A 32-year-old woman comes to the clinic after receiving a positive pregnancy test. She is currently 8 weeks pregnant and this is her second pregnancy. During her first pregnancy, she had gestational diabetes. She has no medical conditions and no family history of diabetes or hypertension. Her BMI is 23 kg/m². As per the current NICE guidelines, what investigation should be arranged in primary care?
A 27-year-old pregnant woman has been diagnosed with gestational diabetes at 20 weeks gestation. What potential complication is she more likely to experience?
A 26-year-old woman visits her GP due to vaginal bleeding. She is currently 6 weeks pregnant and denies experiencing any abdominal pain, dizziness, or shoulder tip pain. She reports passing less than a teaspoon amount of blood without any clots. The patient has no history of ectopic pregnancy. Upon examination, her blood pressure is 130/80 mmHg, heart rate is 85 beats per minute, and her abdomen is soft and non-tender. What is the next recommended management step based on the current NICE CKS guidelines?
A 30-year-old woman presents to your clinic seeking advice on contraception. She has a BMI of 31 kg/m2, having lost a significant amount of weight after undergoing gastric sleeve surgery a year ago. She is a non-smoker and has never been pregnant. Her blood pressure is 119/78 mmHg.
The patient is interested in long-acting reversible contraceptives but doesn’t want a coil. She also wants a contraceptive that can be discontinued quickly if she decides to start a family.
What is the most suitable contraceptive option for this patient?
A 43-year-old woman comes to the clinic seeking guidance on contraception. She has entered a new relationship but is uncertain if she needs contraception due to her suspicion of being in menopause. She is currently experiencing hot flashes and has not had a period in 9 months. What is the best course of action to recommend?
A 35-year-old overweight woman comes to the surgery seeking guidance on birth control. Her BMI is 38 kg/m^2. What is the appropriate prescription for her?
You are assessing a 32-year-old woman who has recently given birth. She has a lengthy medical history of rheumatoid arthritis but did not take any disease-modifying medications during pregnancy as her symptoms were well managed. Regrettably, she has experienced a flare-up of her symptoms after giving birth. Laboratory tests reveal the following results:
– CRP 35 mg/L
Her infant is currently 3 weeks old, and she is currently breastfeeding. She is curious if she can resume taking methotrexate. What is the current guidance provided in the British National Formulary (BNF)?
Emma is a 28-year-old woman who comes to see you for a follow-up visit. You initially saw her 2 months ago for low mood and referred her for counselling. She states she is still feeling low and her feelings of anxiety are worsening. She is keen to try medication to help.
Emma has a 5-month-old baby and is breastfeeding.
Which of the following is the most appropriate medication for Emma to commence?
A 28-year-old woman contacts the clinic seeking guidance. She has missed taking her Cerazette contraceptive pill yesterday. Based on your calculation, it has been approximately 48 hours since she last took a Cerazette pill. She is typically diligent in taking her pills and has not missed any other pills in the last half-year. Her last sexual activity was eight days ago. What is the best advice to provide her?
A woman who is 16 weeks pregnant presents as she came into contact with a child who has Chickenpox around 4 days ago. She is unsure if she had the condition herself as a child. Blood tests show the following:
Varicella IgM Negative
Varicella IgG Negative
What is the most appropriate management?