AKT-3950
A 52-year-old woman complains of bothersome hot flashes and night sweats. She had her last menstrual period 10 months ago and has no significant medical history. Which of the following treatment options is not recommended for her symptoms?
Archives: MRCGP AKT
AKT-3951
A 29-year-old woman with polycystic ovarian syndrome presents with concerns about excessive facial hair growth. Despite switching to co-cyprindiol, there has been no improvement. Upon examination, hirsutism is noted on her moustache, beard, and temple areas. What is the best course of treatment?
AKT-3952
A 32 year old woman who is 15 days postpartum visits your clinic complaining of feeling feverish and hot for the past 3 days. She reports having a painful, swollen, and red right breast. During examination, her temperature is 37.8 degrees, and there is firmness and erythema in the upper quadrant of the right breast. Based on the diagnosis of puerperal mastitis, what is the most appropriate advice to provide her?
AKT-3953
The practice nurse seeks your guidance on how to manage 23-year-old Sarah, who is 29 weeks pregnant and has come for routine vaccinations. She reports experiencing ankle swelling and her blood pressure has increased from 117/74 mmHg at booking to 143/91 mmHg today. A urine dipstick test has revealed 1+ protein, – leukocytes, and – nitrites. What would be the best course of action to take?
AKT-3954
Which one of the following statements regarding uterine fibroids is incorrect?
AKT-3955
A 28-year-old woman visits her GP with concerns about feeling anxious after giving birth to her daughter last week. Despite her usual loss of appetite when anxious, she reports eating well. While she was excited about her daughter’s arrival during pregnancy, she now experiences frequent unhappiness and irritability. She expresses worry about motherhood and a lack of enthusiasm for it.
What is the optimal approach to managing this patient?
AKT-3956
Samantha is a 28-year-old woman who recently gave birth to a baby girl and wants to discuss contraception options. She used to take the combined pill but prefers not to use any form of contraception if possible. She is not currently breastfeeding. What is the duration after childbirth when she no longer needs contraception?
AKT-3957
You are reviewing a 4-week old baby girl who is brought in by her parents. Lily was born vaginally at term at the local hospital. She became unwell straight after birth and was treated for neonatal sepsis in the neonatal intensive care unit. Thankfully, she recovered well and was discharged after 7 days.
What is the most common cause of sepsis in newborns?
AKT-3940
A 35-year-old woman with a significant family history of diabetes is currently 30 weeks pregnant in her first pregnancy.
Upon completing the oral glucose tolerance test, she has been diagnosed with gestational diabetes, with a fasting glucose level of 7.3mmol/L and a 2-hour glucose level of 9.2mmol/L.
What would be the most suitable course of action for managing this situation?
AKT-3941
A 22-year-old female patient visits the surgery seeking advice on contraception. She has a medical history of epilepsy, which is under control with carbamazepine. The patient is a non-smoker with a body mass index of 24 kg/m². There is no personal or family history of venous thromboembolism or migraine.
Based on the UKMEC guidelines, what is the most suitable contraceptive option for this patient?