.5kg and now is 3kg. What is the most appropriate next step?
a. Check child protection register
b. Nutritional assessment
c. Skeletal survey
d. Continue regular child care
e. Inform police
860. A 6yo child fell on his nose 2d ago. His parents have now brought him with difficulty in breathing.
Exam: fever, nasal bones are straight. What is the single most likely dx?
a. Nasal polyp
b. Septal hematoma
c. Septal abscess
d. Deviated nasal septum
e. Fx nose
861. A 12yo pt came to the OPD with complains of fever, malaise, weight loss, anorexia and
productive cough. Exam: temp=39C, pulse=100bpm. His mother says that he has a hx of
recurrent chest infections and he is not thriving well. What is the single most likely causative
organism?
a. Pneumococcal pneumonia
b. Staphylococcus
c. Mycobacterium TB
d. Pseudomonas
e. PCP
862. A 3yo child brought by his mother. Exam: bruises on the buttocks. Mother also gives hx of runny
nose 2wks ago. What is the single most appropriate next action?
a. Check child protection register
b. Coag profile
c. Skeletal survey
d. Continue regular child care
e. Inform police
863. A 4yo is brought to the ED by ambulance. His mother reports that he has been unwell with a
sore throat for 8h. He is sitting on his mother’s knee and is tolerating an oxygen mask but looks