Archives: MRCGP AKT

AKT-0990

As a GP for a busy clinic, your final patient of the day is an 8-year-old boy with a rash. He has been experiencing cold symptoms for a few days and today a bright red rash appeared on his cheeks. The rash has now spread across his entire body, except for his palms and the soles of his feet. During the examination, everything appears normal except for the rash. You provide reassurance to the boy and his mother that this is slapped cheek syndrome and that the rash should disappear within a week. They inquire about how long he should stay home from school. What is your recommendation?

AKT-0991

A parent brings her 5-year-old son to the pediatrician’s office. She informs you that her son has head lice and the school nurse has recommended keeping him at home until the treatment is finished to prevent the spread of head lice to other children. The parent asks for your advice on what to do next.

AKT-0992

A mother brings her 20-month-old son for review following a recent admission after a febrile convulsion. Which one of the following statements regarding febrile convulsions is not correct?

AKT-0993

A 4-year-old boy is brought in by his mother who has noticed his legs ‘look strange’ since he started walking over the past 5 weeks. His mother says that when he stands straight, his knees are very close together and his feet have a wide gap between them. The boy has no pain in his knees and there is no limp when he walks. He runs around the house without any problems.

On examination, there are no lumps along the bones of either leg.

What is the probable diagnosis?

AKT-0994

You see a 3-month old baby girl with her mother. She is worried about her daughter’s weight gain as she seems to be struggling. The baby is formula fed and frequently vomits after feeds. She also has loose stools which have been blood stained today. Her mother has noticed that she develops a raised red rash around her mouth after feeds. The baby seems to experience abdominal pain after feeds and draws her knees up to her stomach.

You suspect that the baby has cows milk protein allergy and discuss this with her mother before referring her for acute admission under the paediatric team for urgent assessment.

Which statement below regarding cows’ milk protein allergy is correct?

AKT-0995

A 6-year-old boy is brought to the clinic by his father. The boy has been complaining of an itchy bottom, so his father suspected threadworm infection and got some mebendazole over the counter. Despite a dose of the medication, he continues to have itching. External examination is normal.

What is the most effective test to confirm the diagnosis?

AKT-0996

In the case of diaper rash in an infant, what skin care advice would be suitable to provide?

AKT-0997

In your morning clinic, a 5-year-old child comes in with her mother. She has a rash that has been present for two days on her face and arms. She is otherwise healthy but has mild eczema. The mother reports that the child started with red ‘sores’ around her mouth, which turned into blisters and then burst. The child was finding the lesions very itchy. The rash then spread to the patches of eczema she had on the dorsal aspects of her wrists.

Upon examination, the child appears well and her vital signs are normal. She has a red rash around her mouth with a few small blisters and a golden crust. The rash on the dorsal aspects of her hands looks similar.

You diagnose impetigo and prescribe oral antibiotics. The mother asks if her child needs to stay away from school. What is your advice?

AKT-0998

You are conducting a four-week baby check for a full-term newborn. The baby is gaining weight and feeding properly. During the examination, you observe a red lump the size of a bean in the umbilicus with thick white discharge. The abdomen is soft with regular bowel sounds, and the lump cannot be reduced. The baby has no fever. What is the probable diagnosis?

AKT-0999

Which genetic condition is a result of a trinucleotide repeat expansion?