Archives: MRCGP AKT

AKT-5671

A 5 year-old child has a minor nosebleed. She received a vaccination the previous day. Which immunisation is most likely responsible for her epistaxis?

AKT-5665

Which one of the following statements regarding the Delphi method is correct?

AKT-5674

As the duty doctor, you encounter a 59-year-old woman who complains of increased cough and wheeze for the past 3 days. The patient has a history of COPD and is currently taking salbutamol and umeclidinium/vilanterol (Anoro Ellipta). She has no other medical conditions, has not taken antibiotics for 2 years, and has not been admitted for acute exacerbation of COPD. The patient smokes 10 cigarettes daily and denies any changes in sputum production, colour, and thickness. Upon examination, she has mild wheezing and no focal chest signs. Her cardiovascular examination and vital signs are normal.

Which of the following options should be excluded from your management plan for this patient?

AKT-5668

A 42-year-old woman comes to see the GP with symptoms of stress and anxiety. She is a single mother of three children and is struggling with financial debt. She works part-time as a cleaner at a local cafe for 15 hours a week on minimum wage and is receiving Jobseeker’s Allowance. Considering her financial concerns, you contemplate whether she may be eligible for Universal Credit.

What advice would you give her regarding Universal Credit based on the given information?

AKT-5670

A 31-year-old woman attends with her partner. Unfortunately the couple suffered a cot death. They would like to try for another child and would like to discuss some of the features of cot death with you. Both smoke heavily.

Which one of the following is true with respect to the risk of cot death in future offspring?

AKT-5666

A preschool teacher arranges an educational session at the Preschool assembly where they talk about healthy eating. This could be best described as an example of which of the following concepts?

AKT-5680

A 35-year-old female attends your clinic on a Monday afternoon with a complaint of a worsening cough that produces green sputum and a sore throat that has been present for 2 days. She denies experiencing any other symptoms. Upon examination, there is a mild wheeze but no focal respiratory signs. The patient’s observations, peak flow, and the rest of her examination are normal. She is currently taking salbutamol and beclomethasone inhalers for asthma and has an intrauterine system for contraception.

What is the most appropriate course of action for managing this patient?

AKT-5663

A parent mentions she has received a letter about her child taking part in the National Child Measurement Program, where all Year 4 & Year 8 children have their Body Mass Index measured. Data is collated nationally, and used to analyse trends and inform the planning of health services. In some areas the children and parents are not routinely informed of their individual results. How might the main purpose of this initiative be described?

AKT-5662

A study is designed to test the null hypothesis that performing ten minutes of mindfulness daily makes no difference to improving wellbeing in elderly Primary Care staff. The General Practitioner designing the study considers the most appropriate sample size and demographics and the means of analysis, and sets the power and significance levels for the study.
Which of the following is most likely to be associated with a high statistical power in the study?