wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Registrar teaching

Total questions: 13

Worksheet time: 9mins

Name
Class
Date
1.

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:

a)

She has pollen-food allergy syndrome

b)

She has IgE mediated food allergy to tomato

c)

The reactions are due to chemical irritation

d)

She should have a supervised food challenge

2.

Typical symptoms of food pollen allergy syndrome include?

a)

Red, swollen, itchy lips

b)

Itchy nose + ears

c)

Angioedema

d)

Oral red patches and blisters

3.

Your patient with birch pollen allergy develops an itchy mouth when she eats apple.

Is she at risk of anaphylaxis?

a)

Yes

b)

No

4.

Her mother asks if she can eat cooked apple?

a)

Yes

b)

No

5.

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?

a)

Ataxia-telangiectasia

b)

 Friedreich's ataxia

c)

Spinocerebellar atrophy

d)

Metachromatic leukodystrophy

6.

Genetic testing is most likely to reveal:

a)

WASP gene mutation

b)

JAK3 mutation


c)

22q11.2 deletion

d)

ATM gene mutation

7.

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?


a)

Secretory diarrhoea

b)

Osmotic diarrhoea

8.

The most likely diagnosis is:

a)

Coeliac disease

b)

Fructose intolerance

c)

Congenital chloride-losing diarrhoea 

d)

Congenital microvillus inclusion disease

9.

A female neonate has oedema of the dorsum of her hands and feet and loose skin folds at the nape of her neck. Diagnosis?

a)

Trisomy 21

b)

Idiopathic congenital lymphoedema

c)

Trisomy 13

d)

Turner syndrome

10.

What cardiac condition is most likely associated?

a)

Bicuspid aortic valve

b)

Supravalvular aortic stenosis

c)

Pericarditis

d)

Pulmonary stenosis

11.

Which of the following is NOT a key feature of Primary Ciliary Dyskinesia?

a)

Unexplained neonatal respiratory distress

b)

Chronic daily cough < 6 months

c)

Chronic daily nasal congestion < 6 months

d)

Sensorineural hearing loss

12.

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?

a)

Pulmonary hypoplasia

b)

Respiratory Distress Syndrome

c)

Meconium Aspiration Syndrome

d)

Pneumothorax

13.

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?

a)

Subcutaneous fat necrosis

b)

Therapeutic hypothermia

c)

Excessive vitamin D intake

d)

22q11.2 deletion syndrome