MSFinals-5983

A 35-year-old man provides his general practitioner with a semen specimen, as part of an investigation for failure to conceive over a 2-year period.
In semen analysis, which of the following is incompatible with normal fertility?

MSFinals-6000

What was the life expectancy for a woman in the UK during the second decade of the twenty-first century, given the significant increase in life expectancy due to reduced infant mortality, improved public health, modern medical advances, and the introduction of the welfare state over the past century?

MSFinals-5996

A randomised, placebo-controlled trial of a new anti-platelet agent is completed in elderly patients who have atrial fibrillation. A total of 1000 elderly patients were randomised to receive the new agent, and 1000 elderly patients were randomised to receive a placebo. In the group receiving the new agent, 50 elderly people suffered a stroke, compared with 100 elderly people in the placebo group.
What is the number needed to treat (NNT) for the new anti-platelet agent to prevent one stroke in elderly patients with atrial fibrillation?

MSFinals-5979

A 42-year-old woman comes in seeking advice on contraception. She has recently entered a new relationship and has been using barrier methods of contraception, but would like to explore other options for convenience. Her periods have become irregular over the past year, but she is otherwise healthy with a history of mild hypertension that is managed with ramipril. She does not drink but is a smoker, consuming around 20 cigarettes per day. What would be the most suitable form of contraception for this patient?

MSFinals-5975

A 20-year-old student visits the Genitourinary Medicine (GUM) Clinic with concerns about a recent sexual encounter. He had unprotected sex with a woman and has since developed a purulent urethral discharge and painful urination. Gram-negative diplococci were identified in specimens taken from him. What is the probable causative organism for this patient’s symptoms?

MSFinals-5978

A 32-year-old woman, a mother of three, comes to see you on day 20 postpartum and asks for contraception. She is currently alternating between breastfeeding and bottle-feeding her newborn, struggling with sleepless nights, and wants a referral for Fallopian tube ligation as she explains that, at present, she does not want any other children. She is a smoker.
Which of the following is the best method of contraception in this patient?

MSFinals-5977

You review a 35-year-old woman with a history of menorrhagia and dysmenorrhoea. She has started a new relationship and wants some advice on the best method of contraception.
An ultrasound scan from six months ago showed three subserosal fibroids ranging in size from 1 to 2 cm in maximal dimension, without uterine distortion.
Her medical history includes migraines with aura, which are well controlled at present.
Which of the following is the best suited method of contraception for this patient?

MSFinals-5976

You are investigating the mechanisms of action of the currently available treatments for the human immunodeficiency virus (HIV).
Regarding HIV, which of the following statements is accurate?

MSFinals-5980

After fertilisation, which part of the spermatozoon remains in the cytoplasm of the oocyte?

MSFinals-5982

A 30-year-old man presents to the Genitourinary Medicine (GUM) Clinic with a rash. Upon examination, the doctor observes numerous flesh-colored, hemispherical papules with a central indentation, measuring around 4 mm in diameter, covering the upper thighs and shaft of the penis. The diagnosis is molluscum contagiosum. What would be a suitable treatment plan for this patient?