Study Partner 196👨🏻⚕️👩🏻⚕️
A 10 year old boy presented with impaired level of consciousness of 12 hours duration. The patient could be aroused for only short periods during which he can respond to simple verbal commands. The mother says he was perfectly normal when he went to play football…
The cause of his coma is likely to be?
Anonymous Quiz
0%
Acute hepatic failure
0%
Diabetic ketoacidosis
100%
Intracranial hemorrhage
0%
Poisoning
A2-day-old infant is referred to the hospital for bilious vomiting.The baby was born at 37 weeks of gestation to a 37-year-old woman who had no prenatal care.On examination,he has severe hypotonia but no fasciculation.What is the appropriate initial step?
Anonymous Quiz
0%
Early feeding with nasogastric tube
0%
EMG
67%
Karyotyping
33%
Plain x ray of the abdomen
A 6 year old child is hospitalized for observation because of a short period unconsciousness after a fall from a poly ground swing. He has developed unilateral pupillary dilatation, focal seizures and hemiplegia.
Study Partner 196👨🏻⚕️👩🏻⚕️
A 6 year old child is hospitalized for observation because of a short period unconsciousness after a fall from a poly ground swing. He has developed unilateral pupillary dilatation, focal seizures and hemiplegia.
Which of the following is the most appropriate management at this time?
Anonymous Quiz
50%
CT scan
50%
EEG
0%
Ophthalmic consultation
0%
Spinal tap
An 11 year old boy presents in a confused state. He developed a fever 2 day previously and had been complaining of headache, fever and photophobia. He had vomited 3 times. On examination, his temp was 39.6 C and he has neck stiffness.
Study Partner 196👨🏻⚕️👩🏻⚕️
An 11 year old boy presents in a confused state. He developed a fever 2 day previously and had been complaining of headache, fever and photophobia. He had vomited 3 times. On examination, his temp was 39.6 C and he has neck stiffness.
What is the diagnostic investigation?
Anonymous Quiz
0%
CBC and ESR
100%
CSF examination
0%
CT scan
0%
Fundus examination
A 9 month old boy is brought by his mother because he is floppy. He doesn't seem to be interested in reaching for toys. At 4 month old his head support was not complete. More reflex is present. What is the investigation that may reveal the cause?
Anonymous Quiz
100%
EMG
0%
MRI brain
0%
Muscle biopsy
0%
Nerve biopsy
About 12 days after a mild upper respiratory infection, an 8 years old boy complains of weakness in his lower limbs. Over several days, the weakness progresses to include his trunk and respiratory muscles. Oxygen saturation is 85%.
Study Partner 196👨🏻⚕️👩🏻⚕️
About 12 days after a mild upper respiratory infection, an 8 years old boy complains of weakness in his lower limbs. Over several days, the weakness progresses to include his trunk and respiratory muscles. Oxygen saturation is 85%.
What is the most appropriate initial step?
Anonymous Quiz
0%
Immediate IV steroids
0%
Plasmapharesis
33%
IV gamma globulin
67%
Mechanical ventilation
A 10 year old child has developed headache that is more frequent in the morning. Over the previous few days his family noticed a change in his behavior, he becomes more irritable than usual. Neurological examination revealed hypertonia and hyperreflexia and positive planter reflex in both lower limbs
Study Partner 196👨🏻⚕️👩🏻⚕️
A 10 year old child has developed headache that is more frequent in the morning. Over the previous few days his family noticed a change in his behavior, he becomes more irritable than usual. Neurological examination revealed hypertonia and hyperreflexia and…
Which of the following might be the cause?
Anonymous Quiz
0%
School stress.
67%
Supra tentorial lesion
33%
Intraventricular lesion
0%
Sub tentorial lesion
A 12 months old boy presents with seizures associated with fever. He has been in good health except for a high fever that developed today (40.1 C). He has slight cough and mild nasal congestion. The top priority in the management during seizures is to
Anonymous Quiz
67%
Control fever
33%
Ensure patent airway
0%
IV diazepam
0%
IV antibiotics
A 6 month old boy is brought by his mother because he is floppy.He isn't be interested in reaching for toys.At 4 month old his head support was weak.He has a history of NICU admission for neonatal hyperbilirubinemia.What is the most likely diagnosis?
Anonymous Quiz
33%
Atonic cerebral palsy
0%
Congenial muscular dystrophy
33%
Down syndrome
33%
Werding Hoffman disease
An 11 year old girl has a 4 month history of abnormal behavior in the form of repeated crying and abnormal movements. On the examination she has jerky involuntary, arrhythmic movements especially in the upper limbs. No history of previous drug intake. The rest of neurological examination is normal.
Study Partner 196👨🏻⚕️👩🏻⚕️
An 11 year old girl has a 4 month history of abnormal behavior in the form of repeated crying and abnormal movements. On the examination she has jerky involuntary, arrhythmic movements especially in the upper limbs. No history of previous drug intake. The…
What is the next best step?
Anonymous Quiz
25%
CT brain
25%
Detailed cardiac examination
25%
EMG
25%
Prescribe haloperidol
A 4 year old boy's parents complain that their child has difficulty walking. The child first walked at 13 months of age. On examination, the child is oriented and has enlargement of his calves has been noticed. Family history revealed that the elder son of his aunt has the same condition.
Study Partner 196👨🏻⚕️👩🏻⚕️
A 4 year old boy's parents complain that their child has difficulty walking. The child first walked at 13 months of age. On examination, the child is oriented and has enlargement of his calves has been noticed. Family history revealed that the elder son of…
Which is true regarding the prognosis of this case?
Anonymous Quiz
0%
Distal muscles is affected very early in the disease
0%
Heart failure never occur
100%
Most cases die in the 2nd decade
0%
The condition is intermittent
A 7 year old female presents to the emergency room with lower limbs weakness One week prior, she had a fever of 38.5 with vomiting and diarrhea that resolved within 3 days. Neurological examination revealed bilateral symmetrical weakness of the lower limbs.
Study Partner 196👨🏻⚕️👩🏻⚕️
A 7 year old female presents to the emergency room with lower limbs weakness One week prior, she had a fever of 38.5 with vomiting and diarrhea that resolved within 3 days. Neurological examination revealed bilateral symmetrical weakness of the lower limbs.
Which of the following is best line of treatment?
Anonymous Quiz
0%
Immediate physiotherapy
67%
IV gamma globulins
0%
Mechanical ventilation
33%
Plasmapharesis
A 6-year-old boy appears in a clinic with history of hyperactivity and poor school performance. He cannot watch television for a few minutes at a time.Physician also noted a reduced attention span and impulsive behavior.What is the most likely diagnosis?
Anonymous Quiz
100%
ADIID (attention deficit hyperactivity disorder)
0%
Drug ingestion
0%
Normal child
0%
Schizophrenia
A 3-year-old boy is brought to you, as his mother is concerned about his attention span. You note that he has very poor eye contact and poor verbal skills (having only a four-word vocabulary). His weight and height are appropriate for his age.