MNJ26-001
A 20-day-old male child came to you, mother complaints of about his legs:

• Identify this problem.
• . What is CAVE?
• What are common risk factors?
• What you will look in spinal examination of this child?
• When you will start intervention and what 1s treatment of choice according to age? Ul ee Oo ha Re
• Th What 1s Ponseti method of treatment?

Answer

MNJ26-002
Mother of a 6-day-old child came to you about to discuss the abnormal looking leg of the baby (image shown):

OQ. 3.** Mother of 3-year-old child came to your clinic with complaints of large gap between knee joint when child stand, X-ray given below:

1. Identify this foot problem.
2. What are common etiologies (at least four)?
3. What are associate problems with this?
4. What is treatment and when should be start?
5. What 1s this problem?
6. What 1s important differential diagnosis of this?
7. What 1s tibia vara?
8. How will you differentiate tbia vara from physiological bowing?

Answer

MNJ26-003
**

1. Identify this mage
2. Whats definition?
3. What are common causes?
4. What 1s indication for surgical correction?

Answer

MNJ26-004
** A 14-year-old male child presents with complaints of pain in knee joint and swelling. It increase with when he play but persist on rest also. X-ray knee joint was done:

1. Whats diagnosis of this X-ray and clinical condition?
2. What 1s prognosis?
3. What you will advice to this boy?

Answer

MNJ26-005
**

QO. 7.** A7-year-old male child came to your hospital in limping gait with complaints of pain at groin and referred to thigh. On examination, internal rotation and abduction are restricted at hip joint. You ordered a X-ray hip that shown below: (Exam 2013)

OQ. 8.** A 14-year-old boy came in emergency with complaints of limping with pain at thigh and knee joint, child weight is 70 kg and on examination restriction of internal rotation and abduction present. X-ray hip was done that shown:

QO. 9. A 6-year-old female child came to hospital with pain at neck region. Doctor advice X-ray neck with flexion and extension condition, shown below. On examination, short neck was present:

QO. 10. Rajni 11 years old girl referred to your clinic with complaints of intermittent pain in left hip thatis associated with limping. She stopped participating in the school sport activity since 1 month and prefers to stay on bed. Her mother having hypothyroidism. On examination she is afebrile and her left limb is in flex position. She has restricted internal rotation, flexion and abduction. Her weight is between 92—98th percentile and her height is below 3rd percentile.

CBC, CRP, ESR reports are normal but her thyroid function test showed TSH 64 mu/l and TPO antibodies are positive. X-ray of child given below

• 4, What 1s cause of her short stature and how will you treat that?

1. What are these two tests name A, B? For what they use?
2. Whats incidence of this problem and which sex 1s more affected?
3. What 1s investigation of choice?
4. What 1s treatment of choice in newborn and 1n a 1-year-old baby?
5. Whats this treatment name that shown in picture?
6. Whats clinical and radiological diagnosis?
7. What 1s path physiology behind this?
8. What treatment you give to this boy?
9. Whats diagnosis of this condition?
10. What 1s pathology being this?
11. What is treatment?
12. Whats this diagnosis of condition?
13. What are characteristic features?
14. What are other syndromes of similar deformity?
15. Whats possible cause of this limping?
16. What are finding in this X-ray and which view is best to diagnose this disease?
17. What endocrinopathy or metabolic abnormalities associated with this problem?

Answer

MNJ26-006
A 11 years old gild rani present to your OPD with complaints of persistent cough for last 4 month. She had non-productive cough but no shortness of breath is present. Her past medical history is not significant. Her height and weight are in normal limit. On examination all systemic examination is normal except you noticed the abnormal lateral curvature of her spine. There is no neurocutaneous marker.

• 4, What are treatment option available and write 2 condition in which you will start treatment early

1. Whats this deformity called
2. What important anthropometrical parameter you should note in this child.
3. What are types of this deformity and which one is common

Answer

MNJ26-007
A 6 years old boy presented with complainants of multiple swelling over back, arm and leg since 6 month. Swellings are non-tender but hard in consistency. He has problem of discomfort during sleep otherwise he is active and playful. Evaluate the images below and answer the following questions:

1. What 1s possible diagnosis?
2. What are the symptoms?
3. What is possible treatment ophon?

Answer