Question Easy:
A 28-year-old woman presents to the clinic with a positive pregnancy test. She is currently taking folic acid and wants to know how long she should continue taking it. What is the recommended duration for taking folic acid during pregnancy according to NICE guidelines? 😊
A) Until the end of the first trimester
B) Until the end of the second trimester
C) Until the end of the pregnancy
D) Until the end of breastfeeding
E) For the first month only
Question Medium:
A 32-year-old woman is at 34 weeks of gestation and has been diagnosed with gestational diabetes. She is concerned about the potential complications for her baby. Which of the following is NOT typically associated with gestational diabetes? 🤔
A) Macrosomia
B) Neonatal jaundice
C) Respiratory distress syndrome
D) Neural tube defects
E) Shoulder dystocia
Question Hard:
A 30-year-old woman with a history of polycystic ovary syndrome (PCOS) presents with hirsutism and irregular menstruation. She is concerned about her fertility. Which of the following medications is recommended as the first-line treatment for ovulation induction in women with PCOS according to the NICE guidelines?
A) Metformin
B) Clomifene citrate
C) Letrozole
D) Gonadotropins
E) Spironolactone
Explanations & Answers:
Question Easy Answer: A) Until the end of the first trimester
Question Easy Explanation: According to NICE guidelines, all women should take 400 micrograms of folic acid daily before conception and continue through the first 12 weeks of pregnancy to help prevent neural tube defects.
Question Medium Answer: D) Neural tube defects
Question Medium Explanation: Gestational diabetes can lead to complications such as macrosomia, neonatal jaundice, respiratory distress syndrome, and shoulder dystocia, but it is not associated with neural tube defects. Neural tube defects are more commonly linked to folate deficiency in early pregnancy.
Question Hard Answer: B) Clomifene citrate
Question Hard Explanation: NICE guidelines recommend clomifene citrate as the first-line treatment for inducing ovulation in women with PCOS who wish to conceive. Letrozole can also be considered, especially if clomifene citrate is not successful, but clomifene is often the starting point.
Medical fact of the day: Did you know that the use of the birthing chair dates back to ancient Egypt? This early form of a delivery aid resurfaces in various cultures throughout history, showing how supportive tools have long been part of childbirth practices.
Quote of the day: “Every challenge in healthcare is a chance to inspire and heal, turning trials into triumphs.” 🌟