MSRA-2530
A 25-year-old woman visits the GP clinic seeking emergency contraception after having unprotected sex last night, 14 days after giving birth. What is the most appropriate course of action?
MSRA Category: Reproductive Medicine
MSRA-2531
A woman in her early stages of pregnancy seeks guidance on whether it is safe to consume alcohol. What advice aligns with the current NICE guidelines?
MSRA-2532
A 35-year-old woman who is 36 weeks pregnant arrives at the Emergency Department complaining of severe and constant abdominal pain. She experienced some vaginal bleeding an hour ago, but it has mostly subsided, leaving only a small amount of bloody discharge. Upon obstetric examination, her uterus is firm, woody, and extremely tender. She appears pale and clammy, with a pulse of 102 bpm and a blood pressure of 98/65 mmHg. What is the probable diagnosis?
MSRA-2533
A primigravid 44 year-old woman, who is at 28 weeks gestation, arrives at the maternity unit with regular weak contractions. Upon examination, her cervix is found to be 3 cm dilated and her membranes are intact. What is the most suitable course of action?
MSRA-2534
As a physician at a sexual health clinic, what would be the most suitable contraceptive to suggest to a young adult with a latex allergy who does not have a consistent partner?
MSRA-2535
Which of the following is not an absolute contraindication to using combined oral contraceptive pills for women?
MSRA-2536
A 35-year-old para 2, gravida 3 is in labour in the delivery ward. The labour is progressing normally until the midwife calls the obstetrician to assess the patient. The cervix is dilated to 6 cm, and the baby’s position is 2 cm above the ischial spine. The cardiotocography shows a slow but steady heartbeat. The obstetrician decides to perform an emergency category 2 caesarian section. What is the maximum time allowed between this decision and the delivery of the baby, given the indication?
MSRA-2537
A 35-year-old woman contacts the clinic to discuss her cervical screening outcome. She had a positive result for high-risk strains of human papillomavirus (hrHPV) during her last screening 18 months ago, but her cytology was normal. This time, her cytology is normal again, but she has tested positive for hrHPV once more. What is the best course of action to take next?
MSRA-2506
A 32-year-old woman presents with a breast lump. The lump has been present for around eight months and the patient is not sure if it has increased in size. On examination, there are no skin or nipple changes and there is a soft, mobile lump in the lower outer quadrant of the right breast which is nontender to palpation. She has no personal or family history of breast disease and is a non-smoker.
What would be the next most appropriate step in this patient’s management?
Select the SINGLE most likely option.
MSRA-2507
A 40-year-old woman presents to her General Practitioner for investigation as she and her male partner have not become pregnant after 24 months of trying to conceive. Her female partner has also had normal investigations and on examination, she has a small uncomplicated left-sided inguinal hernia. She takes fluoxetine for depression and occasionally uses acetaminophen for back pain but is not on any other medications. Her male partner’s sperm count is normal.
What would be the next most appropriate step in managing this couple’s inability to conceive?