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Chapter: 18 / Q: 167
A married 25 year old woman presents with 6 hours history of abdominal pain located in the LIF. The pain is persistent, of increasing intensity and not radiating first experienced while she was lying down. She feels giddy when she tries to stand erect. The last menstrual period 6 weeks ago. The
Chapter: 18 / Q: 168
A 32 year old woman of 40 weeks gestation attends the antenatal day unit with sudden onset epigastric pain with nausea and vomiting. She is clinically jaundiced. Her biochemistry results show a raised bilirubin, abnormal liver enzymes, high uric acid and hypoglycemia. What’s the likely diagnosi
Chapter: 18 / Q: 169
A 29 year old woman presents to her GP with troublesome heavy periods. The med treatment that she has tried have made little difference. She is known to have large uterine intramural fibroids. You confirm that she is currently trying for more children. Select the most appropriate management meno
Chapter: 18 / Q: 170
A 30 year old woman had an IUCD inserted 8-9 months ago. Now on routine follow up the thread is missing. Uterine US showed no IUCD in the uterus. What is the best management?
Chapter: 18 / Q: 171
A 28 year old woman who has had a previous pulmonary embolism in pregnancy wishes to discuss contraception. She has menorrhagia but is otherwise well. What is the SINGLE most suitable contraceptive method for this patient?
Chapter: 18 / Q: 172
A 27 year old woman who takes the COCP has had painless vaginal spotting and discharge for 3 days. Her last menstrual period, which lasted four days, finished 10 days ago. Her last cervical smear two years ago was normal. Abdominal and vaginal examinations are normal apart from mild ectropion with
Chapter: 18 / Q: 173
A 19 year old woman has had progressive bilateral iliac fossa pain and dyspareunia for 3days. She has an offensive vaginal discharge and feels unwell and feverish. Her temp=39C. An initial antimicrobial regimen is commenced. What SINGLE set of organisms are the most appropriate the antimicrobial
Chapter: 18 / Q: 174
A primigravida in the 17th week of her symptomless gestation is found, on US, to have evidence of placental tissue covering the cervical os. By the end of her pregnancy she is likely to develop?
Chapter: 18 / Q: 175
An elderly lady with COPD has chronic SOB. She is listed for cataract extraction. What is the anaesthetic of choice?
Chapter: 18 / Q: 176
A pregnant woman in an early stage of labour expresses the wish to have pain relief during labour. The anesthetist describes that if the patient wishes he can use medication as a local anesthetic to block the pain sensations of labour. Into which space should the local anaesthetic normally inject
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