MSRA-2568
You see a 29-year-old woman who has recently become pregnant. She has well-controlled type 1 diabetes and is in good health. Which of the following should be started at 12 weeks gestation?
MSRA Category: Reproductive Medicine
MSRA-2569
A 43-year-old Nigerian woman comes to the clinic with complaints of heavy menstrual bleeding and pelvic discomfort for the past 3 months. During the physical examination, a solid, non-painful abdominal mass is detected, which originates from the pelvis. The pelvic ultrasound confirms the presence of a sizable uterine fibroid. The medical team decides to perform a hysterectomy. What medication should be administered to prepare her for the surgery?
MSRA-2554
A 32-year-old female patient comes in seeking emergency contraception after having unprotected sex with her ex-partner four days ago. She is determined to prevent a pregnancy. The patient has a history of ectopic pregnancy four years ago, which led to a salpingectomy. She is currently on day 14 of a 28-day cycle. What is the best course of action among the available options?
MSRA-2555
A 20-year-old female patient comes to you seeking emergency contraception after her condom broke last night. She is not currently using any regular form of contraception and is currently on day 20 of her 28-day menstrual cycle. You have discussed the possibility of an intrauterine device, but she has declined. What would be the most suitable course of action among the available options?
MSRA-2540
A 32-year-old woman presents to the gynaecology clinic with her partner, reporting 2 years of unsuccessful attempts at conceiving. Neither she nor her partner have any children from previous relationships. The patient has a medical history of polycystic ovarian syndrome. On examination, her vital signs are within normal limits and her BMI is 24 kg/m². What is the recommended initial approach to enhance fertility?
MSRA-2556
A 30-year-old woman comes to the clinic complaining of dysmenorrhoea and deep dyspareunia that she has been experiencing for the past 4 years. She reports severe pain during her menstrual cycle and feels nauseous. Additionally, she mentions that she and her partner have been trying to conceive for 2 years without any success. What could be the possible diagnosis?
MSRA-2541
A woman in her early thirties visits your GP clinic with a plan to conceive a baby in a year’s time. She has barrister exams scheduled for this year and prefers not to get pregnant before that. However, she desires to conceive soon after her exams. Which contraceptive method is commonly linked with a prolonged delay in fertility restoration?
MSRA-2557
A 28-year-old woman attends the early pregnancy assessment clinic for a scan after a previous ectopic pregnancy treated with salpingotomy. The scan reveals an empty uterus and adnexal fluid with a yolk sac, indicating another ectopic pregnancy. The patient expresses a preference for the least invasive management option. What would be a contraindication for expectant management in this case?
MSRA-2542
A 48-year-old woman comes to the clinic for advice on contraception. She has started a new relationship but is uncertain if she needs contraception as she suspects she may be going through menopause. She reports experiencing hot flashes and her last period was 9 months ago. What is the best course of action to recommend?
MSRA-2543
A 21-year-old woman begins taking Microgynon 30 on the 8th day of her menstrual cycle. When will it become a dependable form of birth control?