MSRA-2667
A 32-year-old woman who is currently 39 weeks pregnant presents with complaints of itching in her genital area and thick white discharge. What treatment options would you suggest for her likely diagnosis?
MSRA Category: Reproductive Medicine
MSRA-2668
A 40-year-old woman presents to your clinic with concerns about her heavy periods. She has been trying to conceive for the past 10 months without success. She has noticed that her periods have been getting progressively heavier over the past year, and she has experienced episodes of flooding. She initially attributed this to getting older, but now it has become unmanageable. During the examination, you palpate a supra-pubic mass. What is the most probable diagnosis?
MSRA-2669
What is the most frequent reason for recurrent spontaneous miscarriage in the first trimester?
MSRA-2670
What is the primary mode of operation of Nexplanon (etonogestrel contraceptive implant)?
MSRA-2671
A 27 year old pregnant woman is currently experiencing a prolonged second stage of labour due to cephalopelvic disproportion. The midwife is aware of the potential risks to both the mother and foetus and calls for an obstetrician. The obstetrician performs a perineal incision in a mediolateral direction. What is the name of this procedure?
MSRA-2672
Which one of the following statements regarding endometrial cancer is false?
MSRA-2673
A 31-year-old primigravida woman presents to the emergency department after a fall. She is currently 36 weeks pregnant and experienced convulsions for approximately 1 minute following the fall. The patient has a medical history of systemic lupus erythematosus and has been experiencing headaches and swollen feet for the past 48 hours. Upon assessment, her heart rate is 87 bpm and blood pressure is 179/115 mmHg. What is the next best course of action for her management?
MSRA-2674
A 30-year-old woman presents with a history of heavy periods since menarche at the age of 13. She has never sought medical attention for this issue but has now decided to address it. Her menstrual cycle is regular with a 28-day cycle, and she experiences heavy bleeding for 7 days, with 4 days of blood clots and flooding. The patient has never been pregnant and does not plan to have children. She is currently in a sexually active relationship and uses condoms for contraception. There is no significant medical or family history. Blood tests and a pelvic ultrasound scan are normal. What is the most appropriate management plan for this patient?
MSRA-2675
A 35-year-old woman presents for follow-up. She has a long-standing history of heavy menstrual bleeding, which has worsened over the past six months. She denies experiencing dysmenorrhea, intermenstrual bleeding, or postcoital bleeding. She has completed her family and does not desire any more children. Her gynecological exam is unremarkable, and her cervical screening is current. What is the preferred treatment option?
MSRA-2676
A 29-year-old female patient visits her GP with complaints of dyspareunia, dysuria, and dysmenorrhoea. During a bimanual examination, the GP observes generalised tenderness, a fixed, retroverted uterus, and uterosacral ligament nodules. The GP suspects endometriosis and refers the patient for laparoscopy to confirm the diagnosis. What would be the most suitable initial treatment option?