A 35-year-old woman came in ten days ago with a fever, tenderness in the suprapubic area, and discharge from the vagina. The doctors diagnosed her with pelvic inflammatory disease and started her on antibiotics. She initially got better, but now she is back with intense pain in her lower abdomen and a temperature of 39.5°C.
What is the SINGLE most probable diagnosis?
A 32-year-old patient comes in with a complaint of excessive menstrual bleeding. The periods are not excessively painful. A recent ultrasound scan showed the presence of small fibroids, all measuring less than 2-3 cm in diameter. During the examination, a slightly enlarged uterus is palpated. The patient expresses a strong desire to start a family soon.
What would be the most appropriate initial treatment option to consider in this case?
A 25-year-old woman who is 32-weeks pregnant in her first pregnancy is brought in by ambulance after a car accident. She has noticeable bruising on her lower abdomen and is experiencing intense abdominal pain. During the examination, you are unable to feel the top of the uterus and can easily feel the baby’s body parts. Blood samples have been sent to the lab and the patient has an IV line in place.
What is the MOST LIKELY diagnosis?
A 52-year-old woman comes in with postmenopausal bleeding. Her medical records indicate that she recently underwent a transvaginal ultrasound, which revealed an endometrial thickness of 6.5 mm. What is the MOST suitable next step in investigating her condition?
A 3 year old is brought to the emergency department due to concern that the patient has developed a fever, symptoms of a cold, and a widespread rash with blisters. You diagnose the child with chickenpox and advise the mother on how to manage the condition. The mother informs you that she is 12 weeks pregnant and is worried about the potential consequences of contracting chickenpox during pregnancy.
What is the most significant complication of chickenpox infection for the mother during pregnancy?
A 28-year-old woman who is 30 weeks pregnant is experiencing breathlessness and is undergoing investigation. A blood gas test is being conducted to aid in her management.
What type of acid-base imbalance would you anticipate as a result of pregnancy?
You review a patient with Sheehan’s syndrome following a postpartum hemorrhage. She would like to ask you some questions about her diagnosis.
Which ONE statement about this condition is accurate?
A 35-year-old woman comes in with amenorrhoea for the past six months following childbirth. The delivery was complicated by a post-partum haemorrhage that necessitated a blood transfusion. She has been unable to produce breast milk or breastfeed. She has also mentioned a loss of hair in her underarm and pubic regions and a decreased sex drive.
What is the SINGLE most probable diagnosis?
A 38-year-old woman comes in with a complaint of excessively heavy menstrual periods. Her GP recently ordered a complete blood count, which came back normal. During a vaginal examination, no apparent abnormalities were found. She is content with having finished having children.
Based on the latest NICE guidelines, what would be the most appropriate treatment option for her? Select only ONE response.
A 25-year-old woman is brought in by ambulance following a car accident where she was a passenger in a car hit by a truck at high speed. She is 32 weeks pregnant. Her vital signs are as follows: HR 98, BP 120/80, SaO2 99% on high-flow oxygen, RR 20, temperature 36.8°C. Her cervical spine is triply immobilized. The airway is clear, and her chest examination is unremarkable. She has experienced a small amount of vaginal bleeding and is experiencing abdominal pain. On examination, the uterus is tender and there are frequent uterine contractions.
What is the SINGLE most likely diagnosis?