MSRA Category: Reproductive Medicine

MSRA-2691

A 26-year-old woman visits her GP on a Friday afternoon with concerns about her chances of getting pregnant. She engaged in unprotected sexual intercourse (UPSI) on Sunday at 9 pm, which was five days ago. The patient has no medical history of note and is not taking any regular medications. However, she reports experiencing abnormal discharge and intermenstrual bleeding for the past two weeks. What emergency contraception method would you suggest?

MSRA-2692

A 23 year old woman has been admitted to the obstetrics ward for 2 days due to preterm premature rupture of membranes (PPROM). She is now experiencing abdominal pain, uterine contractions, and symptoms similar to the flu. Prior to this admission, she had no complications and is currently 24 weeks pregnant. During examination, she appears ill with a fever of 39 degrees. A gynecological exam reveals a malodorous discharge originating from the cervix, which is collected and sent for analysis. What is the most probable diagnosis at this stage?

MSRA-2693

A 30-year-old woman has delivered a baby boy at 40 + 2 weeks gestation. She is now 3 weeks postpartum and is exclusively breastfeeding with plans to continue for at least 6 months. What contraceptive method should she avoid due to absolute contraindication?

MSRA-2694

A 28-year-old female presents to the gynaecology clinic with symptoms of endometriosis and severe dysmenorrhoea. Despite taking paracetamol and ibuprofen, she has not experienced much relief. She has no immediate plans to start a family. What is the initial recommended treatment option, assuming there are no contraindications?

MSRA-2695

Which one of the following statements regarding endometriosis is false?

MSRA-2696

A 28-year-old woman experiences a blood loss of approximately 1,000 ml after giving birth vaginally. What is not considered a risk factor for primary postpartum hemorrhage?

MSRA-2681

A 65-year-old woman comes in with post-menopausal bleeding. Which is NOT associated with an increased risk of endometrial cancer?

MSRA-2697

A 27 year old woman with a confirmed diagnosis of premenstrual syndrome (PMS) visits her GP seeking medical intervention. Despite implementing recommended lifestyle changes, she has seen minimal relief in her symptoms. She has no immediate plans of starting a family. What treatment option would be appropriate to suggest, provided there are no contraindications?

MSRA-2666

A 25-year-old woman is 30 weeks pregnant and presents with a blood pressure reading of 162/110 mmHg, protein +++ on urine dipstick, and significant ankle edema. Despite these symptoms, she reports feeling generally well. What is the initial treatment approach for her hypertension?