AKT-3960
As per the latest NICE guidelines, which of the following tests should not be routinely offered to women during the initial antenatal care visit?
Archives: MRCGP AKT
AKT-3961
What are the current antenatal screening tests recommended for Down’s syndrome in the UK for pregnant women?
AKT-3962
A 19-year-old female visits her doctor after missing one of her Microgynon 30 pills yesterday morning. She has been taking Microgynon for the last 2 years and is currently on day 4 of her pill packet. She had sexual intercourse the previous night and is uncertain about the next steps. She took yesterday’s pill and today’s pill this morning. What is the appropriate course of action?
AKT-3963
You are having a conversation about contraception with a 25-year-old patient via phone. She had the new Kyleena® intrauterine system (IUS) inserted yesterday at the local family planning clinic. She is not using any other form of contraception. Her menstrual cycle began 5 days ago.
She is curious to know if she requires additional contraception and for how long?
AKT-3964
A 28-year-old woman presents to your clinic at 36 weeks of pregnancy with complaints of severe itching all over her body that is causing her sleepless nights. She reports experiencing a mild stomach bug, which has resulted in abdominal pain and loss of appetite. During the examination, you notice excoriation marks due to her constant scratching. What would be the most suitable course of action to manage her condition?
AKT-3968
A 28-year-old transgender woman presents to your clinic seeking advice on contraception. He is in a committed relationship with a male partner and engages in vaginal intercourse. He is currently receiving testosterone therapy and has not undergone any surgical procedures. He has no history of cardiac issues, breast cancer, blood clots, or stroke, and doesn’t suffer from migraines. There is no significant family medical history. His BMI is 22 kg/m2, and his blood pressure is 134/75 mmHg.
What is the most appropriate recommendation for this patient regarding contraception?
AKT-3969
You see a 35-year-old patient who had a baby 10 weeks ago. She is feeling tearful and anxious most days and has been struggling with low mood for 6 weeks. She is extremely tired and is finding it difficult to leave the house to do anything, doesn’t find pleasure in anything at the moment. The baby is growing well but she says she is struggling to bond with the baby. She is able to take care of the baby and doesn’t feel she would ever harm him. She has never experienced low mood before and is otherwise healthy.
Discuss postnatal depression with the patient and develop a treatment plan.
Which statement below regarding postnatal depression is accurate?
AKT-3970
A 35-year-old woman who is 32 weeks pregnant with her first baby comes to the clinic complaining of a headache. Upon neurological examination, no abnormalities are found. Her blood pressure reads 152/93 mmHg. A urine dip test shows proteinuria but no signs of infection.
What is the next best course of action for managing this patient?
AKT-3971
Which of the following statements about managing a pregnancy in a woman who is Rh-negative is accurate?
AKT-3972
You admit a woman who is 32 weeks pregnant to the obstetric ward. She has been monitored for the past few weeks due to pregnancy-induced hypertension but has now developed proteinuria. Her blood pressure is 160/92 mmHg. What antihypertensive medication is most likely to be prescribed for her?