Other paediatric singletons
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Teaching point — how the wording changes the answer
Assorted one-off paediatric stems grouped for completeness.
Q5
Child, systolic murmur at left upper sternal border, no radiation. Diagnosis?
Key clue
Soft systolic, no radiation
Show answer
Innocent murmur (vs pulmonary stenosis if ESM radiating to back)
Q79
Clinical features of Duchenne muscular dystrophy. Investigation?
Key clue
DMD features
Show answer
Creatine kinase (screen) then genetic analysis
Q162
Child cough + fever, clear chest, red inflamed tonsils. Treatment?
Key clue
Tonsillitis / GAS
Show answer
Phenoxymethylpenicillin (penicillin V)
Q202
Child started cereal at 5 months, within 2 h vomiting, low BP, tachycardia, increased CRT. Investigation?
Key clue
Acute food reaction (FPIES)
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None invasive — clinical diagnosis, supportive
Q360
Galactosaemia case
Key clue
Galactosaemia
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Lactose-free / soy-based formula
NA
10-month dehydration + irritable, CRT 3 s, low Na/K/Cl, high urea, glucose normal
Key clue
Hypochloraemic dehydration
Show answer
0.9% saline bolus then reassess