ChoiceHub
Sign in
You are the intern on the postnatal ward. The newborn screening laboratory telephones about a 5-day-old girl: the immunoreactive trypsinogen was raised on the bloodspot taken at 50 hours of age, and two cystic fibrosis-causing variants were found on the mutation panel. She is breastfeeding well, has regained her birth weight, and passed meconium on day one. Her parents have been told only that something came back on the heel prick and are waiting to speak with you. Which one of the following should be arranged first?
Shared by Morniencommon

Keep going — a set of ten like this one, one at a time.

Practise more

More from Paediatrics

See all

A 5-month-old girl is brought to the emergency department because her left thigh is swollen and she cries when it is moved. Her father says she rolled off a cou…

Pre-internship · common

You are the intern attached to a regional public health unit. Its annual child health profile for a town of 4,000 people reports: two-dose measles-mumps-rubella…

Pre-internship · niche

You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…

Pre-internship · middle twist

A coastal local government area has recorded four drownings of children under five years of age in five years, every one of them in a backyard swimming pool at…

Pre-internship · middle twist

You are a general practice registrar in a regional town of 6,000 people. Over six weeks the public health unit has confirmed seven cases of measles, four of the…

Clinical rotations · common