AKT-0528
Who is recommended to receive the Human Papillomavirus (HPV) immunisation according to the January 2020 UK immunisation update?
MRCGP AKT Category: Children And Young People
AKT-0529
Jane, age 14, comes to morning surgery requesting the contraceptive pill. She looks a lot older than her age. You have to decide whether to prescribe or not.
The Sexual Offences Act 2003 considers children under what age as too young to give consent to sexual activity?
AKT-0530
What is the definition of a Child Protection Plan?
AKT-0531
In a typical UK pediatric population, which childhood cancer type is most frequently observed?
AKT-0532
A 30-year-old mother of three sons brings her 18-month-old youngest son to the clinic concerned about his development.
Which of the following should he be able to perform by this age?
AKT-0533
What childhood condition can be a result of adenovirus infection?
AKT-0534
A 4-year-old girl presents with failure to thrive.
Previously, her parents had no concerns about her health. However, over the past few months, she has become increasingly fussy and her bowel movements have changed, with her now having up to three strong-smelling stools per day.
During the examination, her abdomen is soft but slightly distended, and there is noticeable wasting of the thigh muscles. When plotted on a growth chart, her weight was following the 50th percentile until around 2 years of age but has now dropped below the 5th percentile.
What is the underlying diagnosis?
AKT-0519
A 3-year-old child is brought to see you by their parents. They report that for the last couple of days the child has been unwell with a runny nose and ‘wheezy cough’. There is no history of apnoea.
The child was born at 37 weeks via a normal vaginal delivery. There is no significant antenatal or postnatal history. The parents tell you that this is the first time the child has been significantly unwell.
The child usually eats well but over the last two days has been eating less and becoming breathless during meals. Despite the reduced amounts taken per meal, the child is maintaining their eating frequency.
On examination, the child looks comfortable at rest. Temperature is recorded as 37.9°C. There is no respiratory distress and no nasal flaring or grunting. Respiratory rate is 38/minute. Auscultation of the chest reveals fine inspiratory crackles and a slight high pitched wheeze heard throughout both lung fields. Oxygen saturations are 96% in room air.
Which of the following factors in this case should prompt acute hospital admission for paediatric assessment?
AKT-0520
You are seeing a 6-year-old male with no significant medical history who has presented with lower abdominal pain and urinary frequency.
Urine dipstick testing is positive for nitrites and shows 2+ leucocytes. He has a low grade fever but doesn’t require hospital admission. You decide to treat him with a course of trimethoprim for a urinary tract infection.
He weighs 22 kilograms and trimethoprim should be prescribed at a dose of 4 mg/kg (maximum 200 mg) twice daily. Trimethoprim suspension is dispensed at a concentration of 50 mg/5 ml.
What is the correct dosage in millilitres to be prescribed?
AKT-0505
A 6-year-old girl has been suffering from constipation and soiling for many months and her mother feels that something needs to be done now that she is starting school. She was born after a normal delivery and had no problems until the age of three. On physical examination, the only obvious abnormality is a loaded colon.
What is the most appropriate next step?