AKT-0902

A father brings in his 10 month old daughter who has been experiencing a persistent nappy rash despite his best efforts to care for her skin. The baby seems uncomfortable but is otherwise healthy. Upon examination, the nappy area shows patches of red, oozing skin with a few scattered pustules. The baby doesn’t have a fever.

What could be the reason for this skin reaction?

AKT-0894

You are seeing a 5-year-old boy in clinic who has a history of multiple wheezy episodes over the past 4 years and was diagnosed with asthma. He was admitted 5 months ago with shortness-of-breath and wheeze and was diagnosed with a viral exacerbation of asthma. He was prescribed Clenil (beclomethasone dipropionate) inhaler 50mcg bd and salbutamol 100 mcg prn via a spacer before discharge. His mother reports that he has a persistent night-time cough and is regularly using his salbutamol inhaler. On clinical examination, his chest appears normal.

What would be the most appropriate next step in managing this patient?

AKT-0895

A 16-year-old male with a history of cystic fibrosis comes for his yearly check-up. What is the most suitable recommendation for his diet?

AKT-0896

A 4-year-old patient presents with diarrhoea and is examined to reveal dry mucous membranes. The caregiver reports a decrease in wet nappies. The medical team decides to administer oral rehydration therapy. What is the recommended amount to be given over a 4-hour period, in addition to the usual maintenance fluids?

AKT-0897

As an orthopaedic SHO in a paediatric orthopaedic outpatient clinic, Rina often receives GP referrals regarding limb development in children. What is a common normal variant in a child’s limb development that can be managed with expectant care and referred back to the GP?

AKT-0898

A mother brings her 4-year-old child for a routine check-up and mentions her 6-year-old son. She expresses concern about meningitis B due to a friend’s experience with the disease. When is the meningitis B vaccine typically administered?

AKT-0899

Which one of the following conditions is NOT a condition inherited in an autosomal dominant pattern?

AKT-0900

Which of the following conditions is inherited in an autosomal recessive manner?

AKT-0874

You see a 7-week old baby girl with her dad. He is worried as she has episodes where she cries uncontrollably and pulls her legs up to her tummy. She appears to be in pain and he is unable to calm her down. The crying doesn’t seem to be related to feeding. The episodes last for around 30 minutes to 1 hour and occur for a total of about 3 hours a day. He finds it difficult to soothe her and is feeling exhausted.

She is breastfed and is feeding well. She is growing appropriately and is having normal wet and dirty nappies.

During the examination, she appears to be a healthy and content baby. No abnormalities are found.

Which statement below, regarding infantile colic, is accurate?

AKT-0875

Which one of the following statements regarding iron deficiency anaemia is inaccurate?