AKT-1068

Your practice has just adopted a new computer system. You have a meeting to discuss any problems and there are many questions from all members of staff.
Which one of the following statements about confidentiality is correct?

Your practice has just adopted a new computer system. You have a meeting to discuss any problems and there are many questions from all members of staff.
Which one of the following statements about confidentiality is correct?

AKT-1069

A 22-year-old woman comes to see you following the death of her mother from cancer of the colon. She is anxious to know the risks of familial tendency, and would like access to her mother’s records.

You know this young woman was fathered by someone else (not her mother’s husband) who still lives in the village, but this fact is unknown to her. Her mother stipulated before death that her records should be confidential.

In accordance with the access to medical records act of 1990, which one of the following is correct?

AKT-1041

A 5-year-old girl who is in good health is placed in foster care. There is no known medical history of any significant illnesses in her biological family.

What can be said about her situation?

AKT-1042

Sophie attends a routine check-up with her 12-year-old daughter Lily, who has a history of well-controlled allergies but is otherwise healthy. Lily has received all her routine childhood vaccinations. She has recently received a reminder to have her flu vaccine.

What other vaccination should Lily receive at her age?

AKT-1043

A two-year-old girl is presented to the clinic by her mother due to complaints of abdominal pain for the past two weeks. She has also been experiencing a decreased appetite and difficulty with bowel movements. During the physical examination, a lump is palpable on the right side of her abdomen, although her abdomen is soft and non-tender.

What would be the most suitable course of action for managing this patient?

AKT-1044

You are evaluating a 5-year-old girl with constipation during a routine check-up. During the abdominal examination, you observe a small lump in her right lower abdomen. The child doesn’t seem to be in any discomfort when you touch it.

The mother informs you that a previous doctor had also noticed this lump but had assured her that it was probably due to constipation and nothing to worry about.

The child is healthy otherwise, and the mother has no specific concerns.

What is the most suitable next step in managing this situation?

AKT-1045

A 35-year-old woman comes to your clinic with her 10-year-old daughter. She discloses that she has familial hypercholesterolaemia (FH), with her most recent LDL cholesterol reading at 15. She is worried about the impact of this on her daughter and wants to know if there is a way to test her for the condition. The child’s father doesn’t have the illness.

What is the best course of action?

AKT-1046

A 28-year-old woman brings in her 4-year-old son. She explains that she and her husband have a history of familial hypercholesterolaemia and are worried about their son’s health. She asks if he can be screened for the condition.

What would be the best course of action in this situation?

AKT-1047

Samantha is a 10-year-old girl who is scheduled to receive the HPV vaccine at her doctor’s office. She is very anxious about getting shots and asks the nurse how many injections she will have to get.

What is the correct response to Samantha’s question?

AKT-1048

A 10-year-old girl is brought to the hospital after falling off her bike and fracturing her leg. She is experiencing a lot of pain and requests pain medication.

Which of the following analgesics is not recommended for use in pediatric patients?