AKT-3869

A 25-year-old woman comes to the clinic complaining of vulval itch and irritation. Upon examination, an area of inflammation and excoriation is found. She has no other dermatological conditions and is in a stable relationship.

What is the appropriate management for this patient?

AKT-3870

A 56-year-old woman comes to you with complaints of post-coital bleeding. She has been in menopause for two years. Upon conducting a full pelvic examination, you find everything to be normal, including the cervix. She has been experiencing these symptoms for the past eight weeks. The patient has a history of breast cancer and is currently taking tamoxifen. What would be your next course of action?

AKT-3871

A woman aged 25 asks your practice nurse for advice on travel immunisations.

She is 16 weeks pregnant and is travelling to a rural part of Asia to visit her family as her father is very ill. She doesn’t know what vaccinations she may have had as a child and the practice doesn’t have any old records. The nurse wants to know if she can give the vaccines. Which vaccine should not be given to a pregnant woman?

AKT-3872

Which one of the following entries on a birth certificate would never be acceptable?

AKT-3873

A patient in her 60s requests a copy of her medical records. Which of the following documents is most relevant to fulfill this request?

AKT-3874

Which of the following accurately defines the responsibilities of Caldicott guardians?

AKT-3859

A 65-year-old woman comes to the GP complaining of urge incontinence. She frequently feels the need to use the restroom but often doesn’t make it in time and has started wearing incontinence pads during the day. She has a medical history of hypertension and takes ramipril 5 mg daily. She doesn’t drink much water but consumes around 10 cups of tea and coffee per day. What is the best treatment option for her?

AKT-3875

A 21 year old vegan patient presents at 10 weeks gestation. She has a history of febrile seizures and anxiety but is not on any regular medications. She is seeking advice on whether she should take any vitamin supplements during her pregnancy. What is the most appropriate recommendation?

AKT-3860

A 42-year-old woman presents to your clinic seeking advice on how to manage her urge incontinence.

What is the initial management strategy for women with urge or mixed urinary incontinence?