AKT-0876
During a routine baby check, you observe a small, soft umbilical hernia in a 7 week-old baby boy. What steps should be taken?
Archives: MRCGP AKT
AKT-0877
A mother brings her 18-month-old daughter in for review. She started walking three months ago. The mother has noticed that her daughter seems to be ‘bow-legged’ when she walks.
Examination of the knees and hips is unremarkable with a full range of movement. Leg length is equal. On standing the intercondylar distance is around 7cm.
What is the most appropriate action?
AKT-0878
A mother arrives with her 3-year-old daughter who was diagnosed with cow’s milk protein allergy (CMPA) at 6 months old. She has been on a dairy-free diet and fed hydrolysed milk until she turned 2. Recently, she successfully completed the milk ladder and has been drinking raw milk for the past month without any adverse reactions. The mother is curious if this is typical or if her daughter was misdiagnosed earlier. IgE testing was conducted and came back normal.
What advice would you give to the mother of the 3-year-old girl?
AKT-0879
A mother brings her daughter to an appointment with the Practice Nurse for her routine 4-month immunisations, which includes the new Meningitis B vaccine, introduced in 2015. What guidance should be provided regarding post-vaccination care at home?
AKT-0880
A 5-year-old boy has been experiencing frequent urination and complaining to his father of abdominal pain. His father reports that he has been acting differently for the past 2-3 days. The boy has no abdominal or flank tenderness.
His temperature is 37.4 degrees Celsius, pulse 110 beats per minute, and capillary refill time is less than 2 seconds. He appears to be in good health. A urine sample shows positive results for leukocytes and nitrites on dipstick testing.
The correct dose of trimethoprim is prescribed based on his weight. What is the appropriate duration of treatment?
AKT-0881
A three-year-old boy is brought to you by his mother due to concerns about his walking pattern. During examination, you observe an in-toeing gait. Further examination of his limbs reveals bilateral femoral anteversion as the only abnormality. The child is otherwise developing normally.
What would be the appropriate next step in management?
AKT-0882
A mother brings her 5-year-old daughter into surgery as she suspects she may have head lice. Which of the following statements about head lice is not true?
AKT-0883
A father brings in his seven-month-old daughter who has been fussy lately and he suspects she may be teething. He has been using over-the-counter pain relief and giving her teething rings to chew on, but he is worried that she may need additional treatment.
Upon examination, the baby is found to have normal vital signs and no fever, and the diagnosis of teething is confirmed.
What would be the best course of action at this point?
AKT-0884
A 4-year-old girl, Lily, has a febrile convulsion at home. She has been suffering from Chickenpox. This is her third febrile convulsion, the last one was six months ago and was during a viral gastroenteritis. The convulsion quickly terminates within a minute and Lily recovers promptly at home. Mum asks for medication to prevent further febrile convulsions. What advice should the GP give her?
AKT-0885
A 7-month-old infant born in Bangladesh is presented for surgery. The mother reports that the baby has been experiencing coryzal symptoms for the past week and has not been feeding well for the last two days. Today, the baby has started vomiting. The mother is particularly worried about the baby’s cough, which comes in bouts and is so severe that the baby turns red. There are no inspiratory or expiratory noises. Upon clinical examination, the baby is found to have a clear chest and no fever. What is the most probable diagnosis?