Question Easy:
A 28-year-old woman, pregnant for the first time, presents to her GP with nausea and vomiting. She is currently 10 weeks pregnant. What is the most appropriate first-line treatment for nausea and vomiting in pregnancy according to NICE guidelines? 🤰
A) Metoclopramide
B) Ondansetron
C) Prochlorperazine
D) Cyclizine
E) Ginger supplements
Question Medium:
A 34-year-old woman presents to the gynecology clinic with complaints of heavy menstrual bleeding lasting for 10 days each cycle. She has no significant medical history and is not currently taking any medications. Physical examination and ultrasound are unremarkable. What is the first-line management recommended by NICE for this condition? 🌸
A) Tranexamic acid
B) Mirena coil (Levonorgestrel-releasing intrauterine system)
C) Oral contraceptive pill
D) Non-steroidal anti-inflammatory drugs (NSAIDs)
E) Endometrial ablation
Question Hard:
A 40-year-old woman presents with pelvic pain, dyspareunia, and dyschezia. She has a history of infertility. An ultrasound shows an ovarian cyst with thick walls and internal echoes. What is the most likely diagnosis? 🤔
A) Endometrioma
B) Dermoid cyst
C) Follicular cyst
D) Serous cystadenoma
E) Corpus luteum cyst
Explanations & Answers:
Question Easy Answer: D) Cyclizine
Question Easy Explanation: According to NICE guidelines, cyclizine is recommended as a first-line treatment for nausea and vomiting in pregnancy. If ineffective, other options can be considered. Cyclizine is an antihistamine and has a good safety profile in pregnancy.
Question Medium Answer: A) Tranexamic acid
Question Medium Explanation: For women with heavy menstrual bleeding with no identified underlying pathology, tranexamic acid is recommended by NICE as a first-line treatment. It is particularly useful when periods are heavy but regular.
Question Hard Answer: A) Endometrioma
Question Hard Explanation: An endometrioma, also known as a “chocolate cyst,” is often associated with endometriosis. It commonly presents with pelvic pain, dyspareunia, and infertility. The ultrasound findings of a cyst with thick walls and internal echoes are typical of an endometrioma.
Medical fact of the day: Did you know that in the UK, approximately 1 in 10 women at reproductive age is affected by endometriosis? This chronic condition can significantly impact quality of life and fertility, highlighting the importance of timely diagnosis and management.
Quote of the day: “Every heartbeat counts, make your care as compassionate as it is precise.” ❤️