Archives: MRCGP AKT

AKT-3812

What is the association between smoking during pregnancy and which outcome?

AKT-3813

A woman is seen six months postpartum. She is breastfeeding her baby. She has had unprotected sexual intercourse and requires emergency contraception. After discussing the options she is prescribed levonorgestrel.
Which of the following is the correct advice to give with regards the feeding of her baby?

AKT-3814

A 27-year-old lady calls for telephone advice. She is 20 days postpartum and had unprotected sexual intercourse 72 hours ago. She has no significant medical history and doesn’t take any regular medication. She is bottle-feeding her baby. She is uncertain if there is a possibility of pregnancy and if emergency contraception is necessary.

Which of the following would be the most suitable recommendation to provide in this situation?

AKT-3815

You are requested by the community midwives to assess a 26-year-old woman who was discharged four days ago following the delivery of her first child via caesarean section. The infant is healthy. During the examination, she complains of diffuse tenderness in her abdomen, especially around her caesarean scar. She has a fever of 38.1°C and is experiencing a bloody discharge per vaginum, which has a notably strong odour.
What is the most significant risk factor associated with postpartum infection?

AKT-3816

A 25-year-old patient with complex partial seizures controlled with carbamazepine is 32 weeks pregnant.

She has not had a seizure throughout pregnancy. She expresses a wish to breastfeed, but is concerned that the carbamazepine may affect her child.

What advice should be given to her?

AKT-3817

A 30-year-old woman has had four previous live births.

Twenty weeks into her fifth pregnancy she presents with diffuse lower abdominal pain.

On examination she is tender in the suprapubic area. She has a fundal height of 28 cm and there is a firm mass related to the uterus. She has urinary frequency but no dysuria. Only one fetal heart is heard.

What is the most likely diagnosis?

AKT-3818

A 35-year-old patient presents to you for pre-pregnancy counseling and inquires about folic acid supplementation. The patient has a medical history of sickle cell disease and reports taking folic acid once a week. What recommendations would you make regarding the dose and duration of folic acid supplementation?

AKT-3819

A 25-year-old patient presents to you for a contraceptive pill review. She is considering discontinuing her pill to start a family and seeks your guidance on folic acid intake. She has no other medical conditions and is not taking any other medications.

What recommendations would you make regarding the dosage and duration of folic acid supplementation?

AKT-3820

A 48-year-old woman comes to see you to discuss her contraception. She has been using the progestogen-only pill for the past 4 years. She is currently amenorrhoeic. She is not sure how long she should continue to use contraception for and asks your advice.

She was seen two months ago by a colleague who advised her to have her FSH levels checked. This has shown an FSH level of 42 (normal range: less than 30).

What do you advise?