AKT-0976
A 5-year-old girl has a history of constipation and is diagnosed with faecal impaction. Despite receiving lactulose therapy, there has been no improvement. What is the best course of treatment?
MRCGP AKT Category: Children And Young People
AKT-0977
A mother brings her 3-year-old son for a concerning diaper rash. She has attempted to treat it with barrier creams but has not seen any improvement. She seeks advice on what to do next. During the examination, the doctor observes beefy red plaques in the groin area, affecting the skin folds. There are no skin abnormalities in other areas. The child is progressing typically, growing well, has received all necessary vaccinations, and is breastfeeding satisfactorily.
What is the probable reason for this diaper rash?
AKT-0962
You see a 35-year-old male patient who is interested in starting a family with his partner. However, he is worried about the possibility of passing on a learning difficulty to his child. He mentions that his cousin has a learning difficulty that he believes is inherited. What is the most common cause of inherited learning difficulty that his cousin may have?
AKT-0978
A 4-year-old boy is brought in for a routine check-up. His parents express concern about his decreased appetite and increased fatigue over the past few weeks. They note that he has not lost weight, but he has not grown out of any of his clothes in the last 6 months. During the examination, the boy appears pale, weighs 14kg, and has a non-tender mass on the right side of his abdomen. He also has a low-grade fever, and a urinalysis shows microscopic hematuria. What is the most likely diagnosis?
AKT-0963
Sophie is an 8 month old baby girl who comes to you with inadequate weight gain (75th to 25th centile), during examination she has a blanching, erythematous rash on her abdomen, colicky abdominal pain and regurgitation after feeds. She has been breastfed with additional ‘Cow & Gate’ formula. What is the probable diagnosis?
AKT-0979
A 9-month-old girl is presented to the surgical department after experiencing a seizure. She appears lethargic, has a fever, and her capillary refill time is 3 seconds. The medical team suspects meningococcal septicaemia. What is the best course of action for treatment?
AKT-0964
A worried 30-year-old mother expresses concern about a lump that has emerged on her infant’s head, stating with certainty that it was not present at birth and was only noticed 45 minutes ago. The baby was delivered vaginally with forceps 10 hours ago at 39 weeks gestation.
Upon examination, there is a clearly defined, fluid-filled bump that doesn’t cross suture lines and is located on the parietal bone. The baby appears to be in good health otherwise, with normal skin color and tone, as well as regular vital signs.
What is the most probable diagnosis?
AKT-0980
A mother brings her 10-week old baby girl in to see you. She was born at 39/40 without any complications and is growing along the 50th centile. The mother is concerned as the baby frequently spits up small amounts of milk after being fed, which is accompanied by crying and discomfort. However, the baby settles down after a few minutes. The baby is having wet and full nappies, and the vomit is milk-colored. The baby is formula-fed approximately 4 ounces, 7 times a day.
What is the recommended first-line advice or treatment for this situation?
AKT-0965
Following recent NICE guidelines on child maltreatment, which one of the following should prompt you to suspect child maltreatment, rather than just considering it:
AKT-0981
A 28-year-old woman is 11 weeks pregnant and has been diagnosed with threadworm. What treatment options are safe for her?