A 35-year-old woman with a history of gallstones is scheduled for a laparoscopic cholecystectomy in two months. She is currently taking Microgynon 30 (combined oral contraceptive pill) and is concerned about the increased risk of blood clots. What advice should be given to the patient in this scenario?
A 35-year-old woman arrives at the emergency department worried about potential exposure to chickenpox. Earlier today, she had contact with a child who had a fever, sore throat, and itchy blisters on their face. The patient is currently 20 weeks pregnant and is uncertain if she has ever had chickenpox or received the vaccine.
What is the most appropriate next step in managing this patient?
A 25-year-old G2P1 woman presents to her midwife at 12 weeks gestation. She has a history of well-controlled type 1 diabetes mellitus and a family history of pre-eclampsia. Her urine dipstick and blood pressure are both normal. Based on this information, what advice should be given regarding her risk of developing pre-eclampsia?
A woman who is 16 weeks pregnant presents as she came into contact with a child who has chickenpox around 4 days ago. She is unsure if she had the condition herself as a child. Blood tests show the following:
Varicella IgM Negative
Varicella IgG Negative
What is the most suitable course of action?
A 16-year-old girl visits her general practitioner with worries about never having experienced a menstrual period. Upon examination, she displays minimal pubic and axillary hair growth and underdeveloped breast tissue for her age. She has a normal height and weight and no significant medical history. A negative beta-HCG test prompts the GP to order blood tests, revealing high levels of FSH and LH. What is the probable cause of her amenorrhoea?
A 27-year-old woman has been given a single dose of 1.5mg LevonelleTM (levonorgestrel) as emergency contraception after having unprotected sexual intercourse (UPSI) 24 hours ago. She wants to start taking oral combined hormonal contraception (‘the pill’) as ongoing contraception immediately as she anticipates having further UPSI. What is the appropriate time to begin ongoing contraception after taking emergency contraception?
A 28-year-old woman comes to her GP complaining of pelvic pain and deep dyspareunia that has been ongoing for four days. During the examination, the GP notes a temperature of 37.9 degrees Celsius, lower abdominal tenderness, and cervical motion tenderness. The GP suspects that the woman may have pelvic inflammatory disease. What criteria should the GP use to determine whether antibiotics should be prescribed?
A 50-year-old woman presents with complaints of hot flashes that occur randomly and are affecting her work as a lawyer, especially during court sessions. She is hesitant to try hormone replacement therapy due to its side effects and is seeking alternative options. What medication can be prescribed to alleviate her symptoms?
Which of the following conditions is most likely to result in secondary dysmenorrhoea?
A 42-year-old woman presents with complaints of hot flashes and night sweats. Upon investigation, her blood work reveals a significantly elevated FSH level, indicating menopause. After discussing her options, she chooses to undergo hormone replacement therapy. What is the primary risk associated with prescribing an estrogen-only treatment instead of a combination estrogen-progestogen treatment?