FORMATIVE WEEK 2 Flashcards
The correct answer is: Give levonorgestrel emergency contraception and advise her to carry on the patch and that she can rely on this again, for contraception, in 5 days
She has already had 2 days of the new patch cycle and therefore can’t take UPA-EC (ellaone), she needs another 5 days for it to become effective again
The correct answer is: Intrauterine System (IUS)
IUS (the efficacy of the others are reduced by liver enzyme inducing drugs except Cu-IUD but this would worsen her bleeding and pain.)
The correct answer is: Take a full sexual history and offer STI screening. Ask about any potential interacting drugs. Offer a pregnancy test. Examine the cervix for any local cause of bleeding.
The correct answer is: Progesterone only pill
Given her previous history, sterilisation will be risky. Difficult to fit Mirena and Hysteroscopic sterilisation with fibroid uterus. COCP Contraindicated in a women above 40 and with high BMI
The correct answer is: Mirena IUS
COCP Contraindicated in a women above 40 and with high BMI.
The correct answer is: 23 weeks + 6 days
The correct answer is: 2
The correct answer is: Treat the woman as you would anyone else in this situation, as it is an emergency
The correct answer is: Obtain venous blood from the patient and request HIV antibody/antigen
The correct answer is: His symptoms may be due to Primary HIV infection and venous blood should be obtained and sent to the laboratory for HIV antibody/antigen testing
The correct answer is: Bacterial vaginosis
Candidiasis has creamy white discharge with redness . Trichomonas is yellowish/green frothy along with itching and soreness . HPV presents with warts. Genital herpes has extremely sore ulcerated lesions.
The correct answer is: Doxycycline
The correct answer is: D
The correct answer is: A
The correct answer is: D
The correct answer is: A
The correct answer is: E
The correct answer is: B
The correct answer is: A
Poor adherence to medication is the single biggest contributer to HIV antiretroviral drug resistance.
The correct answer is: B
The correct answer is: A
The correct answer is: E
Given her previous history sterilisation will be risky. Difficult to fit Mirena and Hysteroscopic sterilisation with fibroid uterus.COCP Contraindicated in a women above 40 and with high BMI.
The correct answer is: E
Nice recommends Mirena as a the first choice. Surgery has high risks. TCRE does not provide contraception. COCP is contraindicated in a smoker with high BMI
The correct answer is: B
Candidiasis has creamy white discharge with redness . Trichomonas is yellowish/green frothy along with itching and soreness . HPV presents with warts. Genital herpes has extremely sore ulcerated lesions.
The correct answer is: B
The correct answer is: D
Other factors for regret:
-Young age <30 yr old
-Few or no children
-Not in a mutually faithful relationship or not in a relationship
-Coercion by partner or medical personnel
The correct answer is: D
The correct answer is: E
No need for emergency contraception , just take the pills regulary after taking the missed dose.
