Sarah is 40 years old and presents with an 18 month history of dysmenorrhoea, deep dyspareunia and chronic pelvic pain. She has regular cycles around 30 days long and denies any intermenstrual or post coital bleeding. Her smear tests have always been normal in the past. She has been trying to conceive with her husband …
Lucy is a 30 year old lady who has been recently diagnosed with Polycystic ovary syndrome and returns to the GP today as she has more questions about the condition. Which one of the following conditions is not associated with Polycystic ovary syndrome (PCOS)?
Adele is a 30 year old lady who presents with a 6 month history of amenorrhoea. You take a thorough history and establish that prior to this her cycle was regular, roughly occurring every 30 days. Which one of the following is least likely to be a potential cause of secondary amenorrhoea?
A 56 year old actress presents to the GP after noticing blood in her urine at times over the last month. She denies any post-menopausal bleeding or post coital bleeding and her last smear test 2 years ago was normal. She is married and denies any vaginal discharge or risk of sexually transmitted infections. There …
Sally is a 22 year old lady who is requesting emergency contraception following an episode of unprotected sexual intercourse (UPSI) with her boyfriend 2 days ago. Past medical history includes Epilepsy for which she takes Carbamazepine. She has a regular cycle and is currently on day 14 of her cycle (her usual cycle length is …
Karen is 32 years old and sees you to discuss switching from Microgynon to a long-acting form of contraception since compliance has been an issue. Her friend is on the copper coil and you discuss this form of contraception in greater detail. Which one of the following statements regarding the copper coil is least correct?
Karen is a 19 year old university student who attends the GP surgery requesting emergency contraception. She had unprotected sexual intercourse 3 days ago with a new partner. Her last menstrual period was 6 days ago. She agrees that a sexually transmitted infection screen is sensible and is keen to have Ulipristal Acetate as she …
A 37 year old lady attends to discuss contraceptive options as she finds that she sometimes forgets to take her contraceptive pill and would like a more long acting option. You discuss the Mirena coil (Intrauterine system). Which one of the following statement is most correct regarding the Mirena coil?
Mrs Jenkins is a 38 year old lady who is concerned about developing breast cancer after a close friend was recently diagnosed. She comes to see you to discuss having a mammogram. She has no worrying symptoms and no relevant family history. At what age does nationwide breast screening begin (excluding any trials of extending …
Elizabeth is 47 years old and complains of feeling bloated for the last few months. Her bowel habit is unchanged, and she denies any blood in the stool. She tells you she has always suffered on and off with ‘irritable bowel’, although you can see there is no formal diagnosis of this on her record. …
