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8240 Pediatrics

A mother calls you on the telephone and says that her 4-year-old son bit the hand of her 2-year-old son 2 days ago. The area around the injury has become red, indurated, and tender, and he has a temperature of 39.4degC (103degF). Which of the following is the most appropriate response?

AArrange for a plastic surgery consultation at the next available appointment.
BAdmit the child to the hospital immediately for surgical debridement and antibiotic treatment.
CPrescribe penicillin over the telephone and have the mother apply warm soaks for 15 minutes four times a day.
DSuggest purchase of bacitracin ointment to apply to the lesion three times a day.
Pediatrics
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8242 Pediatrics

A 1.5 year old female is brought to the clinic with complaints of excessive enlargement of head, intolerance to feeds and severe malnourishment. MRI imaging was suggestive of a medulloblastoma causing obstructive hydrocephalus. Which of the following is an example of irrational manattem,-the patient?

ACraniotomy and sub-total excision of the tumour. Surgeon leaves the layer of the tumour adherent with colliculus
BFirst ventirculoperitoneal shunt was done
CCCNU and vincristine were given as chemotherapy
DRadiotherapy 35-40 Gy was given to the whole craniospinal axis
Pediatrics
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