MSRA-2508
What potential complication is associated with an increased risk when using combined oral contraceptives?
What potential complication is associated with an increased risk when using combined oral contraceptives?
A 35-year-old woman with a dichorionic twin pregnancy is concerned about the possibility of her twins having Down’s syndrome. What is the most suitable investigation to perform in this case?
A 35-year-old woman presents with postcoital bleeding and intermenstrual bleeding. She reports a history of chlamydia infection in her early 20s but has been in a monogamous relationship for the past five years. Pelvic examination six months ago was normal, with an unremarkable and easily located cervix. However, the sample was positive for human papillomavirus (HPV) and demonstrates high-grade dyskaryosis.
Which of the following is the most appropriate diagnostic test?
Endometrial cancer is a type of cancer that affects the lining of the uterus. What is true about this type of cancer?
A 42-year-old woman complains of urine leakage when laughing or jumping. She has no other urinary symptoms, and her urine dipstick test is negative.
What is the most appropriate initial treatment option?
A 45-year-old woman reports leakage of urine, which is happening more often. She is unable to control her urine when she feels the urge to go and has had a few instances where she couldn’t make it to the bathroom in time. There is no pain during urination and her urine dipstick test is negative.
Which of the following is the most probable diagnosis?
A 25-year-old pregnant woman presented with a minor painless vaginal bleed at 38 weeks’ gestation. An ultrasound scan revealed that the placenta was anterior and partially covering the internal cervical os. The presenting foetal pole was in the cephalic position. The bleeding had ceased.
What is the most suitable method of delivery? Choose the ONE most appropriate option from the list provided.
A 48-year-old woman is contemplating hormone replacement therapy but is concerned about the potential risk of developing breast cancer. She began menstruating at the age of 11 and experienced premature menopause at 45. She has three children, all of whom she breastfed, and has never used oral contraceptives. Apart from hormone replacement therapy, which of the following factors is most strongly linked to an elevated risk of breast cancer?
Which one of the following statements regarding the NHS Breast Cancer Screening Programme is accurate?
A 7-year-old boy presents to the emergency department with a non-painful, partially rigid erection. He mentions noticing it after playing at school in the morning but did not inform anyone. His mother noticed the erection while helping him get ready for his evening soccer practice. The child has no medical or surgical history and is not on any regular medications. What is the initial investigation that should be performed in this case?