MSRA Category: Reproductive Medicine

MSRA-2617

A 32-week pregnant woman presents to the early pregnancy unit with a concern that her uterus is small for this stage of pregnancy. Upon ultrasound, she is diagnosed with oligohydramnios. What could be a potential cause of oligohydramnios?

MSRA-2602

How frequently is the Depo Provera (medroxyprogesterone acetate) injectable birth control administered?

MSRA-2603

A 25-year-old woman seeks guidance on the Mirena (intrauterine system). What impact is expected on her menstrual cycle?

MSRA-2604

A 55-year-old woman presents with urgency and frequency. Three weeks ago she consulted with a colleague as she felt ‘dry’ during intercourse. She has been treated for urinary tract infections on multiple occasions in the past but urine culture is always negative. Her only medication is continuous hormone replacement therapy. A vaginal examination is performed which shows no evidence of vaginal atrophy and no masses are felt. An ultrasound is requested:

Both kidneys, spleen and liver are normal size. Outline of the bladder normal. 6 cm complex ovarian cyst noted on left ovary. Right ovary and uterus normal

What is the most appropriate next step?

MSRA-2605

An expectant mother visits the obstetrician’s office with a complaint of a painful nipple and a white discharge from the nipple. It is suspected that she has a candidal infection. What advice and treatment should be provided?

MSRA-2606

A 30-year-old woman is prescribed a 7-day course of erythromycin for cellulitis. She is in good health and uses the progesterone-only pill for birth control. She is concerned about the potential interaction between her antibiotic and contraceptive pill. What advice should she be given regarding her contraception?

MSRA-2607

A 30-year-old woman who has just discovered that she is pregnant visits you for her initial appointment. She is currently 8 weeks pregnant and has no medical history. She reports feeling well so far. During the examination, her blood pressure is found to be 165/100 mmHg. You repeat the measurement twice and observe her blood pressure to be 170/110 and then 160/95 mmHg. You inform her that medication may be necessary to lower her blood pressure. What is the first-line medication for hypertension during pregnancy?

MSRA-2601

Which of the following contraceptives may lead to a decrease in bone mineral density among women?

MSRA-2596

A 32-year-old woman visits a Family Planning clinic with the intention of getting a Nexplanon implant. What adverse effect should she be informed about during counselling?