skip to main content

Threadworm counselling — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyInfectionsThreadworm counsellingGPhC CRA

A mother asks for advice for her 6-year-old child with threadworm. The child has perianal itching at night and no abdominal pain or fever. The household includes a 10-week pregnant adult. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Treat the child with mebendazole and use hygiene measures for the household

Mebendazole is appropriate for children over 2 years with threadworm, alongside strict hygiene measures such as handwashing, laundering bedding and keeping nails short. In pregnancy, especially the first trimester, drug treatment is usually avoided and hygiene measures are preferred unless a clinician advises otherwise. Fluconazole and loperamide do not treat threadworm. The presentation is typical and does not suggest emergency referral.

Reference: BNF; NICE CKS Threadworm