Archives: MRCGP AKT

AKT-0525

A 6-year-old boy presents with swelling under his arm. He was well until six days before, when he developed mild fever and malaise. Immunisations are up-to-date. No family history of note. The family have a pet kitten and there were visible scratches on his arm.

On examination the temperature is 37.8°C. He has a 2.5 cm smooth enlargement of a node in the right axilla. This is slightly red but not fluctuant. Otherwise there are no abnormalities to find.

What is the single most appropriate treatment?

AKT-0526

You see a six-year-old girl one evening during your out of hours shift. She has become very sick quite suddenly, with a high fever, sore throat, and difficulty breathing.

When you examine her, she is sitting upright with her mouth open, and you observe that saliva is drooling down her chin. She has a soft stridor audible at rest.

What is the most probable diagnosis?

AKT-0527

What could be the cause of stridor in a 6-month-old infant?

AKT-0528

Who is recommended to receive the Human Papillomavirus (HPV) immunisation according to the January 2020 UK immunisation update?

AKT-0529

Jane, age 14, comes to morning surgery requesting the contraceptive pill. She looks a lot older than her age. You have to decide whether to prescribe or not.

The Sexual Offences Act 2003 considers children under what age as too young to give consent to sexual activity?

AKT-0530

What is the definition of a Child Protection Plan?

AKT-0531

In a typical UK pediatric population, which childhood cancer type is most frequently observed?

AKT-0532

A 30-year-old mother of three sons brings her 18-month-old youngest son to the clinic concerned about his development.

Which of the following should he be able to perform by this age?

AKT-0533

What childhood condition can be a result of adenovirus infection?

AKT-0534

A 4-year-old girl presents with failure to thrive.
Previously, her parents had no concerns about her health. However, over the past few months, she has become increasingly fussy and her bowel movements have changed, with her now having up to three strong-smelling stools per day.
During the examination, her abdomen is soft but slightly distended, and there is noticeable wasting of the thigh muscles. When plotted on a growth chart, her weight was following the 50th percentile until around 2 years of age but has now dropped below the 5th percentile.
What is the underlying diagnosis?