MSRA-2623

A 56-year-old woman complains of experiencing pain during sexual intercourse with her partner for the past year. She denies any discharge but mentions that her vagina feels dry and sore frequently. She has attempted to alleviate the soreness by using vaginal moisturisers and lubricants, which she believes have provided some relief. During the examination, the vagina appears dry and pale. What is the most appropriate treatment method for the probable diagnosis?

MSRA-2608

A 26-year-old female patient visits the sexual health clinic seeking emergency contraception after having unprotected sex 2 days ago. She is currently on the combined oral contraceptive pill but has missed the last 3 pills. The patient is on the 8th day of her menstrual cycle and has asthma, for which she uses fluticasone and salbutamol inhalers. The healthcare provider prescribes levonorgestrel. What advice should be given to the patient?

MSRA-2624

A 35-year-old female patient visits her general practitioner with a concern of experiencing bleeding following sexual intercourse. What is the most frequently identifiable reason for postcoital bleeding?

MSRA-2609

A 20-year-old woman presents to your clinic seeking emergency contraception after forgetting to take 2 doses of her regular contraceptive pill. She reports engaging in sexual activity approximately 48 hours ago. Her medical history includes eczema and severe asthma. Although she missed her pill, she is hesitant to switch to a different form of contraception as she typically has no issues with her current pill but simply forgot to bring it with her while staying at her boyfriend’s for the weekend. What is the most suitable emergency contraception option to suggest to her?

MSRA-2610

A young lady requests for the ‘morning after pill’. Within what timeframe after sexual intercourse is levonorgestrel approved for use?

MSRA-2611

A 55-year-old woman seeks guidance on managing her menopausal symptoms. She has experienced cessation of her menstrual cycle and is bothered by hot flashes and night sweats. Due to her sister’s breast cancer, she is not interested in hormone replacement therapy. What is the most suitable treatment option to suggest?

MSRA-2612

A 30-year-old woman visits her GP to inquire about preconception care as she is eager to conceive. She has a BMI of 36 kg/m2 and a family history of T2DM and epilepsy, but no other significant medical history. What is the primary complication her baby may be at risk of?

MSRA-2613

A 38-year-old woman presents with menorrhagia and is diagnosed with a 1.5 cm uterine fibroid that is not distorting the uterine cavity. She has two children and desires ongoing contraception, but is currently relying solely on condoms. What is the recommended initial treatment for her menorrhagia?

MSRA-2614

A 28-year-old woman visits the GP clinic as she hasn’t had her menstrual period for 3 months. Upon conducting a urinary pregnancy test, it comes out positive. A dating scan is scheduled, which shows a gestational sac with a nonviable foetus. What could be the possible diagnosis?

MSRA-2615

A 22-year-old female comes in for a check-up. She is currently 16 weeks pregnant and has already had her booking visit with the midwives. So far, there have been no complications related to her pregnancy. The tests conducted showed that she has a blood group of A and is Rhesus negative. What is the best course of action for managing her rhesus status?