Childhood infections SBA set 230

5 year old boy refused to walk due to pain and carried by mother to the clinic. He is complaining of abdominal pain for last 6 hours duration. On examination red spots on buttocks & legs and bilateral ankle joint swelling. No splenomegaly , hepatomegaly, lymphadenopathy or pallor. Most likely diagnosis is, [Common mcqs]

A 12 year old child presents with history of fever and headache for 7 days, and altered bowel habits for 3 days. Which of the following clinical sign best suggests the diagnosis of typhoid fever?

A 10 year old presented with a 1 week history of cough and fever. Examination was not significant. L 88%, N 10%, Hb 9.2g/dl. Most likely diagnosis?

A 2 month old baby presented with generalized itching and wide spread papules. Mother also had similar lesions in palms. Most suitable treatment for the conditions is,

A 12 year old boy was brought from an estate sector hospital. He had a cough for 2 weeks
despite of 1 week antibiotic treatment. On examination he had a moderate pleural
effusion. Pleural aspiration was done. Protein 60 (20 – 40)Glucose 10 (30 – 50)
Neutrophils 10%
Lymphocytes 88%
Which investigation is needed to confirm the diagnosis? [2015 MARCH]

A 10 year old boy presented with cough, high fever for 10 days with recent onset
retrosternal chest pain. He is ill and has increased work of breathing. He has an inspiratory
stridor. Chest x ray is unremarkable. Most likely diagnosis? [2015 MARCH]

6 year old boy admitted with low grade fever and cough for 2 days duration. Cough was dry and paroxysmal and associated with wheezing. Also complained of headache and body aches. CXR – B/L Hilar shadows, WBC – 7600, N% – 54, ESR – 30, CRP – 12. What is the most likely aetiological factor? [2016 November]

2-year-old baby, with 4 days history of fever, coryzal synt & convulsions. Treated as for bacterial meningitis. After 72 hours developed increased fever spikes and drowsiness. What is the likely cause? [2016 November]

A 20-month-old boy presented with fever and irritability for 3 days duration. He is unable to move his right leg. On examination there is right knee joint swelling and tenderness. What is the most appropriate investigation before management? [2016 November]

A 3-year-old child previously treated for right lower lobe pneumonia 3 months back. X-ray not resolved. Now complaints of persistent cough. What is the best investigation for the diagnosis? [2016 November]