A 25-year-old woman who uses the combined oral contraceptive pill (COCP) contacted the clinic after missing one dose. She typically takes one tablet at 9 pm every day, but she forgot and remembered the next morning. Her last period was 12 days ago.
What guidance should be provided to this patient?
A 35-year-old woman visits the clinic to receive the outcome of her initial blood tests after discovering she is pregnant for the first time. She moved to the UK from Ukraine two years ago and did not receive the MMR vaccine during her childhood. Her rubella IgM and IgG tests both show negative results. What guidance would you offer her?
A 35 year-old woman has been diagnosed with fibroids and has been attempting to conceive for 2 years. She has been undergoing evaluation at the sub-fertility clinic and all tests have come back normal except for the presence of three uterine fibroids, which are asymptomatic. Her partner’s semen analysis showed no abnormalities.
What are the most suitable treatment options in this scenario?
A 35-year-old woman who is 20 weeks pregnant attends the antenatal clinic. She had an OGTT at her booking visit due to a family history of type II diabetes mellitus.
The results at the 14-week booking were:
Fasting glucose 6.2 mmol/L Normal <5.6 mmol/L
2-hour post glucose challenge 9.5 mmol/L Normal <7.8mmol/L
A decision is made to start metformin 500mg twice daily and she is provided with information leaflets regarding diet and lifestyle modification.
On review today at 20 weeks gestation her repeat OGTT results are as follows:
Fasting glucose 6.1 mmol/L Normal <5.3 mmol/L
2-hour post glucose challenge 7.5 mmol/L Normal <6.4 mmol/L
What is the next most appropriate action for managing her blood glucose levels?
A 35-year-old woman presents to the emergency department with sudden right iliac fossa pain. She reports the pain as sharp and radiating to her right shoulder. She has a medical history of endometriosis and type 2 diabetes mellitus and smokes 10 cigarettes per day. Her last menstrual period was 35 days ago, and she is concerned about being pregnant. She has a 4-year-old daughter, and her previous pregnancy was complicated by pre-eclampsia. Based on her history, what is a potential risk factor for her current presentation?
Which one of the following clinical features would be least consistent with a diagnosis of severe pre-eclampsia?
A 38-year-old woman comes in for a check-up. She is currently 28 weeks pregnant and has not experienced any complications thus far. During her booking appointment, her blood pressure was 112/78 mmHg, but today it has increased to 146/94 mmHg. Upon conducting a urine dipstick test, the following results were obtained:
Protein negative
Leucocytes negative
Blood negative
What is the most suitable characterization of her situation?
A 32-year-old woman is 8 weeks pregnant. 3 years prior to the pregnancy, her GP diagnosed her with stage 2 hypertension after an ambulatory reading of 150/95 mmHg. She has been taking 10mg ramipril daily to manage her blood pressure since then. Currently, her sitting blood pressure is 135/85 mmHg. What should be done in this situation?
A 16-year-old girl comes to the clinic complaining of painful periods. She has been experiencing this for the past two years and reports a normal amount of blood loss. Her periods are regular and there is no abnormal bleeding. She is not sexually active yet. What is the recommended initial treatment?
A 29-year-old female presents to the emergency department with lower abdominal pain. A pregnancy test and ultrasound confirms a tubal ectopic pregnancy measuring 32mm and associated with a foetal heartbeat. The patient has no past medical history of note. Her observations show:
Respiratory rate of 15 breaths/min
Pulse of 93 beats/min
Temperature of 36.7ºC
Blood pressure of 126/78 mmHg
Oxygen saturations of 96% on room air
What is the most appropriate management for this patient?