A 28-year-old woman comes to your clinic for a check-up. She is currently 16 weeks pregnant and has had no complications so far. During her visit, she mentions that her 4-year-old son was recently diagnosed with chickenpox. The patient is concerned about the potential impact on her pregnancy as she cannot recall if she had chickenpox as a child. What would be the appropriate course of action for this patient?
A 27-year-old woman comes in for her 8th week of pregnancy and reports an uncomplicated pregnancy thus far. She is currently in good health and not experiencing any symptoms. However, she expresses concern about not being vaccinated against rubella as a child due to her parents’ anti-vaccine beliefs. She is aware of the potential harm rubella can cause to her developing fetus and blood tests confirm that she is not immune to the virus.
What advice should be given to her?
A 27-year-old female patient presents to her doctor seeking guidance on pregnancy and the postpartum period. She is currently 12 weeks pregnant and has not experienced any complications thus far. The patient has a history of HIV and is currently taking antiretroviral medication. She has expressed a desire to breastfeed her baby once it is born.
What recommendations should be given to this patient?
A 29-year-old pregnant woman comes in for her 42-week antenatal check-up. It was previously agreed that she would be induced at 42 weeks if she did not go into labour naturally. She reports normal foetal movements and denies any recent illnesses. She has no relevant medical history and this is her first pregnancy. During the examination, her abdomen is soft with a palpable uterus and a fundal height of 40cm. What is the most crucial aspect to evaluate in this woman?
A 35-year-old female patient attends a routine appointment at the GP surgery to discuss her use of the combined oral contraceptive pill (COCP). She informs you that she has recently started taking some medications and is concerned about their potential impact on the effectiveness of the contraceptive pill. Can you identify which medication may decrease the efficacy of the COCP?
A 49-year-old woman comes to her GP complaining of daily abdominal bloating and cramps for the last 3 weeks. During the examination, the doctor palpates a small pelvic mass. What is the most suitable next test to perform?
A 55-year-old woman has been asked to come back for a follow-up cervical smear by her GP. She had a cervical smear done 18 months ago which revealed the presence of high-risk HPV but no abnormal cytology. The follow-up cervical smear has returned negative for high-risk HPV. What is the best course of action for managing this patient?
A 42-year-old woman has been asked to come back for a follow-up cervical smear by her GP. She had her routine cervical smear done a year ago which revealed the presence of high-risk HPV but no abnormal cytology. Her follow-up cervical smear still shows positive for high-risk HPV with no cytological abnormalities.
What is the best course of action for managing this patient?
A 25-year-old woman presents to your clinic seeking the combined oral contraceptive pill (COCP). She has recently started dating someone new and wants to begin taking the COCP before becoming sexually active with him. She is currently on day 10 of her 28-day menstrual cycle. After taking a detailed medical history, you decide to prescribe Microgynon (COCP).
The patient requests to start taking the pill immediately and inquires about any additional precautions she should take.
A 17-year-old girl with a history of acne is interested in starting a combined oral contraceptive pill (COC). She has been taking doxycycline for the past 2 months. What advice should be given?