---

1) A 2 year old girl is brought to the A&E Department by her mother who says ,she has diarrhoea. She describes the stool as looking like ‘peas and carrots’.

One answer only.

   A Metronidazole

   B Gluten free diet

   C No action

   D Soya milk

   E Lactose free milk

   F Pancreatic enzyme supplements

   G Vitamin D

   H High fibre diet

   I Breast milk allergy

   J Praziquantel

   K Niclosamide

   L Benzyl penicillin (IV)

   M Steroids (in moderation)

---

2) A 4 year old girl is brought to the A&E Department by her mother who has noticed that she dislikes bright lights.In addition , the child has a 6 hour history of diarrhoea and increasing drowsiness.

One answer only.

   A Metronidazole

   B Gluten free diet

   C No action

   D Soya milk

   E Lactose free milk

   F Pancreatic enzyme supplements

   G Vitamin D

   H High fibre diet

   I Breast milk allergy

   J Praziquantel

   K Niclosamide

   L Benzyl penicillin (IV)

   M Steroids (in moderation)

---

3) A 12 year girl whose height is on the 20 % Centile complains of diarrhoea, with stools that are difficult to flush away.She is found to have anti- endomysial antibodies.

One answer only.

   A Metronidazole

   B Gluten free diet

   C No action

   D Soya milk

   E Lactose free milk

   F Pancreatic enzyme supplements

   G Vitamin D

   H High fibre diet

   I Breast milk allergy

   J Praziquantel

   K Niclosamide

   L Benzyl penicillin (IV)

   M Steroids (in moderation)

---

4) A 7 month old baby boy has had 7 episodes of diarrhoea.The mother associates all the episodes with the introduction of cow’s milk since weaning. The mother is a known asthmatic.

One answer only.

   A Metronidazole

   B Gluten free diet

   C No action

   D Soya milk

   E Lactose free milk

   F Pancreatic enzyme supplements

   G Vitamin D

   H High fibre diet

   I Breast milk allergy

   J Praziquantel

   K Niclosamide

   L Benzyl penicillin (IV)

   M Steroids (in moderation)

---

5) A 13 year old girl from Northern Ireland complains of diarrhoea .She is found to iron deficiency anaemia and a high titre of anti-reticulin and anti-gliadin antibodies. She denies any history of gastrointestinal upsets after eating rice,soya or potatoes.

One answer only.

   A Metronidazole

   B Gluten free diet

   C No action

   D Soya milk

   E Lactose free milk

   F Pancreatic enzyme supplements

   G Vitamin D

   H High fibre diet

   I Breast milk allergy

   J Praziquantel

   K Niclosamide

   L Benzyl penicillin (IV)

   M Steroids (in moderation)