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WorksheetsRegistrar teaching
Total questions: 13
Worksheet time: 9mins
5 year old developed a red rash around lips after eating cherry tomatoes on several occasions.
SPT to fresh tomato - 2mm wheal.
You should advise her parents:
She has pollen-food allergy syndrome
She has IgE mediated food allergy to tomato
The reactions are due to chemical irritation
She should have a supervised food challenge
Typical symptoms of food pollen allergy syndrome include?
Red, swollen, itchy lips
Itchy nose + ears
Angioedema
Oral red patches and blisters
Your patient with birch pollen allergy develops an itchy mouth when she eats apple.
Is she at risk of anaphylaxis?
Yes
No
Her mother asks if she can eat cooked apple?
Yes
No
A 4 year old boy presents with recurrent respiratory tract infections since the age of 2 years, and concerns regarding an unsteady gait.
The following clinical signs are found on examination:
Diagnosis?
Ataxia-telangiectasia
Friedreich's ataxia
Spinocerebellar atrophy
Metachromatic leukodystrophy
Genetic testing is most likely to reveal:
WASP gene mutation
JAK3 mutation
22q11.2 deletion
ATM gene mutation
An 8 day old term baby presents with diarrhoea since day 3. She has profuse watery stools more than 10 times per day.
Birth weight was 3.0kg and she now weighs 2.55kg. She is feeding hungrily.
On exam she looks malnourished, capillary refill time is 4 seconds, and heart rate is 180 bpm.
You fluid resuscitate her and admit her to the ward nil by mouth on IV fluids. Despite being nil by mouth, her diarrhoea continues. Stool culture and PCR panel is negative. Her blood gas is normal. Her faecal sodium is 110 mmol/L (n ~ 30) and
You calculate her faecal osmolar gap to be 45 (n 50 - 100).
What type of diarrhoea does she have?
Secretory diarrhoea
Osmotic diarrhoea
The most likely diagnosis is:
Coeliac disease
Fructose intolerance
Congenital chloride-losing diarrhoea
Congenital microvillus inclusion disease
A female neonate has oedema of the dorsum of her hands and feet and loose skin folds at the nape of her neck. Diagnosis?
Trisomy 21
Idiopathic congenital lymphoedema
Trisomy 13
Turner syndrome
What cardiac condition is most likely associated?
Bicuspid aortic valve
Supravalvular aortic stenosis
Pericarditis
Pulmonary stenosis
Which of the following is NOT a key feature of Primary Ciliary Dyskinesia?
Unexplained neonatal respiratory distress
Chronic daily cough < 6 months
Chronic daily nasal congestion < 6 months
Sensorineural hearing loss
A newborn baby has respiratory distress. The image below depicts a pathophysiological process that is most likely to occur in which of the following conditions?
Pulmonary hypoplasia
Respiratory Distress Syndrome
Meconium Aspiration Syndrome
Pneumothorax
A 2 day old neonate has an ionised calcium of 1.38 on a routine blood gas.
Which of the following is NOT a cause of hypercalcaemia in a neonate?
Subcutaneous fat necrosis
Therapeutic hypothermia
Excessive vitamin D intake
22q11.2 deletion syndrome
