Archives: Medical Student Finals

MSFinals-1772

A 65-year-old woman comes to your GP clinic complaining of increased urinary frequency and embarrassing leakage. She reports that it disrupts her work in the office as she has to constantly go to the toilet. However, she denies any association of the leakage with coughing or laughing. The patient’s BMI is 32kg/m², and a vaginal examination shows no pelvic organ prolapse and an ability to initiate voluntary contraction of the pelvic floor muscles.

What initial investigations would you include for this patient?

MSFinals-1773

At a subfertility clinic, you are tasked with obtaining a menstrual cycle history from a 32-year-old patient to determine the appropriate day for conducting a mid-luteal progesterone level test. The patient reports having a consistent 28-day cycle. What day would you recommend for the mid-luteal progesterone level test?

MSFinals-1774

A 28-year-old woman visits the fertility clinic with her partner. She has a record of consistent 35-day menstrual cycles. What is the most effective test to determine ovulation?

MSFinals-1775

A 25-year-old woman visits her doctor seeking advice on contraception. After being informed about all available methods, she chooses a copper IUD. A pregnancy test conducted at the clinic comes back negative. She has a consistent 28-day menstrual cycle. During which phase of her cycle can the IUD be inserted?

MSFinals-1776

A 25-year-old woman comes to the clinic seeking family planning options that won’t affect her sexual activity and can be reversed if needed. She reports experiencing irregular, painful, and heavy menstrual periods, but is in good health otherwise. The healthcare provider recommends starting the COCP as it is safe for her and may alleviate her symptoms. What other health advantages could this medication offer?

MSFinals-1777

A 35-year-old woman has recently been diagnosed with breast cancer and is awaiting surgery. She has started a new relationship and is seeking advice on contraception. In her previous relationship, she used the depo injection and is interested in restarting it. She is a non-smoker, has no history of migraines or venous thromboembolism, and has a BMI of 23 kg/m². Which contraception option would be most suitable for her?

MSFinals-1739

A 22-year-old woman at 36 weeks gestation contacts her doctor seeking advice on contraceptive options post-childbirth. She expresses interest in the contraceptive implant after a thorough discussion. The patient has no medical issues and does not intend to breastfeed. When can she start this treatment?

MSFinals-1740

A 25-year-old woman visits her doctor the day after having unprotected sex. She is seeking emergency contraception as she forgot to take her progesterone-only pill for a few days before the encounter. The doctor advises her to book an appointment at the nearby sexual health clinic for proper screening. After counseling, the doctor prescribes levonorgestrel to the woman. What is the waiting period before she can resume taking her POP?

MSFinals-1741

A 29-year-old woman presents for colposcopy after her recent cervical smear showed moderate dyskaryosis. During the colposcopy, aceto-white changes are observed and a punch biopsy is performed, followed by cold coagulation. The histology report indicates CIN II. When should she be scheduled for her next cervical screening?

MSFinals-1742

A 25-year-old female patient visits her GP seeking advice after engaging in unprotected sexual intercourse the previous night. She took a dose of levonorgestrel 1.5mg (Levonelle) as emergency contraception about 12 hours after the act. Today is the 12th day of her menstrual cycle, and she is worried about the possibility of getting pregnant. She wants to start taking a combined oral contraceptive pill (COCP) to prevent similar situations in the future. When can she begin taking the COCP?