Archives: MRCGP AKT

AKT-0827

A 7-week-old boy is presented to your clinic by his mother in the afternoon. The mother reports that her baby has been experiencing effortless and painless regurgitation of his feeds for the past four weeks. The baby is being formula-fed and is currently taking bottles on demand every two hours. Apart from this, the baby is healthy and growing normally. There is no significant medical history, and the baby was born at full term without any complications. What is the appropriate course of action?

AKT-0828

Sophie is a 6-year-old girl who comes to see the GP with her mother. Her mother has observed that the labia seem to be joined together in one spot. She is urinating normally and growing and developing typically in all other aspects. What guidance would you offer?

AKT-0829

A 7-year-old girl is brought in by her worried parent who has observed a significant space between her ankles and is anxious as her knees seem to be close together while standing. The parent mentions that the girl has a balanced diet and gets enough exposure to sunlight and is healthy otherwise.

What would be the most suitable course of action to manage this situation?

AKT-0830

At what age would a typical toddler develop the capability to squat down and retrieve a toy?

AKT-0831

A mother brings her 4-year-old child in to receive the DTP booster. Which one of the following would make it inappropriate to give the vaccination today?

AKT-0832

Which one of the following statements regarding vaginal problems in adolescents is incorrect?

AKT-0833

A 6-year-old girl is brought in by her father. She was feeling a bit sick yesterday with a fever, tiredness, and a sore throat. Today, her father is concerned as he has noticed ‘blisters’ in and around her mouth and she is refusing to eat or drink. During the examination, the child appears unhappy but not seriously ill, her temperature is 38.2ºC and she has a combination of shallow ulcers and red papules scattered over her hard palate, tongue, and lips. Upon further examination, a few red maculopapular lesions are also visible along the sides of her fingers, around her left heel, and over her buttocks. What is the most probable diagnosis?

AKT-0834

Samantha is a 6-year-old girl who has been brought to your clinic by her father. He reports that Samantha has had a fever for 3 days and yesterday developed some mouth ulcers. Today, he noticed red spots on Samantha’s hands and feet which are now worrying him.

Which virus is most likely responsible for Samantha’s symptoms?

AKT-0835

A 4-year-old is brought to your clinic by his mother. He has been running a fever and has been refusing to eat. His mother has observed some spots on his hands and buttocks. Upon examination, the child has a mild vesicular rash on his hands, buttocks, face, and a few spots on his ankles. His temperature is 38.1ºC. According to your records, he had Chickenpox when he was 10 months old. What is the probable diagnosis?

AKT-0836

A 10-month old baby is brought in for a developmental review by his parents. He is able to sit without support, crawl, and pull himself up to stand. He shows a preference for using his left hand for most activities. He has a weak pincer grip and can point at objects.

However, he is unable to walk without support, even with one hand. He has not yet said mama or dada but does understand the word no. He also doesn’t respond to his own name.

Which of these findings is the most concerning?