AKT-0886
Lila is a 4-year-old girl who presents with a high fever, sore throat and sandpaper-like rash on her torso. You suspect scarlet fever. Her father inquires about the duration of time she should stay away from preschool.
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AKT-0887
Baby Oliver has been brought for numerous appointments since he was born, with symptoms of colic. He is now on simethicone drops. His mum, who was previously exclusively breastfeeding, has just introduced a bottle of formula in the evening, and Oliver has now developed a rash. You suspect a possible allergy to the formula and consider prescribing a hypoallergenic infant formula for Oliver, along with some emollient and steroid cream. What other treatments should you consider prescribing for Oliver today?
AKT-0888
A 7-year-old girl is brought to the pediatrician’s office by her father. She has been experiencing nighttime itching around her bottom and has reported seeing small white strands in her stool. She is not experiencing constipation and is in good health otherwise. No one else in the household is experiencing similar symptoms. The girl lives with her father and her four-month-old brother.
What should be the next course of action?
AKT-0889
A mother of an 8-year-old boy is worried that her son might have developed an egg allergy. The child is experiencing abdominal pain, constipation, and atopic eczema/erythema. What is the most appropriate test to explore the likelihood of a food allergy?
AKT-0890
A mother brings her 5-year-old daughter, Lily, to the clinic with concerns about her persistent fever for the past 6 days. Lily has been complaining of a sore throat and her eyes have become red. She has no medical history, allergies, or regular medication. Upon examination, Lily’s vital signs are normal except for her high temperature. She has conjunctival injection in both eyes, a red pharynx, and cracked lips. Additionally, she has desquamation on her feet and palpable cervical lymphadenopathy. What is the most probable diagnosis?
AKT-0891
A 6-year-old boy presents to the paediatric department with a 5-day history of fever and bilateral red eyes. He also has a widespread raised red rash and peeling of his toes.
During the examination, his temperature is 37.8ºC. The skin on his feet is peeling. He has cervical lymphadenopathy. He is alert and energetic. His pulse is 92 beats per minute.
What is the probable diagnosis?
AKT-0892
A mother brings a 4-year-old girl to see you because she has noticed that the vagina seems to have sealed together over the past few days. The girl is in no discomfort with this. There is no vaginal discharge. The girl doesn’t appear to be in discomfort when urinating.
What is the probable diagnosis?
AKT-0893
You come across a pair of patients who are both under your care and are interested in starting a family. They are worried because their niece has Fragile X syndrome (FXS). They require additional details about it and would like a recommendation to a geneticist.
What is the characteristic linked with Fragile X syndrome?
AKT-0857
A new parent brings her 2 to 3-month-old baby for a routine check-up. She mentions that everything seems fine and the baby is feeding well.
During the examination, you perform Barlow’s test and observe that the femoral head can be dislocated and a clunking sound is heard upon relocation of the hip.
What should be the next appropriate step to take?
AKT-0858
A 3-month-old baby girl has been brought into the GP by her father. They visited three weeks ago because the baby was experiencing vomiting and regurgitation after feeds. They were given alginate suspension at the time but this has not helped. Today, the baby is still experiencing troublesome symptoms and is now refusing feeds.
What would be the next appropriate course of action?