Common
The decision you make weekly on the ward. 494 questions.
A 4-year-old girl weighing 20 kg has acute otitis media and is lethargic and pale, so antibiotics are indicated. You have decided on amoxicillin 15 mg/kg, to a…
Paediatrics · Clinical rotations · common
A 12-year-old boy weighing 42 kg has multiple crusted impetigo lesions on both legs and needs oral antibiotic therapy. The recommended regimen is flucloxacillin…
Paediatrics · Clinical rotations · common
You are the evening intern on a paediatric ward. The consultant asks you to chart an oral medicine you have not prescribed before for a 3-year-old girl weighing…
Paediatrics · Clinical rotations · common
A 3-year-old inpatient was given 15 mg of oral morphine instead of the prescribed 1.5 mg one hour ago, because a decimal point on the drug chart was misread. He…
Paediatrics · Pre-internship · common
A 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His temperature is 38.9 degrees Celsius. Both tympanic…
Paediatrics · Clinical rotations · common
A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…
Paediatrics · Clinical rotations · common
A 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…
Paediatrics · Pre-internship · common
A 15-year-old boy with Crohn disease attends a routine clinic review with his mother. He has lost 4 kg in three months and has missed a third of school days thi…
Paediatrics · Pre-internship · common
The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…
Paediatrics · Pre-internship · common
A 6-year-old boy with cystic fibrosis is admitted for his third pulmonary exacerbation this year. His mother tells the team she resigned from her job to manage…
Paediatrics · Pre-internship · common
A 4-year-old girl has had bruises on her shins and trunk for three weeks. Her mother says she has become pale, tires on the walk to kindergarten and asks to be…
Paediatrics · Clinical rotations · common
A 13-year-old boy is brought to a general practice with three weeks of aching in his left knee and a limp his football coach has noticed. He weighs 82 kg. There…
Paediatrics · Clinical rotations · common
A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normall…
Paediatrics · Clinical rotations · common
An 18-month-old girl is brought to the emergency department with two days of fever and irritability. She sits quietly on her mother's knee watching you, and sta…
Paediatrics · Clinical rotations · common
A 3-year-old girl has had fever and cough for two days. She is alert, sitting up and drinking, and her mother has a car and lives ten minutes from the hospital.…
Paediatrics · Clinical rotations · common
A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…
Paediatrics · Clinical rotations · common
A 3-year-old girl is brought in after her mother felt a lump in her tummy while bathing her. She is thriving, plays normally, and has had no fever, weight loss…
Paediatrics · Clinical rotations · common
A 39-year-old woman at 12 weeks of her fourth pregnancy is told that her cell-free DNA screening test reports a high chance of trisomy 21. Her nuchal translucen…
Paediatrics · Pre-internship · common
A couple attend at nine weeks of a planned pregnancy. Their first child has cystic fibrosis, and both parents are known carriers of the same CFTR variant. They…
Paediatrics · Clinical rotations · common
At the six-week check, the mother of a healthy breastfed girl says she is so tired that for the second half of most nights she brings the baby into her own bed.…
Paediatrics · Clinical rotations · common