AKT-3847
A 31-year-old female who is 22 weeks pregnant is found to have a blood pressure of 150/90 mmHg on three separate occasions. Urine protein is negative.
Which of the following would be the initial treatment option?
Archives: MRCGP AKT
AKT-3848
At booking, which women should be offered an oral glucose tolerance test at 24-28 weeks due to their risk of gestational diabetes?
AKT-3849
A 32-year-old female presents to the clinic with a complaint of amenorrhea for the past eight months. She reports weight gain and decreased libido during this time and has noticed milk production from her breasts. Her last sexual encounter was about seven months ago. On examination, vital signs are normal, and there are no abnormalities on abdominal examination. Galactorrhea is confirmed on expression. What is the probable underlying diagnosis?
AKT-3850
A 21-year-old woman presents requesting a repeat prescription of the combined oral contraceptive pill (COC).
Which of these statements is true about the COC?
AKT-3851
A 28-year-old woman presents to you seeking contraception. She is eager to begin immediately as she has no desire to conceive. Her last instance of unprotected sexual intercourse was five days ago. She has a history of migraines with aura. After assessment, you determine that the progesterone-only pill would be the most suitable option. What guidance should you provide regarding the commencement of her pill?
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?