AKT-3830
A 16-year-old primigravida reports experiencing constipation and arthralgia during her 28th week of pregnancy. Several biochemical tests are conducted, but which one holds clinical significance?
Archives: MRCGP AKT
AKT-3831
A 25-year-old woman presents with secondary amenorrhoea and galactorrhoea.
What is the most appropriate first investigation to perform?
AKT-3832
What were the primary care lessons highlighted in the Confidential Enquiry into Maternal Deaths 2018 report?
AKT-3833
A 32-year-old woman is seen for review with her baby six weeks postpartum. She is using the lactational amenorrheoic method (LAM) for contraception.
Which of the following should she be advised may increase her risk of pregnancy?
AKT-3834
A 27-year-old female who is approximately 5 weeks pregnant presents to her GP. She reports a two-day history of scanty brownish discharge that resembled old blood; the bleeding has since stopped. She describes no associated abdominal or pelvic pain, has had no syncopal symptoms and no shoulder tip pain. She otherwise feels well.
On examination, she is haemodynamically stable, there is no abdominal or pelvic tenderness. Urine βHCG is positive.
As per NICE guidelines, what is the most appropriate course of action?
AKT-3835
A 28-year-old woman presents with classic signs of a lower urinary tract infection that developed after having sex with a new partner.
What is the most suitable course of action for this patient?
AKT-3836
A 20-year-old girl presents at the antenatal clinic.
She is approximately six weeks pregnant and the pregnancy was unplanned. She has a two year history of grand mal epilepsy for which she takes carbamazepine. She has had no fits for approximately six months. She wants to continue with her pregnancy if it is safe to do so.
She is worried about the anticonvulsant therapy and its effects on the baby. She asks how she should be managed.
Which of the following management plans is the most appropriate in this case?
AKT-3837
A female patient in her 40s is expressing deep concern about her lack of sexual desire over the last half year.
When evaluating diminished libido in women, what is accurate to consider?
AKT-3838
A 28-year-old female presents with a six month history of heavy menstrual flow for which she has used at least 12 sanitary towels daily.
She has had generally heavy periods but has found that her condition has deteriorated in the last six months.
Which of the following therapies would be your next step in managing this patient?
AKT-3839
You see a 30-year-old woman in surgery.
She has had three miscarriages in the last 18 months and has been told she has antiphospholipid syndrome. She says she was told that she would need treatment early in any future pregnancy and she has now had a positive pregnancy test.
What is the treatment for antiphospholipid syndrome in pregnancy?