Archives: MRCGP AKT

AKT-1861

What is the correct order of relative potency, from least to most potent, for these opioid analgesics, considering that diamorphine is typically administered parenterally while the others are usually given orally?

AKT-1862

You are discussing a case with the pediatric palliative care nurse. You have a young patient who has been on long term oral prednisolone that the palliative care team want to switch to oral dexamethasone. This prompts discussion about the relative potencies of steroid preparations.

Place the following corticosteroid medications in order of their anti-inflammatory (glucocorticoid) potency from strongest to weakest:
A Deflazacort
B Dexamethasone
C Hydrocortisone
D Methylprednisolone
E Prednisolone

AKT-1863

A 35-year-old lady comes to the clinic seeking guidance regarding her potential risk of developing cancer. She has received proper treatment for CIN II, is a former smoker, and currently takes the combined oral contraceptive pill. Her two paternal aunts passed away from ovarian carcinoma at ages 40 and 48. What is the primary predisposing factor for ovarian cancer in this patient?

AKT-1864

What is the correct definition of advanced decisions according to the Mental Capacity Act (2005)?

AKT-1865

A 50-year-old patient comes to the doctor with complaints of back pain. While discussing his medical history, he requests to see the list of diagnoses on his medical record. He expresses his desire to have the diagnosis of asthma removed, claiming that it is inaccurate. Upon reviewing his medical record, there are no recorded instances of asthma exacerbations, no current medications, and no recent prescriptions for asthma-related drugs.

What should be the appropriate next step in this situation?

AKT-1866

The nurse at your clinic is faced with a situation where a mother has brought in her 14-week-old son for his vaccinations. The vaccinations include one injection against diphtheria, tetanus, pertussis, polio and haemophilus influenza type b, one injection against meningococcal b and an oral application for rotavirus. The mother has given her consent for the immunisations, but the nurse is unsure about the appropriate way to obtain consent. What would be a suitable method of obtaining consent in this scenario?

AKT-1867

A 75-year-old woman has just been released from the hospital after suffering a stroke. She is visiting from France and wants to return home on the next flight to be with her family. As a temporary patient, she seeks your advice on flying. After reviewing the guidelines of the Civil Aviation Authority (CAA), what would be the most suitable advice to give her?

AKT-1868

A 25-year-old man with schizophrenia comes to the clinic with his father after being discharged from an acute inpatient psychiatry unit. He needs a refill of his quetiapine prescription, but his father is worried about his son’s ability to drive and wants to know the legal requirements.

What guidance should be provided in this situation?

AKT-1869

A 16-year-old girl comes to the surgery with her friend seeking an abortion. She has missed her last three periods and took a pregnancy test which came out positive. Her boyfriend is also 16 years old. It is probable that she will need a surgical termination of pregnancy due to her gestation. However, she doesn’t wish to inform her parents. What is the best course of action?