MSFinals-1835

A 27-year-old female patient comes in seeking advice on contraception. She is currently on day 14 of her regular 28-30 day cycle and has no medical history or regular medications. She desires a method that is effective immediately and does not require daily attention. What contraceptive option would be suitable for her?

MSFinals-1836

A 27-year-old woman visits her GP seeking advice on contraception. She and her partner frequently travel abroad for charity work and are not planning to have children at the moment. The woman is undergoing treatment for pelvic inflammatory disease and desires a low-maintenance contraceptive method that does not require her to remember to take it. The GP has already emphasized the significance of barrier protection in preventing the transmission of sexually transmitted infections. What is the most suitable contraceptive option for her?

MSFinals-1837

A 20-year-old patient presents to you seeking advice on hormonal contraception. She reports occasional condom use and has no regular partners. Her last menstrual period was two weeks ago. She has a history of menorrhagia and mild cerebral palsy affecting her lower limbs, which requires her to use a wheelchair for mobility. She is going on vacation in two days and wants a contraceptive that will start working immediately. She prefers not to have an intrauterine method of contraception. What is the most appropriate contraceptive option for her?

MSFinals-1838

A 20-year-old woman visits a sexual health clinic without an appointment. She had sex with her partner on Sunday and they typically use condoms for contraception, but they didn’t have any at the time. The patient has a medical history of severe asthma that is managed with oral steroids, but is in good health otherwise. Today is Thursday. What is the best emergency contraception option for her?

MSFinals-1839

A 25-year-old woman visits her GP to discuss contraceptive options as she is in a committed relationship. She has been diagnosed with partial epilepsy and takes carbamazepine regularly. Additionally, she has a history of heavy menstrual bleeding. Apart from this, her medical history is unremarkable. What would be the most suitable contraception method for her at present?

MSFinals-1840

Which one of the following statements regarding cervical ectropion is incorrect?

MSFinals-1841

A 25-year-old woman comes to your GP office on Monday morning, concerned that she removed her week 2 contraceptive patch on Friday evening and was unable to get a replacement over the weekend. She has not engaged in sexual activity in the past two weeks.

What is the best course of action to take?

MSFinals-1842

A 25-year-old woman presents with an ectopic pregnancy that has been confirmed by ultrasound. However, the ultrasound report only mentions that the ectopic pregnancy is located in the ‘left fallopian tube’ without providing further details. To ensure appropriate management, you contact the ultrasound department to obtain more specific information. Which location of ectopic pregnancy is most commonly associated with a higher risk of rupture?

MSFinals-1811

A 30-year-old nulliparous woman arrives at the emergency department with a positive home pregnancy test and symptoms of diarrhoea and mild abdominal discomfort that have been present for 6 hours. She has not been using any regular contraception and her last menstrual period was 8 weeks ago. The patient has a history of pelvic inflammatory disease. A transvaginal ultrasound shows a 40mm foetal sac at the ampulla of the fallopian tube without a visible heartbeat, and her serum B-HCG level is 1200 IU/L. What is the definitive indication for surgical management in this case?

MSFinals-1812

A 50-year-old woman has presented to your clinic for postmenopausal bleeding. During the medical history, you inquire about her medical and family history to identify any factors that may elevate her risk of endometrial cancer. What factors are linked to an increased risk of endometrial cancer?