AKT-4064
A 28-year-old woman with a history of hypothyroidism and antiphospholipid syndrome is expecting a baby. What should she avoid during pregnancy?
Archives: MRCGP AKT
AKT-4071
A 35-year-old woman comes to the clinic complaining of a malodorous vaginal discharge that is white in color. She reports no associated itch or dyspareunia. The healthcare provider suspects bacterial vaginosis. Which organism is most likely responsible for this presentation?
AKT-4070
Which of the following is the least commonly associated with antiphospholipid syndrome during pregnancy?
AKT-4073
You are reviewing the recent results for a 23-year-old patient in your general practice. A vaginal swab has come back positive for Chlamydia trachomatis. The patient has a history of asthma and is allergic to penicillin. She is currently 12 weeks pregnant. You have contacted the genitourinary clinic for contact tracing and treatment for her partner. What is the most suitable prescription for her treatment?
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?
AKT-4044
A 47-year-old woman seeks guidance regarding contraception options while experiencing perimenopausal symptoms. She and her partner are currently using condoms, which is satisfactory for them. Her last menstrual cycle occurred approximately 10 months ago. What advice should be given?
AKT-4045
You have a telephone consultation with a 28-year-old female who wants to start trying to conceive. She has a history of epilepsy and takes levetiracetam 250 mg twice daily.
Which of the following would be most important to advise?
AKT-4050
A 30-year-old Bangladeshi woman who is 22-weeks pregnant presents to your clinic. She is currently carrying a twin pregnancy without any complications and her pregnancy is progressing smoothly. She has no other medical issues. The patient is planning to travel to Bangladesh to visit her family and seeks advice on the matter.
What would be the most suitable recommendation to provide to the patient?
AKT-4049
A 27-year-old woman presents to the GP clinic with complaints of abdominal pain. She missed her last menstrual period and had unprotected sexual intercourse 8 weeks ago. She denies any vaginal discharge or bleeding and has no urinary symptoms.
During the examination, her abdomen is soft, but there is mild tenderness in the suprapubic region. Her heart rate is 72 beats per minute, blood pressure is 118/78 mmHg, and she has no fever. A pregnancy test is performed, and it comes back positive.
As per the current NICE CKS guidelines, what would be the most appropriate next step in management?
AKT-4047
A 20-year-old woman presents 72 hours after unprotected sexual intercourse (UPSI) and requests emergency contraception (EC). Her last menstrual period finished 3 days ago. She has no significant past medical history and takes no regular medications.
Her blood pressure is 118/72 mmHg and her BMI is 23 kg/m2.
After discussing her emergency contraception options she opts to have levonorgestrel (Plan B). She also now wants to take regular contraception in the form of a combined oral contraceptive pill (COCP) and would like to know when she can start taking it.
What is the most appropriate advice to give?