Question Easy:
A 28-year-old woman, who is 8 weeks pregnant, presents to the GP with nausea and vomiting. She does not have any symptoms of dehydration and can tolerate small amounts of fluids. What is the first-line treatment for her nausea and vomiting in pregnancy according to the current NICE guidelines? 🤰
A) Cyclizine
B) Domperidone
C) Ondansetron
D) Metoclopramide
E) Ginger tablets
Question Medium:
A 32-year-old woman presents to the gynaecology clinic with heavy menstrual bleeding and pelvic pain. An ultrasound scan reveals multiple fibroids with the largest being submucosal. She desires to retain her fertility. What is the most appropriate first-line medical management in this scenario?
A) GnRH analogues
B) Combined oral contraceptive pill
C) Tranexamic acid
D) Mifepristone
E) Hysterectomy
Question Hard:
A 35-year-old woman in her second pregnancy at 28 weeks’ gestation presents with itching, particularly on the palms and soles of her feet. Liver function tests reveal elevated bile acids. What is the most appropriate treatment to alleviate her symptoms according to NHS guidelines? 🤔
A) Corticosteroids
B) Antihistamines
C) Ursodeoxycholic acid
D) Dexamethasone
E) Vitamin K supplementation
Explanations & Answers:
Question Easy Answer:
A) Cyclizine
Question Easy Explanation:
Cyclizine is considered a first-line treatment for nausea and vomiting in pregnancy per NICE guidelines. It is generally well-tolerated and can be initiated in primary care settings before considering hospital-based interventions.
Question Medium Answer:
C) Tranexamic acid
Question Medium Explanation:
Tranexamic acid is a non-hormonal treatment option and is recommended as a first-line therapy for women with heavy menstrual bleeding who wish to preserve fertility. It works by reducing blood loss during menstruation and is particularly useful when fibroids are present.
Question Hard Answer:
C) Ursodeoxycholic acid
Question Hard Explanation:
Ursodeoxycholic acid is the recommended treatment for obstetric cholestasis, as it helps to alleviate pruritus and improve liver function test abnormalities in women affected by this condition during pregnancy. Antihistamines are generally ineffective for this cause of itching.
Medical fact of the day:
Did you know that the UK has one of the best antenatal screening programmes in the world? Conditions such as Down syndrome, Edwards’ syndrome, and Patau’s syndrome are routinely screened for during pregnancy to provide early detection and comprehensive care.
Quote of the day:
“Every challenge faced in healthcare is an opportunity for growth and connection. Let kindness and compassion guide your hands and hearts.” 🌟