A 32-year-old woman visits her doctor worried that she may have been in contact with a child who has chickenpox. She is currently 20 weeks pregnant and unsure if she has ever had chickenpox before. Upon examination, no rash is present. Her blood test results show that she is Varicella Zoster IgG negative. What is the best course of action to take next?
A 35-year-old woman is experiencing heavy menstrual bleeding but refuses an intrauterine system due to negative mood effects from hormonal therapies in the past. What alternative treatment should be considered?
A 28-year-old primip nurse has presented to you 5 days after being in contact with a child who had a vesicular rash on their face and chest. She is currently 14 weeks pregnant and has been experiencing some morning sickness, but otherwise feels fine. Her blood tests show that she is not immune to varicella zoster virus. What should be the next course of action in your management plan?
A 25-year-old woman visits her doctor after coming back from a weekend getaway. She explains that she left her combined oral contraceptive pills behind, resulting in her missing the pill for the past 2 days. She has not engaged in any sexual activity during this period and is currently in the third week of her pill pack.
What would be the most appropriate guidance to provide?
A 28-year-old female visits her GP with complaints of recurring lower abdominal pain. The pain occurs every month, around midcycle, and lasts for 1-2 days. She experiences a cramping sensation and there is no associated vaginal bleeding. She reports feeling well otherwise during these episodes and denies any gastrointestinal issues or changes to her menstrual cycle. Physical examination today is unremarkable. What is the probable cause of her symptoms?
A 25-year-old woman receives a Nexplanon implant. What is the duration of its contraceptive effectiveness?
A 30-year-old female patient visits the clinic as she has not had a menstrual period for 5 months. She has had regular periods since she was 12 years old. After conducting a negative urinary pregnancy test, the doctor ordered some blood tests. The results are as follows:
FSH 4.2 IU/L (4.5 – 22.5)
LH 0.5 IU/L (0.5 – 50.0)
Oestradiol 110 pmol/L (100 – 1000)
Testosterone 1.2 nmol/L (0.8-3.1)
Prolactin 280 IU/mL (60-600)
T4 11.5 pmol/l (9-18)
What is the most probable diagnosis?
A 21-year-old female presents for a follow-up after a medical termination of pregnancy at 8 weeks gestation. She is considering getting a Nexplanon implant. When is it appropriate to insert Nexplanon in this situation?
A 35-year-old woman comes to the GP clinic for preconception counseling. She plans to conceive within the next 6 months. She has never been pregnant before and has a medical history of Type 1 diabetes mellitus and irritable bowel syndrome. She is currently taking insulin and has no known drug allergies. Her BMI is 22 kg/m2, and she does not smoke or drink alcohol. There is no family history of neural tube defects, and her partner has no history of neural tube defects. What is the recommended folic acid dosage for her?
A 35-year-old woman and her partner present to the GP clinic due to difficulty conceiving their first child. At what point should investigations begin after a period of regular sexual intercourse?