A 6 year old boy presents with an acute loss of ability to stand. This was preceded by a dramatic onset of headache. On examination he has short stature, microcephaly and bifid right thumb. He is alert and has a power of 2/5 on his right upper limb, 5/5 on the left upper limb, 3/5 on the right lower limb and 5/5 on his left lower limb.  What is the most likely cause of his limb weaknesses?

CHILD ABUSE: A mother brings her 18 month old son for vaccination. Her son is underdressed for the cold winter day. What will make you suspect child abuse in the form of neglect for this child?

A 5 year old boy presents with crusted pustular lesions shown in the picture below. What is the most appropriate topical treatment for this patient? Impetigo.jpg  

If the soup is allowed to boil, if it is not properly skimmed during preparation, or it it is cooled and /or stored improperly. A broth may develop a ___________.

__________ is a secondary sauce made with brown sauce and brown stock , reduce by half.

The chef making the soup should _________ the soup frequently as it cooks to see if any other seasoning is require.

A raft is part of the production of which of the following soup?

For a soup that has become too thin, a small amount of __________ may be added.

A 9 year old boy presents with a unilateral headache which occurs twice a week for the past 6 months. It is not associated with visual or auditory symptoms. The headache lasts about 2 hours and sometimes it is associated with nausea and vomiting. It is relieved by sleep or by painkillers. His systemic examination is normal. What is the most likely diagnosis?

Dessert sauces are some time served with meats such as __________.