7.6. Vaginal and vulval condition Flashcards
A 23-year-old woman presents to her GP complaining of heavy and irregular menstrual bleeding. She has a past medical history of antiphospholipid syndrome, for which she is treated with warfarin. After conducting investigations, the GP did not find any abnormal uterine pathology.
Use the information provided about antiphospholipid syndrome in the resource pack.
Which one of the following treatment options would be most appropriate?
Select one:
A. Levonorgestrel-releasing intrauterine system Correct
B. Mefenamic acid
C. Naproxen
D. Oral combined hormonal contraception
E. Tranexamic acid
Levonorgestrel-releasing intrauterine system.
This will also provide contraception which may be important for this patient as she is on warfarin.
NSAIDs would be contra-indicated as they increase the risk of bleeding when given with warfarin. Tranexamic acid and the combined oral contraceptive pill are also contra-indicated in antiphospholipid syndrome due to the additive increase in thrombosis risk.
REF: BNF monographs
The correct answer is: Levonorgestrel-releasing intrauterine system
Which ONE of these patients with thrush, displaying symptoms for the very first time, could be sold a medicine over the counter?
Select one:
A. A 32-year-old pregnant female who has no diabetes or gestational diabetes
B. A 34-year-old male whose female partner has thrush Correct
C. A 46-year-old female with a green discharge, who is not pregnant or taking other medicines
D. A 59-year-old female who has had thrush three times in the last six months
E. A 61-year-old female who has recently been on a course of antibiotics
34 year old male who has symptoms and whose female partner also has thrush. Over 60’s need referral to the GP, also the presence of green discharge maybe an infection that needs GP referral specifically.
Ref: NHS conditions, thrush in men and women https://www.nhs.uk/conditions/thrush-in-men-and-women/#:~:text=You’ll%20usually%20need%20antifungal,partners%20unless%20they%20have%20symptoms
The correct answer is: A 34-year-old male whose female partner has thrush
