AKT-3853
A 32-year-old female attends surgery requesting a sterilisation because she has completed her family.
You discuss the advantages and disadvantages of the procedure with her fully.
Which of the following pieces of information would you give?
MRCGP AKT Category: Maternity And Reproductive Health
AKT-3854
A 35-year-old female presents for preconception counseling. She was recently released from the Gynaecology department after receiving one dose of methotrexate for the medical management of an ectopic pregnancy. She presents you with a discharge letter indicating that her ßHCG level is now undetectable. She is interested in conceiving again and wants to know when it is safe to do so.
AKT-3855
You are examining a 48-year-old female patient with breast cancer that is positive for oestrogen receptors. The patient has been prescribed a daily dose of 20 mg of tamoxifen. What is the most frequent adverse effect of tamoxifen?
AKT-3840
A 25-year-old woman is in the third week of her cycle (day 18) and calls the surgery on the Monday morning after a weekend away with her boyfriend to say that she has missed three of her combined oral contraceptive pills.
Which of the following is the most appropriate advice for her?
AKT-3856
A 26-year-old lady presented 48hrs ago with a tender swelling in her left breast. She was prescribed flucloxacillin but her symptoms have failed to settle. She had been Breastfeeding her baby for three weeks and was well until four days prior to being seen when she noted a painful swelling developing.
On examination there was a tender, erythematous, warm area in the left breast. She has been fully compliant with her medication and an alternative diagnosis appears unlikely on clinical grounds.
What is the appropriate management for this patient?
AKT-3841
A 28-year-old woman who is taking the 20 microgram ethinyloestrodiol combined pill contacts the clinic to report that she has missed a dose. She is currently on day 10 of her pack and it has been 24 hours since she was supposed to take her previous day’s pill. What is the most suitable guidance to give her?
AKT-3857
A 25-year-old female presents 16 weeks into her pregnancy with a vaginal discharge. Further investigation confirms infection with Chlamydia trachomatis.
Which of the following is the most appropriate treatment for this patient?
AKT-3842
A 35-year-old woman is seen for review. She was recently affected by a complete molar pregnancy.
She wants to discuss when she can consider trying to become pregnant again.
Which of the following is the most appropriate advice?
AKT-3843
What are the blood tests that women in the UK receive as part of their routine antenatal screening program?
AKT-3844
A 28-year-old female is six weeks pregnant. She has had some vaginal bleeding and RIF pain.
On examination she is pyrexial 37.6°C and tender in the RIF, her urine contains blood ++ and protein +. Her past history includes pelvic inflammatory disease (PID), a miscarriage and two terminations. Her urine pregnancy test is still positive.
What is the most suitable next step in her management?