A 20-year-old male visits his GP clinic as he is preparing to start university in a few months. His friends have advised him to get vaccinated before he begins. He is of ‘White British’ ethnicity, has a clean medical history, and will be studying English at the University of Manchester. Which vaccine should he receive as part of the standard NHS immunisation program?
A 56-year-old man who is currently undergoing chemotherapy for prostate cancer seeks advice. His grandson has recently been diagnosed with Chickenpox, with the first pox appearing yesterday while he was babysitting. The patient has never had Chickenpox and is worried about contracting it, despite being asymptomatic at present. What is the best course of action?
Which one of the following conditions is NOT an autosomal recessive condition?
In clinic, two male patients with Marfan syndrome are being evaluated. Both individuals have confirmed mutations in the FBN1 gene on chromosome 15. Despite being close in age, one patient displays severe skeletal abnormalities such as marked thoracic lordosis and pectus excavatum, while the other has a nearly normal skeletal examination. What genetic concept can best explain the variation in phenotype between these two patients?
A parent inquires about the likelihood of their 3-year-old child experiencing another febrile convulsion after being admitted for one.
At what age would a typical toddler develop the skill to construct a tower using three blocks?
A 4-year-old boy is brought to the clinic by his mother for a check-up. She is anxious about his flat feet and is worried that he may experience foot pain and gait problems in the future. During the examination, the child walks normally, but an absent medial arch of the feet and genu valgum are observed when he stands still.
What recommendations should be provided to the mother?
Which of the following statements about the use of desmopressin for bedwetting in children is accurate?
A father brings his 2-year-old son to your GP clinic. The child has been experiencing symptoms of a cold for the past 2 days. Last night, he developed a barking cough and a slight fever of 37.8º.
During the examination, you notice mild stridor when the child moves around, but there are no visible recessions. The chest sounds clear, and there is good air entry on both sides. The temperature remains at 37.8º, but all other vital signs are normal.
What is the most appropriate course of action for management?
A 7-year-old boy is brought to the clinic by his father. He has a history of asthma and is prescribed salbutamol 100 mcg prn and Clenil (beclomethasone dipropionate) 100 mcg bd via a spacer. Despite the steroid inhaler, he is having to use salbutamol on a daily basis, especially in the morning or after physical activity. Today, his chest examination is normal.
What would be the most suitable course of action for further management?