A 5-year-old boy is brought to clinic by his parents. He had a fever for three days, and as this disappeared he was noted to have a rash.
On examination he is noted to be apyrexial, but has a macular rash on the trunk and lower limbs.
Which of the following is the most likely diagnosis?
A 10-year-old boy has had lower abdominal and left-sided testicular pain for the past 4 hours. He was at school playing sport when it began. The scrotal skin overlying his left testicle is erythematous and swollen, and lifting the testicle worsens his pain. The child has had similar episodes of pain affecting the left testicle over the past few weeks, but these episodes have been brief.
What is the most likely diagnosis?
A father requests access to his 16-year-old son’s medical records. He is in the process of separating from his son’s mother, and they have been married for twenty-five years.
What is the most appropriate action in this case?
For individuals with Trisomy 21, what is the most prevalent congenital heart defect?
During a local measles outbreak you are contacted by a number of elderly patients who are enquiring about immunisation for themselves.
In which of the following groups is MMR vaccine contraindicated?
Under what circumstances is it safe to administer the MMR (measles, mumps, and rubella) vaccine?
A 9-month-old boy is febrile, but there are no focal symptoms to suggest the site of an infection. There are no intermediate- or high-risk signs, according to the National Institute for Health and Care Excellence guidelines. You decide to keep the child at home.
The appearance of which of the following would be most appropriate for the parents to seek immediate further advice?
Recurrent chest infections/persistent cough are a common reason for adults to seek medical attention. This can pose a diagnostic dilemma. What is the most probable cause for an adult presenting with these symptoms?
A 4-year-old boy has been brought to the General Practitioner (GP) by his father for a routine check-up. The GP is assessing the development of the child.
Which of the following would be the most advanced developmental skill in this child?
A 12-month-old girl is brought to the General Practitioner (GP) for a check-up. The parent is questioned about the child’s developmental milestones.
Which of the following is this child most likely to be able to achieve by its current age?