Archives: Medical Student Finals

MSFinals-1847

A 28-year-old female presents to the Emergency Department with severe vomiting and diarrhoea accompanied by abdominal bloating. She has been undergoing ovulation induction treatment. During the US examination, ascites is detected. Her blood test results are as follows:
– Hb: 130 g/L (normal range for females: 115-160)
– Platelets: 300 * 109/L (normal range: 150-400)
– WBC: 10 * 109/L (normal range: 4.0-11.0)
– Na+: 133 mmol/L (normal range: 135-145)
– K+: 5.0 mmol/L (normal range: 3.5-5.0)
– Urea: 10 mmol/L (normal range: 2.0-7.0)
– Creatinine: 110 µmol/L (normal range: 55-120)
– CRP: 8 mg/L (normal range: <5)
– Haematocrit: 0.5 (normal range for females: 0.36-0.48; normal range for males: 0.4-0.54)

What is the medication that is most likely to have caused these side effects?

MSFinals-1848

A 25-year-old female patient presents to her GP seeking emergency contraception. She started taking the progesterone-only pill on day 10 of her menstrual cycle and had unprotected sex with a new partner 3 days later. She is concerned about the lack of barrier contraception used during the encounter. What is the best course of action for this patient?

MSFinals-1849

A 35-year-old woman presents to the out-of-hours clinic seeking emergency contraception. She is currently on the combined oral contraceptive pill (COCP) and reports having taken each pill regularly for the first 7 days of her cycle. However, she forgot to pack her contraception while on a weekend trip and missed 2 doses. She had unprotected sexual intercourse during this time. Upon returning home, she resumed taking her COCP on day 10 of her cycle. What is the best course of action for this patient?

MSFinals-1850

A 32-year-old woman has recently delivered a baby within the last 24 hours. She has no plans of having another child anytime soon and wishes to begin a long-term contraceptive method. The patient has a history of heavy menstrual bleeding and intends to exclusively breastfeed.

What would be the most suitable contraception for this patient?

MSFinals-1851

As a gynaecologist, you are treating a patient on the ward who has been diagnosed with endometrial hyperplasia. Can you identify the medication that is linked to the development of this condition?

MSFinals-1852

An 83-year-old woman visits her general practitioner complaining of a labial lump that has been present for two weeks. Although she does not experience any pain, she reports that the lump is very itchy and rubs against her underwear. The patient has a medical history of hypertension and type 2 diabetes mellitus, and she takes amlodipine, metformin, and sitagliptin daily. During the examination, the physician observes a firm 2 cm x 3 cm lump on the left labia majora. The surrounding skin appears normal without signs of erythema or induration. Additionally, the physician notes palpable inguinal lymphadenopathy. What is the most probable diagnosis?

MSFinals-1853

A 30-year-old woman is concerned about the risk of cancer from taking the combined oral contraceptive pill after hearing something on the news. You have a discussion with her about evidence-based medicine. According to research, which type of cancer is believed to be reduced by taking the pill?

MSFinals-1854

A 55-year-old woman presents to the clinic with worsening perimenopause symptoms. Her periods have become irregular over the past year, and she is experiencing low mood, night sweats, and hot flashes. The patient is interested in treatment options but is worried about the potential risk of breast cancer. Which of the following choices is most likely to increase her risk of developing breast cancer?

MSFinals-1855

A 28-year-old female patient visits her GP complaining of irregular menstrual cycles. She reports using a period tracking app on her phone, which shows that she had five periods in the past year, occurring at unpredictable intervals. During the consultation, she mentions the development of dense, dark hair on her neck and upper lip. Additionally, she has been experiencing worsening acne for a few years. If other potential causes are eliminated, what is necessary for the patient to fulfill the diagnostic criteria for her likely condition?

MSFinals-1856

A 36-year-old woman presents to the gynaecology clinic with a complaint of pelvic pain and intermenstrual bleeding for the past 5 months. The pain is more severe during her periods and sexual intercourse, and her periods have become heavier. She denies any urinary or bowel symptoms. A transvaginal ultrasound reveals multiple masses in the uterine wall. The patient desires surgical removal of the masses, but the wait time for the procedure is 5 months. She inquires about medication to reduce the size of the masses during this period. What is the most appropriate management strategy for this patient while she awaits surgery?