Archives: MRCGP AKT

AKT-3875

A 21 year old vegan patient presents at 10 weeks gestation. She has a history of febrile seizures and anxiety but is not on any regular medications. She is seeking advice on whether she should take any vitamin supplements during her pregnancy. What is the most appropriate recommendation?

AKT-3876

A 20-year-old female comes in for a follow-up appointment. She had a Nexplanon implanted six months ago but has been experiencing light spotting on approximately 50% of days. Her medical history includes a first trimester abortion two years ago, but otherwise, she has no significant medical issues. A vaginal examination reveals no abnormalities, and she recently tested negative for sexually transmitted infections. What is the best course of action to take?

AKT-3877

A 25-year-old woman is interested in beginning the combined oral contraceptive pill (COCP) but is concerned about the potential risk of breast cancer due to her maternal grandmother’s diagnosis in her 60s. What UK Medical Eligibility Criteria (UKMEC) should be considered for her?

AKT-3846

Which fetal anomaly screening tests are included in the standard antenatal screening program provided by the NHS for women in the UK?

AKT-3852

A 28-year-old woman presents to your clinic seeking emergency contraception after having unprotected sex the day before. She expresses her reluctance to use intrauterine methods and is prescribed Levonelle. Additionally, she is interested in starting a combined contraceptive pill.

What advice would you give regarding the need for supplementary contraception when initiating a combined contraceptive pill?

AKT-3853

A 32-year-old female attends surgery requesting a sterilisation because she has completed her family.

You discuss the advantages and disadvantages of the procedure with her fully.

Which of the following pieces of information would you give?

AKT-3854

A 35-year-old female presents for preconception counseling. She was recently released from the Gynaecology department after receiving one dose of methotrexate for the medical management of an ectopic pregnancy. She presents you with a discharge letter indicating that her ßHCG level is now undetectable. She is interested in conceiving again and wants to know when it is safe to do so.

AKT-3855

You are examining a 48-year-old female patient with breast cancer that is positive for oestrogen receptors. The patient has been prescribed a daily dose of 20 mg of tamoxifen. What is the most frequent adverse effect of tamoxifen?

AKT-3856

A 26-year-old lady presented 48hrs ago with a tender swelling in her left breast. She was prescribed flucloxacillin but her symptoms have failed to settle. She had been Breastfeeding her baby for three weeks and was well until four days prior to being seen when she noted a painful swelling developing.

On examination there was a tender, erythematous, warm area in the left breast. She has been fully compliant with her medication and an alternative diagnosis appears unlikely on clinical grounds.

What is the appropriate management for this patient?