Archives: MRCGP AKT

AKT-1015

A 6-year-old child is brought to the emergency room by her mother after she noticed a red rash on her daughter’s legs that doesn’t disappear when pressed. The child has been unwell with a fever and cough since yesterday, but her symptoms have worsened throughout the day. The mother is worried because her daughter is also complaining of a headache and has cold hands and feet. During the examination, the child is found to have a petechial rash on her lower legs and a temperature of 38.4ºC. The mother reports that her daughter is allergic to penicillin and had a rash and vomiting after taking amoxicillin for an ear infection 2 years ago. What is the most appropriate course of action?

AKT-1016

At what age is precocious puberty in females defined as the development of secondary sexual characteristics before?

AKT-1017

Which of the following features is least commonly associated with rickets?

AKT-1018

A father brings his 9-month-old to the pediatrician with concerns about a rash. The infant developed a fever and cold-like symptoms a few days ago, and the rash appeared yesterday evening. It’s worth noting that the baby started daycare two weeks ago. During the examination, the child is alert and responsive with good muscle tone. The baby has no fever, and all vital signs are normal. There is some nasal congestion, and a papular rash is present on the trunk, which disappears when pressed.

What is the probable cause of the rash?

AKT-1019

A 32 year old woman comes to your clinic 3 weeks after giving birth to a healthy baby girl. She is worried that her baby is not breastfeeding properly, unlike her previous two children. The baby seems to struggle with latching on and the mother experiences pain during attachment. You suspect that the baby may have tongue-tie. What is true about tongue-tie?

AKT-1020

A 4-week-old boy is brought in for a routine check-up. He was born at 35 weeks gestation via normal vaginal delivery and spent a few days in the neonatal intensive care unit due to low birth weight. During the examination, it is noted that only one testicle can be felt.

What is the recommended course of action in this situation?

AKT-1021

A 2-year-old boy is brought to an urgent GP appointment with an acute limp. He is coryzal but apyrexial. There is no history of trauma. He is able to weight bear.

What is the appropriate course of action for management?

AKT-1022

A 6-year-old girl presents to the clinic with complaints of dysuria. Upon examination, her temperature is 37.2ºC, her abdomen appears normal, and a urine dipstick test reveals the presence of leukocytes and nitrites. The patient has no significant medical history. Besides urine microscopy, what is the most suitable course of action for management?

AKT-1023

A mother brings her 4-year-old girl who is known to have Down’s syndrome to surgery, as she is worried about her vision. Which of the following eye issues is the least commonly linked with Down’s syndrome?

AKT-1031

A 6-month-old is brought to your clinic with suspected reflux. The parents report that the baby has been experiencing regurgitation after feeds and becomes very distressed. The baby is fully formula-fed and has been difficult to feed. However, the baby is gaining weight well and is otherwise healthy. There is a family history of reflux, with the baby’s older sibling having had reflux in infancy. Upon examination, the baby doesn’t have tongue-tie, has a normal suck-reflex, and the abdominal examination is reassuring. What steps should be taken to address the suspected reflux?