A 6-year-old child comes to the clinic with his father, he has severe eczema affecting his hands, flexural surfaces of his arms and legs and his neck.
He is very upset by it and his father wants something to be done.
What is the recommended course of action for this child?
You see a 12-year-old boy with an unusual pattern of bruising on his back. He is accompanied by his older sister who is aged 20, as the mother is unwell. The boy says he fell awkwardly while at school.
After the consultation, the older sibling tells the boy to wait in the waiting room and then tells you that she thinks that her mother is hitting the boy. She asks you not to say anything as she doesn’t want to get her mother into trouble.
How would you manage this situation?
A 7-year-old girl from a Somali immigrant family has been experiencing discomfort in her arms and legs. Upon examination, you observe that she also has bow legs.
What is the most probable diagnosis?
What is a contraindication to rotavirus immunisation that the mother should be aware of during the routine six week check on her newborn baby?
You visit a 28-year-old lady at home following the delivery of a healthy baby a few days earlier. At the end of the consultation, she asks you about immunisations.
At what age would her child receive an orally administered vaccine as part of the UK immunisation schedule if they were 6 months old?
At what ages is the immunisation given as part of the routine UK schedule, specifically at 8 and 12 weeks?
You see a 6-year-old girl who has not received the MMR. She has a sore throat, conjunctivitis and feels generally unwell. There is an outbreak of rubella locally and you are concerned that she may have the disease.
Which one of the following signs/findings on investigation would point you towards the diagnosis?
A mother brings a 7-week-old girl to the practice for a routine 6–8-week physical examination.
Which is the SINGLE option that would normally be carried out at that examination?
What is the accurate statement about meningitis in newborn infants?
You see a 4-year-old boy with his mother. She reported that he slipped while being bathed and hit his head on the side of the bathtub. She reports he cried afterwards but returned to normal soon after. He had no other symptoms such as vomiting, loss of consciousness, or drowsiness. The examination was normal.
Which of the following features would alert you most to the possibility of child maltreatment?