MSRA Category: Reproductive Medicine

MSRA-2502

A 45-year-old woman has confirmed menopause. She is considering HRT (hormone replacement therapy).
Which of the following conditions has an increased risk of association with oestrogen-only HRT?

MSRA-2518

Which of the following is most commonly linked to male infertility?

MSRA-2503

A 42-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 ovarian reserve is normal and pelvic examination is normal. She has no other medical problems and is not on any medication. Her male partner has also had normal investigations and has had no other sexual partners.
What investigation should be arranged for this patient in primary care?

MSRA-2519

As a foundation doctor in general practice, you examine a fifty-five-year-old patient during an outpatient clinic visit. The patient complains of weight loss and a painless, enlarging sore on the penis that has been present for more than two months. What is the probable diagnosis?

MSRA-2504

A 25-year-old woman is referred to the clinic for evaluation. She is in her first month of pregnancy and has been experiencing excessive morning sickness. Her routine blood work revealed an ALT level of 64 iu/l (reference range 20–60 iu/l) and a total bilirubin level of 30 μmol/l (reference range < 20 μmol/l). Additionally, her potassium level was 3.4 (reference range 3.5–5.0 mEq/l) and her urea level was 7.5 (reference range 2.5–7.1 mmol/l). What is the most likely diagnosis based on these findings?

MSRA-2520

A 31-year-old female patient, who is three weeks postpartum, presents with a breast lump. On examination, there is a fluctuant mass around 4 cm in diameter at the left upper quadrant adjacent to the nipple. There is overlying skin erythema and the lump is tenderness to touch. She is currently breast feeding but has been finding it very painful.
What is the most probable causative agent for this condition?

MSRA-2505

What is a true statement about the oral contraceptive pill?

MSRA-2521

What is the failure rate of male sterilization?

MSRA-2501

A 28-year-old woman presents to her General Practitioner for investigation, as she and her partner have not become pregnant after eight months of regular sexual intercourse. She is usually healthy and is not taking any regular medications. The pelvic examination is normal.
What would be the next most appropriate step in this patient’s management?

MSRA-2499

A 68-year-old retired teacher visits her primary care physician (PCP) complaining of gradual abdominal swelling that has been present for a few months. She reports experiencing general abdominal tenderness, which is more pronounced in her right flank. Her blood tests reveal normochromic/normocytic anaemia, decreased serum albumin level, and an elevated creatinine level of 170 μmol/l (reference range 35–7 μmol/l). Additionally, her Ca-125 level is elevated. What is the most probable diagnosis?