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NATIONAL UNIVERSITY OF IRELAND, GALWAY
Ollscoil na hÉireann, Gaillimh
5MB SUMMER EXAMINATIONS 2008
P A E D I A T R I C S
Prof. B.G. Loftus Prof. R. Smyth Dr. E. Moylett Dr. R. Geoghegan
PART 1
TIME ALLOWED: 1 Hour
3-HOUR PAPER IN TOTAL [PART 1 + PART 2].
N.B. PLEASE ANSWER SECTION A & SECTION B ON SEPARATE ANSWER BOOKS
SECTION A
You are a general practitioner and a mother brings her 10 year old daughter to see you. The child has been complaining of headaches for the last two months. Describe how you would elicit a history and clinical examination, explaining what features would prompt you to consider further investigations and what those investigations might be.
SECTION B
A 2 year old boy has had numerous “chest infections”. His parents are concerned that his immune system is impaired. Outline your approach to history, examination, and investigation.
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NATIONAL UNIVERSITY OF IRELAND, GALWAY
Ollscoil na hÉireann, Gaillimh
5MB SUMMER EXAMINATIONS 2008
P A E D I A T R I C S
Prof. B.G. Loftus Prof. R. Smyth Dr. E. Moylett Dr. R. Geoghegan
PART II
TIME ALLOWED: 2 HOURS:
N.B. ANSWER SECTION A & SECTION B ON SEPARATE ANSWER BOOKS.
ANSWERALL 4 QUESTONS
SECTION A
Q1. List the principal diagnosis and, where appropriate, two differential diagnoses for the following: (a) A 2-year old with acute onset stridor and respiratory distress (b) A 3-year old with fever, lethargy and petechial rash (c) A 10-year old admitted with a 4 week history of polyuria, polydypsia and weight loss (d) A 4-year old with fever of 39^0 C and a generalised tonic-clonic seizure
Q2. Write short notes on: (a) The 6 week check-up (b) The proposed changes by the National Immunisation Advisory Committee to the Irish immunisation schedule (c) Your evaluation of a 3-year old child with obvious speech delay (d) Physical signs suggesting non-accidental injury
SECTION B
Q1. Outline the key aspects of history and examination for the following: (a) Fever in a two week old infant (b) Jaundice in the 2nd^ week of life (c) Bronchiolitis in a 4 week old infant (d) Failure to thrive in a 6 week old infant
Q2. Write short notes on: (a) Eczema. (b) Innocent murmurs (c) Impetigo (d) Your evaluation of a first urinary tract infection in a 6 year old boy
