AKT-0616
What is the appropriate course of action for managing a newborn boy with an undescended left testicle and nappy rash?
MRCGP AKT Category: Children And Young People
AKT-0632
A 8-month-old girl presents to her General Practitioner with her mother with a runny nose, mild fever and a barking cough. Symptoms have been present for 24 hours. An inspiratory stridor can be heard when the child is crying, but not when she is calm. On examination, there is mild intercostal recession, but air entry is normal.
Which of the following is the most appropriate management?
AKT-0617
A 12-year-old girl presents with symptoms that meet the criteria for a diagnosis of mild attention-deficit hyperactivity disorder (ADHD). You are considering referring the child to the Child and Adolescent Mental Health Services (CAMHS). Her father would like information about managing this condition.
What is the most suitable advice to provide regarding the management of ADHD?
AKT-0633
A 7-month-old infant comes in with a one day history of fever (39°C), and a generalised rash, which started on the legs and is now present on limbs and trunk virtually equally. The rash is purplish, non-palpable, and non-blanching. What is the most probable diagnosis?
AKT-0618
A 9-month-old baby is brought to the emergency department by her parents. They report that she has been experiencing a runny nose and cough for the past few days and has been more irritable than usual. The baby was born at full term and has no significant medical history.
According to the parents, the baby has been refusing to eat but is managing to drink with encouragement. Upon examination, the baby’s temperature is 37.7°C, and there are no signs of chest wall recession, nasal flaring, or grunting. The respiratory rate is 48/minute, and auscultation of the chest reveals fine inspiratory crackles and a slight high-pitched wheeze heard throughout both lung fields. Oxygen saturations are 97% in room air.
What is the most appropriate course of action for management?
AKT-0634
An 8-year-old boy comes to the clinic complaining of joint pain, fever, and feeling tired. He was seen in the clinic two weeks ago for a sore throat. During the examination, he has a sinus tachycardia, a pink rash in the form of rings on his trunk, and a systolic murmur.
What is the best diagnosis and treatment plan?
AKT-0603
You are called to give evidence in court in a case of suspected child abuse. The child in question is a 6-year-old boy., who you saw six months ago with burns on his arms. You are asked to give evidence related to the burns.
Which one of the following statements is correct?
AKT-0604
You see a mother with her 3-month-old daughter. She is concerned as she had her weighed and found she had lost 5% of her body weight. She is exclusively breastfeeding. She reports that the health visitor reviewed her breastfeeding and was happy with the technique. She is passing urine and opening her bowels normally. There were no issues during the pregnancy and was delivered at term via vaginal delivery. She was born on the 50th centile. Examination was unremarkable.
What would be the next most appropriate step in her management?
AKT-0605
You see a 6-month-old baby girl who has been crying and pulling her legs up as if she is in pain. She has had some loose stools and has vomited twice today.
Her mother says that the last stool looked rather red as if there was blood in it. She looks pale and distressed.
What is the likely diagnosis?
AKT-0606
A child is born at term after an uneventful pregnancy and full antenatal care. The delivery is normal and the child was discharged after 48 hours. At five days old the child is jaundiced. There are no other worrying features.
According to the National Institute for Health and Care Excellence, what is the most appropriate first-line investigation?