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Chapter: 18 / Q: 17
A 64 year old woman has been on HRT for 9 years. She had regular withdrawal bleeds until 3 years ago and since then has been taking a no bleed preperation. Recently she noticed a brown vaginal discharge. Choose the single most appropriate initial investigation?
Chapter: 18 / Q: 18
A 20 year old young lady comes to the GP for advice regarding cervical carcinoma. she is worried as her mother past away because of this. She would like to know what is the best method of contraception in her case?
Chapter: 18 / Q: 19
A 44 year old woman complains of heavy bleeding per vagina. Transvaginal US (ultra sonography) was done and normal. Which of the following would be the most appropriate investigation for her?
Chapter: 18 / Q: 20
A 24 year old woman presents with deep dyspareunia and severe pain in every cycle. What is the initial investigation?
Chapter: 18 / Q: 21
A 38 year old woman, 10 day postpartum presents to the GP with history of passing blood clots per vagina since yesterday. Examinatio: BP 90/40mmhg, pulse 110bpm, temperature 38C, uterus tender on palpation and fundus 2cm above umbilicus, blood clots +++. Choose the single most likely diagnosis
Chapter: 18 / Q: 22
A 32 year old female with 3 prvious 1st trimester miscarriages is diagnosed with antiphospholipid syndrome. Anticardiolipin antibodies +ve. She is now 18 weeks pregnant. What would be the most appropriate management?
Chapter: 18 / Q: 23
A 23 year old presents with vomiting, nausea and dizziness. She says her menstrual period has been delayed 4 weeks as she was stressed recently. There are no symptoms present. What is the next appropriate management?
Chapter: 18 / Q: 24
A 16 year old girl came to the sexual clinic. She complains of painful and heavy bleeding. She says she doesn’t have a regular cycle. What is the most appropriate management?
Chapter: 18 / Q: 25
Which method of contraception can cause the risk of ectopic pregnancy?
Chapter: 18 / Q: 26
A 31 year old woman who is 32 weeks pregnant attends the antenatal clinic. Lab investigations: Hgb 10.7, MCV 91. What is the most appropriate management for this patient?
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