AKT-4014
Which of the following anti-epileptic medications poses the highest risk of neurodevelopmental delay when taken by expectant mothers?
Archives: MRCGP AKT
AKT-4006
A 42-year-old woman presents to you seeking advice on contraception. She is experiencing heavier and more painful periods, despite them still being regular. She has expressed interest in learning more about the levonorgestrel intrauterine system (LNG-IUS).
What is the accurate statement regarding the LNG-IUS and this patient?
AKT-4008
A 28-year-old woman comes in for a consultation regarding contraception after giving birth to her son via emergency caesarean section 3 weeks ago. She is eager to start contraception as soon as possible.
She is currently breastfeeding and supplementing with formula at night. She has previously used the combined oral contraceptive pill (COCP) without any issues and is willing to resume it.
What is the most suitable initial contraception option for this patient?
AKT-4019
A 25-year-old woman had blood tests taken at her 12-week booking appointment with the midwife. This is her first pregnancy and she has no significant medical history. The results of her full blood count (FBC) are as follows:
– Hb: 110 g/L
– Platelets: 340 10^9/L
– WBC: 7.2 10^9/L
What would be the most appropriate course of action based on these findings?
AKT-4021
A 32-year-old woman is 28 weeks pregnant and has had an uncomplicated pregnancy thus far. During her midwife appointment, glucose was detected in her urine and her fasting plasma glucose level was measured, resulting in 7.2mmol/L. What should be the next course of action in managing her condition?
AKT-4020
A 29-year-old, Afro-Caribbean woman was offered an oral glucose tolerance test (OGTT) to screen for gestational diabetes at 24 weeks gestation. She contacts you to discuss the outcome of her OGTT exam.
What result indicates a diagnosis in accordance with NICE recommendations?
AKT-4013
You receive a call from a 27-year-old woman who is 8-weeks pregnant with twins. Last week she had severe nausea and vomiting despite a combination of oral cyclizine and promethazine. She continued to vomit and was admitted to the hospital briefly where she was started on metoclopramide and ondansetron which helped control her symptoms.
Today she tells you she read a pregnancy forum article warning about ondansetron use in pregnancy. She is worried and wants advice if she should continue taking it.
How would you counsel this woman on the risks of ondansetron use during pregnancy?
AKT-4010
A 19-year-old female seeks guidance as she has missed taking her Microgynon 30 pills during a weekend trip. She usually remembers to take her pill but has missed days 10, 11, and 12 of her packet, and it is now day 13. Despite taking the day 13 pill this morning, she is worried about the possibility of pregnancy as she had unprotected sex while away. What is the best course of action to take?
AKT-4016
Which one of the following drugs is safe for lactating mothers to use?
AKT-4018
A 22-year-old woman comes to the clinic seeking advice on delaying her menstrual cycle for a week during her upcoming travels. She doesn’t smoke, has no risk factors for venous thromboembolism, and has no history of heart disease or breast cancer. She is currently using only barrier contraception.
What would be the most suitable course of action for management?