Archives: MRCGP AKT

AKT-0782

You receive a phone call from the father of a 4-year-old girl who you saw earlier in the day and diagnosed with strep throat, starting amoxicillin. At home she has been feverish and sweaty, and Dad describes an episode of her ‘going rigid’ followed by shaking of all of her limbs for about 1 minute. She is currently sleeping but can be awakened. Other than that, Dad reports no other concerning symptoms. She has never experienced a similar episode before. What would be the best course of action to take next?

AKT-0783

A 4-year-old girl is brought to the doctor by her father. For the past 4 days she has been experiencing a sticky discharge from both eyes upon waking up. Upon examination, there is some crusting around the eyelid margins and the sclera are slightly pink. The father inquires if his daughter should stay home from preschool. What is the best answer to give?

Response:

AKT-0784

A 6-month-old infant is presented by their caregiver with concerns about bruising on their legs. The infant is healthy and has received all recommended vaccinations. The caregiver is unsure how the bruising occurred and is worried about a possible bleeding disorder.

What would be the most suitable next step to take?

AKT-0785

A ten-year-old boy with a history of asthma and eczema comes to the urgent GP clinic complaining of a cough. Upon entering the room, he appears to be in good health and is able to speak in complete sentences. His oxygen saturation levels are at 97% in air, his peak expiratory flow is at 60% of expected, his heart rate is at 115/min, and his respiratory rate is at 28/min. During chest examination, widespread wheezing is observed.

What is the recommended course of action for managing this patient?

AKT-0786

Oliver has just turned one year old and his parents are curious about the meningitis C vaccine schedule. They want to know at what age the vaccine is now given to children in the UK. Can you provide them with the correct times for administering the meningitis C vaccine?

AKT-0749

A mother has coeliac disease. She is concerned that her 18-month-old daughter may have the condition.
Which of the following is the most commonly presenting feature of coeliac disease in a child of 18 months?

AKT-0750

Assuming the patient has no significant medical history, what is the recommended age for administering the Meningitis ACWY vaccine according to the UK immunisation schedule?

AKT-0751

A 7-year-old boy is seen with his father. The father reports that for the last few weeks, the child has been persistently scratching his bottom, particularly at night. The father has noticed some scratch marks around his anus, but nothing else. He is otherwise well and takes no regular medications.
What is the most likely diagnosis?

AKT-0752

You have a 7-year-old Asian child in your clinic. He has slightly bowed legs and complains of muscle pains. You suspect a Vitamin D deficiency. What is the most suitable test to confirm the diagnosis?

AKT-0753

A seven-week-old baby is brought to the surgery by his mother for his postnatal check. He was born at 36 weeks weighing 2.7kg. On examination the GP finds that the left testicle is not present in the scrotum or groin.

What is the most appropriate course of action?