Archives: MRCGP AKT

AKT-0797

Sophie is a 12-year-old who has been under your care for the last 3 months with worsening classical symptoms of migraine. Despite trying simple analgesia (paracetamol and ibuprofen), she has not experienced any relief. She has attempted to eliminate potential triggers and is currently maintaining a headache diary. She is interested in exploring additional medical treatments. What is the most suitable medication to prescribe for Sophie?

AKT-0798

A 3-year-old girl is brought to the doctor by her mother. She has been experiencing a cold for the past few days but has been generally healthy and has not had a fever. Her mother has brought her to see you because she has developed some spots over the past day. During the examination, the child is cooperative and happy, with a normal heart rate and capillary refill time. She has a runny nose and her throat appears inflamed, but there is no exudate. You also notice a small ulcer on her mucous membranes. There are two small red papules at the edge of her lower lip, and there are a few vesicles and red papules on the palmar aspect of her hands. Her chest is clear, and her tympanic membranes are normal.

What is the recommended duration for keeping her away from daycare?

AKT-0799

Johnny is an 8-year-old boy who presents with a mild fever, rash on the hands and feet, and oral ulcers. You inform his parents that he is likely suffering from hand, foot & mouth disease. They inquire about how long he should stay home from school?

AKT-0800

A 5-year-old girl comes to your clinic with her father. She has been feeling sick for the past 48 hours with a fever, sore throat, and fatigue. She has no appetite and her father has noticed blisters in her mouth, as well as a rash on her hands and feet. You suspect hand, foot and mouth disease. What recommendations do you provide for treatment?

AKT-0767

Samantha is a five-year-old caucasian girl who visits her GP due to her mother’s concern about her swollen tummy. She has no previous medical history and was born at full term. During the examination, she seems a little pale. A smooth mass is palpable in the right upper quadrant of her abdomen. There is no tenderness in her abdomen, and her cardiovascular and respiratory examinations are normal. There is no significant family history to note.

What is the most appropriate course of action for managing this patient?

AKT-0768

Which of the following statements about children with special educational needs (SEN) is not true?

AKT-0769

Which one of the following is an example of a primary accident prevention strategy?

AKT-0770

As part of a community health initiative, you are tasked with developing a program to enhance the well-being of infants in the area. What is the leading cause of mortality among infants aged over one month but under 12 months?

AKT-0771

A father brings in his 4-year-old son who has had a fever for 2 days, vomited once, and the father reports foul-smelling urine. The boy is happily playing with toys in your office.

A recent urine sample reveals: negative leukocytes, positive nitrites, negative protein, and negative blood.

What is the best course of action for management?