MSRA-2639
You are advising a 26-year-old woman who has recently discovered she is expecting a baby. She is a smoker and consumes 20 cigarettes per day. What is the primary risk factor linked to smoking while pregnant?
MSRA Category: Reproductive Medicine
MSRA-2640
At what age should a woman be offered her initial cervical smear as a part of the cervical cancer screening program in the United Kingdom?
MSRA-2625
A 35-year-old woman experiences a significant postpartum bleeding following the birth of her twins. The obstetrician in charge examines her and suspects that uterine atony is the underlying cause. The standard protocol for managing major PPH is initiated, but bimanual uterine compression proves ineffective in controlling the bleeding. What medication would be a suitable next step in treating uterine atony?
MSRA-2641
A 33-year-old woman, who is 14 weeks and 5 days into her first pregnancy, visits the clinic to inquire about Down’s syndrome screening. She failed to attend her screening appointment at 12 weeks pregnant and is curious if she can still undergo the combined test.
What guidance would you provide to her?
MSRA-2626
A 28-year-old pregnant woman presents at 34 weeks gestation with a blood pressure reading of 175/105 mmHg and 3+ proteinuria. She is started on magnesium sulphate and labetalol. The patient reports decreased foetal movements. Upon examination, a cardiotocogram reveals late decelerations and a foetal heart rate of 90 beats/minute. What is the next course of action in managing this situation?
MSRA-2642
Which one of the following statement regarding the 1977 Abortion Act is true?
MSRA-2627
A 29 week pregnant woman presents to her GP with a rash that has developed over the past 12 hours. Upon examination, lesions indicative of chickenpox are observed. The patient’s vital signs are stable and she appears to be in good health. What course of action is recommended for management?
MSRA-2643
A 27-year-old woman gives birth vaginally at 38 weeks gestation and experiences a physiological third stage of labor. She subsequently loses 700ml of blood and medical assistance is requested. An ABCDE assessment is conducted, and the patient is given warmed IV crystalloid fluids after obtaining IV access. The uterus is compressed to stimulate contractions, and a catheter is inserted, but the bleeding persists. The patient has a history of asthma but no known coagulopathy. What is the most appropriate course of action for her management?
MSRA-2628
A 23-year-old woman contacts her doctor to request a referral for antenatal care. She has been attempting to conceive for the past year and has recently received a positive pregnancy test result. Her LMP was 5 weeks ago, which prompted her to take the test. The patient is in good health with no underlying medical conditions, does not smoke, and abstains from alcohol. Her BMI is 34 kg/m².
What is the advised folic acid consumption for this patient?
MSRA-2644
A 47-year-old woman visits her GP and reports experiencing night sweats, hot flashes, and painful sexual intercourse due to vaginal dryness. The GP suspects that she may be going through menopause and orders a set of blood tests to check her hormonal levels.
What hormonal changes are probable in this patient?