AKT-0507
Which medical conditions are included in the February 2022 UK immunisation schedule for receiving the Meningococcal ACWY vaccine?
Archives: MRCGP AKT
AKT-0508
A 9-month-old girl has gradually become more short of breath following an upper respiratory tract infection and her mother is very worried about her. What is the single finding on examination that is a high-risk sign rather than an intermediate sign?
AKT-0509
A 4-year-old girl presents as febrile. On examination, there are no focal symptoms to suggest the site of an infection.
According to NICE guidelines, which of the following is most appropriate in regards for the need for urgent admission to hospital?
AKT-0510
A 4-year-old boy is brought to the General Practitioner (GP) by his mother because he is experiencing diarrhoea and vomiting. He has no significant medical history and has been unwell for 48 hours with fever (up to 38.5 °C) and gastroenteritis symptoms. The GP examines the child.
Which of the following findings would most strongly suggest the need for urgent admission to hospital?
AKT-0511
A 10-year-old girl presents to the GP with fever, vomiting and dysuria. Upon examination, she has right renal angle and bladder tenderness and is pyrexial at 38.2°C. Co-amoxiclav is prescribed and urine microscopy and culture is arranged. The following investigations are conducted: Haemoglobin 120 g/L (115-165), White cell count 13.2 ×109/L (4-11), Platelets 140 ×109/L (150-400), Sodium 139 mmol/L (137-144), Potassium 5.1 mmol/L (3.5-4.9), Creatinine 130 µmol/L (60-110), and MSU: blood++, protein+, enterococcus faecalis isolated. What is the most appropriate imaging investigation for this patient?
AKT-0512
What is a condition that is not included in the routine immunisation schedule in the United Kingdom?
AKT-0513
A 5-year-old boy has a chest infection and needs antibiotics.
Which of the following treatments would you advise?
AKT-0514
A concerned mother of a toddler attends your clinic seeking advice on how to reduce the risk of accidents in her child.
Which of the following pieces of advice is supported by the best evidence?
AKT-0515
You see a 10-year-old child in afternoon surgery. He presents with pain over his left tibia. Although he plays football with his friends regularly, there is no history of significant injury.
Which one of the following would be a red-flag prompting early referral?
AKT-0516
At the 4-month baby check, a mother who has been exclusively breastfeeding tells you that she thinks she will find bottle feeding more convenient. She is thinking of stopping breastfeeding. However, there are several medical advantages for breastfed children over those who are not breastfed, and you wish to inform her of these benefits.
Which condition on this list does the evidence suggest that breastfeeding has the STRONGEST protective effect against?