MRCGP AKT Category: Maternity And Reproductive Health

AKT-3846

Which fetal anomaly screening tests are included in the standard antenatal screening program provided by the NHS for women in the UK?

AKT-3847

A 31-year-old female who is 22 weeks pregnant is found to have a blood pressure of 150/90 mmHg on three separate occasions. Urine protein is negative.

Which of the following would be the initial treatment option?

AKT-3848

At booking, which women should be offered an oral glucose tolerance test at 24-28 weeks due to their risk of gestational diabetes?

AKT-3849

A 32-year-old female presents to the clinic with a complaint of amenorrhea for the past eight months. She reports weight gain and decreased libido during this time and has noticed milk production from her breasts. Her last sexual encounter was about seven months ago. On examination, vital signs are normal, and there are no abnormalities on abdominal examination. Galactorrhea is confirmed on expression. What is the probable underlying diagnosis?

AKT-3850

A 21-year-old woman presents requesting a repeat prescription of the combined oral contraceptive pill (COC).

Which of these statements is true about the COC?

AKT-3851

A 28-year-old woman presents to you seeking contraception. She is eager to begin immediately as she has no desire to conceive. Her last instance of unprotected sexual intercourse was five days ago. She has a history of migraines with aura. After assessment, you determine that the progesterone-only pill would be the most suitable option. What guidance should you provide regarding the commencement of her pill?

AKT-3836

A 20-year-old girl presents at the antenatal clinic.
She is approximately six weeks pregnant and the pregnancy was unplanned. She has a two year history of grand mal epilepsy for which she takes carbamazepine. She has had no fits for approximately six months. She wants to continue with her pregnancy if it is safe to do so.
She is worried about the anticonvulsant therapy and its effects on the baby. She asks how she should be managed.
Which of the following management plans is the most appropriate in this case?

AKT-3837

A female patient in her 40s is expressing deep concern about her lack of sexual desire over the last half year.

When evaluating diminished libido in women, what is accurate to consider?

AKT-3822

A female patient who is 36 weeks pregnant is seen feeling generally unwell. She has been vomiting and is complaining of right upper quadrant pain. Her blood pressure is 144/94 and urinalysis shows 2+ protein. Urgent blood tests are as follows.

Full blood count (FBC):
Haemoglobin 103 g/L (115-160)
White cell count 10.9 ×109L (4-11)
Platelets 78 ×109L (150-400)

Renal function:
Serum sodium +140 mmol/L (135-146)
Serum potassium +4.4 mmol/L (3.5-5.0)
Urea 6.4 mmol/L (3-7)
Creatinine 86 µmol/L (79-118)

Liver function:
Bilirubin 38 µmol/L (0-18)
Alanine aminotransferase 158 U/L (5-40)
Serum alkaline phosphatase 280 U/L (35-100)
Serum amylase 60 U/L (<160)
Serum lactate dehydrogenase 620 U/L (95-195)

What is the most likely diagnosis?