MSRA-2463

A 25 year-old female patient visits her GP complaining of a two week history of pale and homogenous vaginal discharge that has an offensive odor but is not causing any itching or irritation. Upon examination, there is no inflammation of the cervix or vagina and the discharge has a pH of 6.3. A sample of the discharge is collected. What is the probable result of the analysis of the discharge sample?

MSRA-2464

Which of the following medications does not lead to galactorrhea?

MSRA-2465

A 25-year-old woman visits the GUM clinic at 18 weeks gestation. Her partner has tested positive for Chlamydia and she needs treatment as a contact. The doctor prescribes a single dose of azithromycin 1g and screens her for infection. When is it appropriate to conduct a test of cure (TOC)?

MSRA-2466

A 29-year-old woman visits the genitourinary medicine clinic with four fleshy, pigmented lesions on her vulva after starting a new relationship. What is the best initial course of action?

MSRA-2467

A 28-year-old woman visits the sexual health clinic complaining of purulent vaginal discharge that has been ongoing for two weeks. Upon examination of an endocervical swab sample, Gram-negative diplococci are observed, while other pathogen tests are negative. The patient has no allergies or comorbidities. Which antibiotic option is the most suitable?

MSRA-2468

A 48-year-old man visits his doctor with worries about a discharge coming from his nipples. Which medication is the most probable cause for this symptom?

MSRA-2469

A 35-year-old woman presents to you with concerns about her migraine prophylaxis medication and its potential effects on her unborn child. She reports that her migraines used to occur 1-2 times per week, but since starting the medication, they have decreased to 1-2 times per month. Which medication commonly used for migraine prophylaxis is associated with congenital abnormalities, specifically cleft lip and palate?

MSRA-2470

A woman who is 32 weeks pregnant has been diagnosed with syphilis during her routine booking visit bloods. What is the best course of action for management?

MSRA-2471

A 39-year-old female has been diagnosed with Trichomonas vaginalis. What is the best course of action for treatment?

MSRA-2472

A 32-year-old who is currently 26 weeks pregnant comes to see you about a thin, white discharge. Swabs are taken and clue cells are seen on microscopy. Which treatment do you initiate?