AKT-4035
A 28-year-old woman is 32 weeks pregnant. She visits surgery with worries about reduced fetal movement. You decide to refer her to the maternal health unit.
What would be the most suitable initial investigation to perform?
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AKT-4034
A 27-year-old Indian woman contacts her doctor for guidance. She is currently 12 weeks pregnant and was in close proximity to her nephew who has been diagnosed with Chickenpox. The patient spent a few hours with her nephew and had physical contact such as hugging. The patient reports feeling fine and has no noticeable symptoms. She is unsure if she has had Chickenpox before.
What is the best course of action in this scenario?
AKT-4032
Samantha is a 35-year-old G1P1 woman who is six months postpartum. She visits her doctor complaining of fatigue, weight gain, cold intolerance, and constipation. The doctor suspects postpartum thyroiditis as the probable diagnosis.
Which investigation(s) are required to confirm this diagnosis definitively?
AKT-4029
What is the most probable cause of menorrhagia?
AKT-4039
A 28-year-old woman has taken Ellaone (ulipristal) as emergency contraception within 96 hours of unprotected sex. After consulting with you, her GP, she has decided to begin taking the combined contraceptive pill. What guidance do you provide her regarding commencing the combined contraceptive pill following the use of Ellaone?
AKT-4038
A breastfeeding mother brings in her three-month-old infant who has been experiencing some burning pain in both nipples during feeds and for up to an hour after. She also reports some itching and sensitivity in her nipples. The baby is growing well and there are no other concerns. During examination, the mother’s breasts and nipples appear normal, but the infant has white patches on their tongue. What is the recommended initial treatment?
AKT-4036
A 32-year-old woman with polycystic ovarian syndrome presents to you with concerns about her fertility. She has a history of oligomenorrhea and discontinued her use of combined oral contraceptive pills six months ago, but is still experiencing irregular periods. Her BMI is 28 kg/m^2. In addition to recommending weight loss, what is the most effective intervention to improve her chances of becoming pregnant?
AKT-4023
A 29 year old woman with no pre-existing medical conditions has discovered that she is expecting her first child. She has been purchasing pricey pregnancy supplements from the pharmacy and wonders if they are truly essential. What are the daily supplements recommended by the NHS for all pregnant women (without any additional risk factors)?
AKT-4030
A 35-year-old woman presents to your clinic after discovering she is pregnant. She requests a referral to the hospital for her booking appointment. During the consultation, you inquire about her obstetric history. She reports having one child who is now 5 years old. Additionally, she has experienced two miscarriages, one at 8 weeks and another at 14 weeks. At the age of 18, she underwent a termination of pregnancy at 10 weeks.
How would you document her gravidity and parity in the antenatal referral?
AKT-4017
A 25-year-old woman comes in seeking to switch from her current Microgynon 30 COC to another option due to experiencing mood swings. The decision is made to start her on Marvelon. What guidance should be provided regarding transitioning to a new COC?