MSRA-2544
A 32-year-old woman begins taking Cerazette (desogestrel) on the 7th day of her menstrual cycle. After how much time can she consider it a reliable form of birth control?
MSRA Category: Reproductive Medicine
MSRA-2545
A 25-year-old woman has a Nexplanon implanted on day 20 of her 30 day cycle. When can she trust the Nexplanon to prevent pregnancy?
MSRA-2546
A 37-year-old woman has a Mirena inserted for birth control on day 12 of her menstrual cycle. What is the duration before it becomes a dependable contraceptive method?
MSRA-2547
A 28-year-old woman has a Mirena intrauterine device inserted for birth control on day 10 of her menstrual cycle. She has not engaged in sexual activity since her last period. What is the duration required before it can be considered a reliable contraceptive method?
MSRA-2548
A pair in their early 30s visit their GP seeking advice on their inability to conceive despite engaging in regular sexual activity for 6 months. What would be the most suitable course of action for you to recommend?
MSRA-2549
A 35-year-old woman is concerned about her risk of developing ovarian cancer due to a family history of the disease. She wants to learn more about screening options available in the UK.
Which of the following statements is correct?
MSRA-2550
A 26 year-old woman, who is 36 weeks pregnant, presents to her GP with a blood pressure reading of 170/110 mmHg. She is feeling well otherwise and is currently taking 250 mg labetalol. Urinalysis shows 3+ proteinuria. Fetal monitoring is normal. Her blood tests reveal a hemoglobin level of 135 g/l, platelet count of 280 * 109/l, white blood cell count of 6.0 * 109/l, sodium level of 142 mmol/l, potassium level of 4.0 mmol/l, urea level of 2.8 mmol/l, and creatinine level of 24 µmol/l. What is the most appropriate course of action for her management?
MSRA-2551
A 29-year-old female is 24 weeks pregnant and visits the midwife for a check-up. The foetal heart rate is detected on the Doppler scan and growth rates are appropriate for the gestational age. The mother reports to the midwife that she has been experiencing faster breathing than usual in the recent weeks. The midwife reassures her that an increase in ventilation is a typical occurrence during pregnancy. What other physiological changes are considered normal during pregnancy?
MSRA-2552
A 32-year-old woman with a history of primary generalised epilepsy visits her GP as she intends to conceive. She is currently on lamotrigine as a single therapy. What guidance should be provided to prevent neural tube defects?
MSRA-2553
A 26-year-old woman presents to her GP with worsening lower abdominal pain over the past 48 hours. The pain is located in the suprapubic area and slightly to the left. She experienced some vaginal bleeding this morning, which she describes as light. The patient also reports shoulder pain that started after playing tennis. Her last menstrual period was seven weeks ago and was normal. She has a history of Chlamydia infection and admits to not practicing safe sex. On examination, she is tender in the left iliac fossa. Her blood pressure is 98/62 mmHg, and her pulse is 100/min. What is the most likely diagnosis?