Every question
The whole community bank, newest first. 1,344 questions.
A 4-day-old term boy, discharged home yesterday and feeding well until this morning, has vomited four times in six hours. The vomit is dark green. He passed mec…
Paediatrics · Clinical rotations · middle twist
You are drawing a three-generation pedigree for a 7-year-old girl referred with recurrent headaches. Her mother mentions that the child's father, from whom she…
Paediatrics · Pre-internship · middle twist
A 9-year-old boy has two years of worsening exercise intolerance, drooping eyelids and newly fitted hearing aids. You take a family history to draw a pedigree.…
Paediatrics · Clinical rotations · middle twist
A 7-year-old boy is brought in by his mother, who has biopsy-proven coeliac disease, as does his older sister. He is well, on the 50th centile for height and we…
Paediatrics · Pre-internship · niche
A 3-week-old boy has just had a pyloromyotomy for infantile hypertrophic pyloric stenosis. He is his parents' first child and neither parent nor any grandparent…
Paediatrics · Clinical rotations · middle twist
A woman has an amniocentesis at 17 weeks after a cell-free DNA test reported a high chance of trisomy 21. She is booked to fly interstate in three days for a fa…
Paediatrics · Pre-internship · middle twist
A couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…
Paediatrics · Clinical rotations · middle twist
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
A 28-year-old woman who has had type 1 diabetes since she was twelve asks how to prepare for a pregnancy she hopes to start in about six months. Her most recent…
Paediatrics · Pre-internship · middle twist
A boy is born at 39 weeks weighing 2.5 kg to a woman with epilepsy who took a single antiepileptic drug throughout the pregnancy. He has a broad flat nasal brid…
Paediatrics · Clinical rotations · niche
You are the intern in a newborn follow-up clinic. A 9-day-old boy has been recalled because his newborn bloodspot screening result shows a markedly raised thyro…
Paediatrics · Pre-internship · middle twist
A 7-day-old breastfed girl is admitted with a two-day history of poor feeding and vomiting. She is deeply jaundiced, lethargic and hypothermic, with a liver edg…
Paediatrics · Clinical rotations · niche
A boy born at 38 weeks is hypotonic and feeds slowly. Rapid chromosome testing has confirmed trisomy 21. He is pink in air with a normal respiratory rate, the p…
Paediatrics · Pre-internship · middle twist
A term girl weighing 2.6 kg is examined before discharge. The backs of both hands and both feet are puffy and doughy, and there is loose redundant skin over the…
Paediatrics · Clinical rotations · middle twist
The parents of a healthy 3-day-old boy ask you to arrange his circumcision before they go home. They give family and cultural reasons. His foreskin is normal fo…
Paediatrics · Pre-internship · middle twist
A boy was born at term to a woman with chronic hepatitis B infection. He was given hepatitis B immunoglobulin and monovalent hepatitis B vaccine within twelve h…
Paediatrics · Pre-internship · middle twist
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
A healthy boy is born at term after an uncomplicated pregnancy. His mother takes no regular medicines. She tells the midwife she does not want him to have any i…
Paediatrics · Pre-internship · middle twist
A 4-week-old exclusively breastfed boy is brought to the emergency department because he is still yellow. He feeds hungrily and has gained 900 g since birth. Hi…
Paediatrics · Pre-internship · middle twist