AKT-4085
A woman in her third trimester is seeking guidance on air travel. What is the maximum time during her pregnancy that she can fly, assuming there are no complications and the estimated delivery date remains unchanged?
Archives: MRCGP AKT
AKT-4083
An infant is born with an open spina bifida despite adequate folate intake by the mother during her concealed pregnancy. The mother was a psychiatric inpatient for several months with an episode of acute mania.
Which of the following drugs is most likely to be associated with this teratogenic effect?
AKT-4080
A 27-year-old female has been experiencing headaches for a while. She reports having 2-3 headaches per month over the past few months, each lasting for 2-3 days. The headaches are usually pulsating and on one side. She is generally healthy, active, and takes the mini-pill for birth control. She lives with her partner and works as a teacher in a primary school.
Which of the following treatment options is not recommended for this patient?
AKT-4088
Nine therapists gather to discuss challenging clients in a casual setting. Each takes a turn to share their difficulties in working with the client. Afterwards, the group engages in a discussion about various aspects of the therapist-client relationship.
Which one of the following does this best describe?
AKT-4087
A 26-year-old man is prescribed a prolonged course of oral prednisolone for a flare-up of ulcerative colitis. What is the most commonly associated side effect of extended use of corticosteroids?
AKT-4089
A 27-year-old receptionist has been absent from work for 4 weeks due to depression caused by multiple miscarriages. She is not ready to return to work and asks her doctor to extend her sick leave. What is the maximum duration that her doctor can sign her off for?
AKT-4090
A 50-year-old man is being seen in the psychiatric clinic after being referred by his GP who has been struggling to manage his depression. The patient has a medical history of hypertension, high cholesterol, and depression, as well as a previous acute coronary syndrome one year ago. He reports that his mood has deteriorated and he is experiencing persistent suicidal thoughts. He denies any cognitive impairment, difficulty concentrating, or sleep disturbances. What guidance should be provided regarding his ability to drive?
AKT-4091
You receive notification from your local hospital that a 23-year-old patient registered at your practice has passed away after jumping from the top floor of his apartment block. This patient was known to be suffering from depression and had spent some time at an inpatient mental health unit last year.
At what point in his history would it be necessary to refer this patient to the coroner?
AKT-4065
A 25-year-old woman who is 16 weeks pregnant complains of a foul-smelling vaginal discharge. Apart from this, she has been in good health. Despite washing twice a day, the discharge has persisted and is causing her considerable embarrassment. Her partner is asymptomatic. What course of treatment would you suggest?
AKT-4072
A new mother delivered a baby with ambiguous genitalia. She mentioned that she and her spouse have a family history of sex hormone disorders, but neither of them have been impacted. What is the probable cause of hormone disorder in this case, considering the diagnosis of 5 alpha-reductase syndrome?