Archives: MRCGP AKT

AKT-3904

Linda is a 35-year-old woman who is 19 weeks pregnant. She presents to the emergency department with a 2 day history of sharp abdominal pain. There is no vaginal bleeding. She also has a low grade fever of 37.8 ºC. Her pregnancy until now has been unremarkable.

On examination, she is haemodynamically stable, but there is tenderness on palpation of the right lower quadrant of her abdomen. Fetal heart rate was normal. An ultrasound scan was performed which showed a singleton pregnancy, and multiple large fibroids in the uterus. The ovaries appear normal and there was no appendix inflammation.

What is the most likely cause of Linda’s symptoms?

AKT-3905

A 30-year-old woman delivered a healthy baby two weeks ago without any known complications. She is curious about iron supplementation and has undergone blood tests. The results show that her Hb level is 107 g/L, which is below the normal range for females (115-160 g/L). What is the appropriate Hb cut-off point to initiate treatment for this patient?

AKT-3906

Olive is 12 weeks pregnant. She has been engaging in unprotected sexual activity with multiple partners for the past 6 months and is concerned about the potential impact of a sexually transmitted infection on her unborn child. Which of the following STIs is typically included in the antenatal screening program in the UK?

AKT-3907

You are contemplating recommending ulipristal (EllaOne) for a female who has come in seeking emergency contraception. What is the timeframe for using ulipristal after unprotected sexual intercourse?

AKT-3908

A 21-year-old patient who began taking desogestrel 50 hours ago reaches out to you to report that she took her second dose of medication 15 hours late yesterday and engaged in unprotected sexual activity on the same day.

What would be the correct course of action to take in this situation?

AKT-3909

A 20-year-old female is prescribed a 7 day course of amoxicillin for a lower respiratory tract infection. She is currently taking Cerazette (desogestrel). What advice should be given regarding contraception?

AKT-3910

Sophie is 25 years old and has come to you seeking contraception. She is currently using condoms and doesn’t believe she is at risk of pregnancy. She smokes 4 cigarettes a day, has a body mass index of 22 kg/m², and a blood pressure of 120/65 mmHg. She has no personal or family history of blood clots, heart disease, strokes, or migraines. Sophie has a regular 30-day menstrual cycle and is on day 3 of her cycle. She wants to start contraception immediately and you decide to prescribe Yasmin. Which of the following statements is true?

AKT-3911

A 21-year-old woman presents herself for consultation a day after being discharged from the hospital following a termination of pregnancy at 16 weeks. Despite discussing long-acting reversible contraceptives, she expresses her eagerness to commence the combined oral contraceptive (COC) pill. What is the best course of action in this scenario?

AKT-3912

A 32-year-old man comes to your GP clinic seeking advice on infertility. He and his partner have been attempting to conceive for 2 years. He is in good health and doesn’t take any regular medications. He is a non-smoker and has a BMI of 24 kg/m2. There is no history of testicular torsion or sexually transmitted infections. His blood pressure and genital examination are normal. His partner has consulted her GP, who is arranging some blood tests for her.

What investigations should be conducted for this man?

AKT-3913

A 27-year-old patient visits you on a Wednesday morning after having unprotected sex on Saturday. She is worried about the possibility of an unintended pregnancy and wants to know the most effective method to prevent it. Her last menstrual cycle was two weeks ago.

What would be the best course of action?