A 27-year-old woman who is 3 weeks postpartum seeks your advice on contraception. She wants to know when she can have an intrauterine device (IUD) inserted. She had a caesarean section due to failure to progress during labor. What would be your recommended course of action?
AKT-4000
A 27-year-old female patient comes to you with a query about the Mirena® coil she had inserted during her travels in Australia. She wants to know the duration for which it is licensed.
How long is the IUS licensed for in this case?
AKT-3980
A 28 year-old woman comes to the clinic with complaints of persistent itching. She has a past medical history of eczema and uses emollients regularly, but to no avail. She is currently 20 weeks pregnant. During the physical examination, there are signs of excoriation on her hands, but no apparent visible dermatitis. What is the most crucial test to request?
AKT-3981
Olivia is 36 years old and visits you to discuss contraception options. She is currently using condoms and doesn’t want to risk pregnancy. She smokes 8 cigarettes a day, has a body mass index of 27 kg/m², and her blood pressure is 115/62 mmHg. She has no personal or family history of blood clots, ischaemic heart disease, strokes or migraines. Olivia has a regular 28-day menstrual cycle and is on day 4 of her cycle. She wants to start contraception immediately and you decide to prescribe a progesterone only pill. Which of the following statements is true?
AKT-3982
Which one of the following statements regarding the management of elderly, non-sensitised Rhesus negative women is inaccurate?
AKT-3984
A 32-year-old woman visits her doctor after missing her desogestrel contraceptive pill (progestogen only) this morning and is uncertain about what to do. She typically takes the pill at approximately 0900, and it is now 1430. What guidance should be provided?
AKT-3985
A 30-year-old woman who is 7 weeks pregnant is taking 25 mg of sertraline daily for depression. She wants to know more about the potential risks to her baby. What is the accurate statement regarding the use of sertraline during pregnancy?
AKT-3986
A 29-year-old woman who is known to be HIV positive presents following a positive pregnancy test. Her last menstrual period was 6 weeks ago. The last CD4 count was 420 * 106/l and she doesn’t take any antiretroviral therapy. What is the most appropriate management with regards to antiretroviral therapy?
AKT-3987
A 35-year-old woman comes to the clinic with her worried partner. She has been exhibiting erratic behavior and mood swings since giving birth to their daughter 10 days ago. During the appointment, she seems restless and agitated.
According to her partner, she has been avoiding sleep due to her fear that something terrible might happen to their baby. The woman has a history of depression but has not taken her fluoxetine medication for the past 6 months due to concerns about potential complications.
What is the best course of action for managing this situation?
AKT-3988
A 25-year-old woman who recently immigrated from Malawi comes in for a check-up suspecting she may be pregnant. After a positive pregnancy test, it is revealed that she is HIV positive. What aspect of her management plan should be excluded to ensure the best possible outcome?