By Nagi Barakat
Get via MRCPCH half 2: facts Interpretation Questions relies at the unique identify, a hundred info Interpretation Questions in Paediatrics for MRCPCH/MRCP, and offers priceless revision fabric for applicants sitting the 2 written papers for half 2 of the club of the Royal university of Paediatrics and baby health and wellbeing (MRCPCH) examination.
This re-creation has been revised and improved and now comprises 4 assorted query kinds: better of checklist; n from many; prolonged matching questions; and inquiries to which a written solution needs to be given. this offers the reader perform in real-life examination kind questions in addition to extra open-ended questions that do not look within the examination yet quite try out the reader's wisdom whereas they're revising. it is going to organize applicants for questions facing info interpretation, together with ECGs, EEGs, progress charts, lists of attempt effects and different fabrics in general encountered within the exam. The solutions are supplemented by means of important additional info to assist the reader comprehend why a solution is true or improper, and to help extra revision at the issues covered.
All situations were chosen in accordance with the factors of the MRCPCH examination, comprehensively overlaying all paediatric issues and coming from years of real medical paediatric adventure. this is often a vital textual content for all applicants sitting the MRCPCH examination, in addition to examiners and running shoes for these tests, senior apartment officials, professional registrars and their out of the country equivalents
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Extra info for Get Through MRCPCH Part 2: Data Interpretation Questions, second edition
What other two tests will help in diagnosis? a. Ristocetin-induced platelet aggregation b. vWF c. Factor IX d. Fibrinogen level e. Factor VII Questions 11–20 Case 17 Case 18 An 8-month-old infant presents with seizures and lethargy. 71 mmol/l) 12 nmol/l (20 nmol/l) 1. What is the diagnosis? 2. What two further tests may help in diagnosis? 3. What is the treatment? 19 © 2008 by Taylor & Francis Group, LLC Questions 11–20 Case 19 A 13-year-old girl who has been a vegetarian for the last 3 years complains of lethargy, abdominal pain and occasional excessive periods.
B. c. d. e. f. g. h. i. j. k. Nerve conduction study Per nasal swab Nasopharyngeal aspirate Sweat test Urine microscopy and culture Renal ultrasound EMG PCR for Mycobacterium tuberculosis Malaria antigen TFT Split bilirubin 47 © 2008 by Taylor & Francis Group, LLC Questions 31–40 List C a. b. c. d. e. f. g. h. i. j. k. l. Oral trimethoprim for 5 days IVIG 1mg/kg/day for 2 days Nasogastric feeding Oral erythromycin for 5 days Phototherapy Exchange transfusion Intravenous ceftriaxone Oral rifampicin and isoniazid for 3 months Oral rifampicin, isoniazid, pyrazinamide and ethambutol for 12 months Neurorehabilitation IV quinine for 5 days Regular physiotherapy 48 © 2008 by Taylor & Francis Group, LLC Answers 31–40 Answers 31–40 Case 31 1.
3. Fanconi anaemia Hyperpigmented patches Absence of radial bone Full blood count Chromosomal analysis Fanconi anaemia Fanconi anaemia (FA) is nearly always inherited as an autosomal recessive trait. There are at least 13 genes mutations of which are known to © 2008 by Taylor & Francis Group, LLC 39 Answers 21–30 cause FA: FANCA, B, C, D1, D2, E, F, G, I, J, L, M and N (of these, FANCB, which is on the X chromosome, gives rise to the very rare cases of X-linked inheritance). Many patients will develop acute myeloid leukaemia.