A woman aged 52 brings her five-year-old foster child for a medical examination, six months after the last one. She informs the doctor that she intends to foster another child, as she lives with her husband and three foster children. However, she has a well-controlled diagnosis of epilepsy and her husband is a smoker. What is the reason for her inability to proceed with her plans?
A 9-year-old child is waiting in the GP’s office when he suddenly experiences facial swelling and difficulty breathing. An elderly patient is snacking on a bag of cashew nuts in the waiting room. The patient is in good health and had come with his mother for her appointment. As the attending GP, you diagnose the child with anaphylaxis. What would be the appropriate dosage of adrenaline to administer?
How many doses of tetanus vaccine should a teenager receive as part of the routine UK immunisation schedule?
A 5-year-old girl who is in good health is placed in foster care. There is no known medical history of any significant illnesses in her biological family.
What can be said about her situation?
Sophie attends a routine check-up with her 12-year-old daughter Lily, who has a history of well-controlled allergies but is otherwise healthy. Lily has received all her routine childhood vaccinations. She has recently received a reminder to have her flu vaccine.
What other vaccination should Lily receive at her age?
A two-year-old girl is presented to the clinic by her mother due to complaints of abdominal pain for the past two weeks. She has also been experiencing a decreased appetite and difficulty with bowel movements. During the physical examination, a lump is palpable on the right side of her abdomen, although her abdomen is soft and non-tender.
What would be the most suitable course of action for managing this patient?
You are evaluating a 5-year-old girl with constipation during a routine check-up. During the abdominal examination, you observe a small lump in her right lower abdomen. The child doesn’t seem to be in any discomfort when you touch it.
The mother informs you that a previous doctor had also noticed this lump but had assured her that it was probably due to constipation and nothing to worry about.
The child is healthy otherwise, and the mother has no specific concerns.
What is the most suitable next step in managing this situation?
A 35-year-old woman comes to your clinic with her 10-year-old daughter. She discloses that she has familial hypercholesterolaemia (FH), with her most recent LDL cholesterol reading at 15. She is worried about the impact of this on her daughter and wants to know if there is a way to test her for the condition. The child’s father doesn’t have the illness.
What is the best course of action?
A 28-year-old woman brings in her 4-year-old son. She explains that she and her husband have a history of familial hypercholesterolaemia and are worried about their son’s health. She asks if he can be screened for the condition.
What would be the best course of action in this situation?
Samantha is a 10-year-old girl who is scheduled to receive the HPV vaccine at her doctor’s office. She is very anxious about getting shots and asks the nurse how many injections she will have to get.
What is the correct response to Samantha’s question?