Archives: MRCGP AKT

AKT-0801

A 15-year-old female presents to surgery with her mother. Her mother is worried about her daughter’s persistent fatigue, recurrent coughs and sore throats, and recent appearance of small purple spots on her skin. The patient also reports intermittent feverishness. Blood tests for EBV serology were normal a few weeks ago. On examination, the patient appears pale, with unremarkable observations. There is no lymphadenopathy or hepatosplenomegaly, but small petechiae are present on the torso and arms. Based on NICE guidelines, which finding in the history and examination of this adolescent would warrant immediate specialist evaluation for leukemia?

AKT-0787

Sophie is a 13-year-old girl who arrives at the paediatric emergency department with a worsening of her asthma symptoms. During the examination, she exhibits plastral wheezing when auscultated. Sophie’s respiratory rate is 30 breaths per minute, her heart rate is 110 beats per minute, and her oxygen saturation level on air is 91%. Additionally, her peak flow is only 40% of her usual peak flow.

As per NICE guidelines, which of the above criteria indicates that Sophie’s asthma exacerbation is life-threatening?

AKT-0788

You are conducting a 12-week postnatal check on a baby boy and his mother. During the examination, you inquire about the child’s immunisation schedule. The mother expresses concern about recent measles outbreaks and asks when her son will receive his first MMR vaccine.

At what age is the first dose of the MMR vaccine typically administered?

AKT-0789

At what age, typically, should a child be able to use a spoon proficiently and drink from a cup without spilling it?

AKT-0790

A 6-week-old boy is brought by mum for his routine check. Which one of the following is not part of the 6 week routine check?

AKT-0791

A 9-year-old boy comes to the GP with his mother who is worried about his social interaction at school. She had previously raised these concerns with his previous GP a few years ago but has now moved to a new practice. The boy started a new school 8 months ago and his teachers have reported that he often isolates himself during class and break times. He has a strict routine of having lunch at 12.30 and can become challenging to handle if this is disrupted.

What could be the probable diagnosis?

AKT-0792

Each one of the following statements regarding ADHD is correct, except:

AKT-0793

Which one of the following statements concerning toddler colic is incorrect?

AKT-0794

Rohan is a 9-month-old baby who is brought in by his dad. He has developed an eczema type rash on his body and has more loose stools. His dad noticed these changes after he started weaning. Prior to this he was exclusively breastfed. On examination he is well, except for mild eczema. You suspect a diagnosis of cow’s milk protein allergy.

Which of the following milks could Rohan also be intolerant of?

AKT-0795

What is a not a cause of hypertension in adolescents?