Council on Medical Student Education in Pediatrics

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COMSEP Clinical Cases

BEHAVIOR

  1. The parents of a three-year-old boy are concerned that he is not yet toilet trained. How would you counsel them? What are the signs that indicate that a child may be ready for toilet training?
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  2. A sixteen-month-old boy has had several episodes of breath holding leading to cyanosis and becoming limp for a few seconds. They occur when he is angry or upset. What is the most likely diagnosis? How would you counsel the parents? What work-up may be warranted?
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  3. The parents of a three-month-old girl are surprised that she is not yet sleeping through the night. What would you tell them?
  4. The parents of a 5-year-old boy are concerned about their child because he frequently awakes screaming, appears frightened, is difficult to console, and does not appear to be aware of his surroundings. How would you counsel the parents?
  5. A seven-year-old boy is still wetting the bed at night. How would you evaluate the patient and counsel him and his family? What treatment modalities are available for enuresis and when should they be implemented?
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  6. The parents of a two-year-old are concerned because he 'refuses to eat'. What additional information do you need? How would you evaluate him and counsel his family?
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  7. A fifteen-year-old-boy had been an honor student and is now failing most of his classes. He seems withdrawn from his parents and friends. He quit the soccer team after a fight with his coach. Describe your approach to the evaluation of this adolescent. What confidentiality issues does this pose and what are the "rules" regarding them?
  8. The parents of a seven-year-old boy receive a call from the child's teacher because he is having difficulty following directions and behaving in class. She feels he has a short attention span and is very distractible. How should you proceed? What are possible etiologies of why a child is demonstrating these behaviors?
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  9. A seven-year-old girl complains of a periumbilical abdominal pain several times a week, often keeping her home from school. It is not associated with vomiting, diarrhea, or fever. She is growing and developing normally and her physical examination is normal. How would you further evaluate this child?
  10. The parents of a two-year-old ask how to control their son's temper tantrums. Describe how you would address this situation and what advice you would give.
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  11. The parents of a 4 year-old are concerned that their son still sucks his thumb. How would you advise them?
  12. The parents of a 3 year-old are concerned that their daughter still uses a pacifier. What advice would you give them?

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