Question Easy:
A 28-year-old pregnant woman, now at 10 weeks of gestation, is concerned about the vitamins and supplements she should be taking. Which one of the following supplements is recommended for all women during the first 12 weeks of pregnancy to prevent neural tube defects? 🌟
A) Vitamin D
B) Iron
C) Folic Acid
D) Calcium
E) Vitamin A
Question Medium:
A 32-year-old woman presents to her GP with heavy menstrual bleeding lasting for 8 days each cycle. She is otherwise healthy and currently does not desire to become pregnant. Which of the following is the first-line treatment according to NICE guidelines? ⚖️
A) Tranexamic Acid
B) Combined Oral Contraceptive Pill
C) Levonorgestrel-Releasing Intrauterine System (LNG-IUS)
D) Norethisterone
E) Mefenamic Acid
Question Hard:
A 33-year-old woman is 38 weeks pregnant and presents to the maternity unit with a severe headache and visual disturbances. Her blood pressure is 170/115 mmHg and urinalysis shows +++ protein. What is the most appropriate initial management?
A) Oral nifedipine
B) IV magnesium sulfate
C) Immediate delivery
D) Oral labetalol
E) IV hydralazine
Explanations & Answers:
Question Easy Answer: C) Folic Acid
Question Easy Explanation: Folic acid supplementation is recommended for all women before conception and during the first 12 weeks of pregnancy, as it reduces the risk of neural tube defects such as spina bifida. The recommended dose is 400 micrograms daily. 🌿
Question Medium Answer: C) Levonorgestrel-Releasing Intrauterine System (LNG-IUS)
Question Medium Explanation: According to NICE guidelines, the Levonorgestrel-Releasing Intrauterine System (LNG-IUS) is the first-line treatment for heavy menstrual bleeding for those not seeking conception. This option provides both symptom relief and contraception. 🌸
Question Hard Answer: D) Oral labetalol
Question Hard Explanation: For maternal safety and to reduce blood pressure quickly in severe pre-eclampsia, oral labetalol is recommended as first-line treatment according to NICE guidelines. IV magnesium sulfate is used for seizure prophylaxis, and delivery should be considered once the maternal condition is stabilized. 🤰
Medical fact of the day: The average human pregnancy lasts about 280 days, but human gestation can naturally vary as much as five weeks.
Quote of the day: “In the race to save lives, every step forward counts, no matter how small. Keep learning, keep growing, and never lose hope.” 🌱