,Q1- Pediatric patient came for dtap vaccination, his mom reports
that his last vaccination he developed severe leg edema and rash
and shortness of breathe they had to take him to ER. What is your
next step?
A.Give vaccine
B.Wait for 4 week
C.Check his vaccine history
D.Don’t give vaccine
Correct answer is:D.Don’t give vaccine
If a pediatric patient comes in for a DTaP vaccination and the mother
reports that the child had a severe reaction to the last vaccination
including leg edema, rash, and shortness of breath that required a trip to
the emergency room, the next step would be to not give the vaccine (D).
Vaccination should not be given to patients who have had a severe
reaction to a previous dose of the same vaccine or to any of the vaccine
components.
In this case, the patient’s previous reaction to the DTaP vaccine suggests
that the child may have an allergy or hypersensitivity to one or more of
the components of the vaccine, and it would not be safe to administer it
again.
The patient’s vaccine history (C) should be reviewed to ensure that there
are no other contraindications to vaccination, and the patient should be
counseled about the importance of monitoring for signs of
anaphylaxis or other adverse reactions to vaccines in the future.
Waiting for a certain period of time (B) before giving the vaccine is not
appropriate in this case, as the previous reaction suggests
a contraindication to vaccination with this particular vaccine.
Giving the vaccine (A) would be contraindicated and could potentially
result in a severe reaction or anaphylaxis.
Dr.Ali Balharith MD, MACP, FRCPC 1
,Q2- 5 child 4 month burn in gentali 1% third degree?
A. Refer to burn unit
B. Abx ointment
C. Dressing outpation
D. Cream not sure
Correct answer is: A. Refer to burn unit.
- In the given scenario, the child has suffered a third-degree burn to the
genital area, which is a serious injury that requires prompt and
appropriate medical attention.
Therefore, the best course of action would be to refer the child to
a specialized burn unit for further evaluation and treatment.
- Burn units are specialized medical facilities that are staffed by
healthcare professionals with expertise in the management of burn
injuries.
They are equipped with the necessary resources and equipment to
manage burns of all types and severity levels, including third-degree
burns.
- In the burn unit, the child will undergo a thorough evaluation to assess
the extent of the burn and determine the most appropriate treatment
plan.
This may include wound care, pain management, and antibiotics to
prevent infection.
The goal of treatment is to promote healing, prevent complications, and
minimize scarring.
Dr.Ali Balharith MD, MACP, FRCPC 2
, Q3- case of child he had mumps do written what is the most
affected part ?
A. Lung
B. Testis
C. Parotid
Correct answer is: C- Parotid.
- In the case of a child with mumps, the most affected part is the
parotid gland. Mumps is a viral infection that primarily affects the
salivary glands, especially the parotid gland, which is the largest of the
salivary glands. The virus causes inflammation and swelling of the
parotid gland, leading to pain and tenderness in the affected area.
- While mumps can also cause inflammation of other organs, such as
the testes (orchitis) or the brain (meningitis), the primary and most
common symptom is swelling and inflammation of the parotid gland.
Q4- Mother brought her 9 months old infant and they’re
investigating iron deficiency anemia. What is suspected to be
increased?
A. Hemoglobin
B. MCV
C. Total iron binding capacity
Correct answer is: C. Total iron binding capacity (TIBC).
- In an infant with suspected iron-deficiency anemia, the Total Iron
Binding Capacity (TIBC) is expected to increase. TIBC is a laboratory test
that measures the blood’s capacity to bind to iron with a carrier protein
called transferrin.
- In iron-deficiency anemia, the body lacks sufficient iron to produce
hemoglobin, leading to a decrease in hemoglobin levels.
- As a compensatory mechanism, the TIBC increases as the body tries to
increase its ability to bind and transport more iron to the bone marrow
Dr.Ali Balharith MD, MACP, FRCPC 3
that his last vaccination he developed severe leg edema and rash
and shortness of breathe they had to take him to ER. What is your
next step?
A.Give vaccine
B.Wait for 4 week
C.Check his vaccine history
D.Don’t give vaccine
Correct answer is:D.Don’t give vaccine
If a pediatric patient comes in for a DTaP vaccination and the mother
reports that the child had a severe reaction to the last vaccination
including leg edema, rash, and shortness of breath that required a trip to
the emergency room, the next step would be to not give the vaccine (D).
Vaccination should not be given to patients who have had a severe
reaction to a previous dose of the same vaccine or to any of the vaccine
components.
In this case, the patient’s previous reaction to the DTaP vaccine suggests
that the child may have an allergy or hypersensitivity to one or more of
the components of the vaccine, and it would not be safe to administer it
again.
The patient’s vaccine history (C) should be reviewed to ensure that there
are no other contraindications to vaccination, and the patient should be
counseled about the importance of monitoring for signs of
anaphylaxis or other adverse reactions to vaccines in the future.
Waiting for a certain period of time (B) before giving the vaccine is not
appropriate in this case, as the previous reaction suggests
a contraindication to vaccination with this particular vaccine.
Giving the vaccine (A) would be contraindicated and could potentially
result in a severe reaction or anaphylaxis.
Dr.Ali Balharith MD, MACP, FRCPC 1
,Q2- 5 child 4 month burn in gentali 1% third degree?
A. Refer to burn unit
B. Abx ointment
C. Dressing outpation
D. Cream not sure
Correct answer is: A. Refer to burn unit.
- In the given scenario, the child has suffered a third-degree burn to the
genital area, which is a serious injury that requires prompt and
appropriate medical attention.
Therefore, the best course of action would be to refer the child to
a specialized burn unit for further evaluation and treatment.
- Burn units are specialized medical facilities that are staffed by
healthcare professionals with expertise in the management of burn
injuries.
They are equipped with the necessary resources and equipment to
manage burns of all types and severity levels, including third-degree
burns.
- In the burn unit, the child will undergo a thorough evaluation to assess
the extent of the burn and determine the most appropriate treatment
plan.
This may include wound care, pain management, and antibiotics to
prevent infection.
The goal of treatment is to promote healing, prevent complications, and
minimize scarring.
Dr.Ali Balharith MD, MACP, FRCPC 2
, Q3- case of child he had mumps do written what is the most
affected part ?
A. Lung
B. Testis
C. Parotid
Correct answer is: C- Parotid.
- In the case of a child with mumps, the most affected part is the
parotid gland. Mumps is a viral infection that primarily affects the
salivary glands, especially the parotid gland, which is the largest of the
salivary glands. The virus causes inflammation and swelling of the
parotid gland, leading to pain and tenderness in the affected area.
- While mumps can also cause inflammation of other organs, such as
the testes (orchitis) or the brain (meningitis), the primary and most
common symptom is swelling and inflammation of the parotid gland.
Q4- Mother brought her 9 months old infant and they’re
investigating iron deficiency anemia. What is suspected to be
increased?
A. Hemoglobin
B. MCV
C. Total iron binding capacity
Correct answer is: C. Total iron binding capacity (TIBC).
- In an infant with suspected iron-deficiency anemia, the Total Iron
Binding Capacity (TIBC) is expected to increase. TIBC is a laboratory test
that measures the blood’s capacity to bind to iron with a carrier protein
called transferrin.
- In iron-deficiency anemia, the body lacks sufficient iron to produce
hemoglobin, leading to a decrease in hemoglobin levels.
- As a compensatory mechanism, the TIBC increases as the body tries to
increase its ability to bind and transport more iron to the bone marrow
Dr.Ali Balharith MD, MACP, FRCPC 3
