AKT-1146
You are evaluating a 5-year-old boy with eczema. Which of the following emollients is most likely to cause skin irritation?
Archives: MRCGP AKT
AKT-1147
A father brings his 4-year-old daughter to the GP surgery. He mentions that he has noticed a few lesions on her foot. He adds that she is perfectly fine and that he only noticed them while giving her a bath yesterday. You diagnose viral warts. The father inquires about the treatment options.
AKT-1148
A 45-year-old man attends as he is concerned about his ‘moles’. His father was diagnosed with a malignant melanoma at the age of 49. He has worked in construction since leaving school and has spent many years working outside. He tells you that he has spent about 10 years working in North Africa, the majority of the time he spent outside in the sun.
The patient has fair hair and blue eyes. You examine his skin and he has about 60 common naevi 2 mm or less in diameter. He also has four atypical naevi (naevi with flat and raised areas, oval in shape, with some colour variation) which are all 6 mm or more in diameter. He reports no changes in any of the moles but as he has so many is worried about his risk of skin cancer.
What is the greatest risk factor for this patient to develop a melanoma?
AKT-1121
One of your GP colleagues in their 50s asks you what impact revalidation will have on their practice. What areas will be evaluated during the revalidation process?
AKT-1122
A client is taken off the practice list after attacking one of the receptionists. Who is accountable for arranging a different primary healthcare provider?
AKT-1123
A client visits the clinic seeking a ‘sick note’. When should you provide a Statement of Fitness for Work?
AKT-1124
You receive a ‘friend request’ on Facebook from a patient of a similar age to yourself who you had a consult with earlier that day. What would be the most appropriate course of action to take?
AKT-1125
Which one of the following statements regarding appraisal is incorrect?
AKT-1126
A 29-year-old man visits the General Practitioner for a consultation. He reports being a victim of domestic abuse by his partner.
Which of the following choices is LEAST PROBABLE to corroborate his statement?
AKT-1127
A seasoned General Practice (GP) manager observes that GP consultations appear to have evolved, particularly in terms of the types of consultation and the age groups that consult the most frequently. She conducts an audit of the number and types of consultations that occurred in the past three years and compares these findings to a previous audit conducted in 2000. It is observed that there have been some significant changes, which are consistent with similar national analyses.
What is the most probable recent trend in GP consultations concerning age groups?