Question Easy: 🤰 A 30-year-old woman at 12 weeks of gestation visits her GP complaining of nausea and vomiting that has severely limited her food intake. She reports having lost weight and feeling extremely tired. What is the most appropriate initial management for her condition according to NICE guidelines?
A) Lifestyle and dietary advice
B) Prescribe metoclopramide
C) Admit to hospital for IV fluids
D) Prescribe oral ondansetron
E) Prescribe oral pyridoxine
Question Medium: 👶 A 35-year-old woman, G2P1, presents to the antenatal clinic at 28 weeks gestation. She has gestational diabetes and is concerned about the potential complications for her baby. Which of the following is the most likely complication for her baby if her gestational diabetes is poorly controlled?
A) Premature birth
B) Fetal macrosomia
C) Congenital heart defects
D) Neural tube defects
E) Fetal growth restriction
Question Hard: 🩺 A 28-year-old woman presents with postcoital bleeding and pain during intercourse. On examination, her cervix appears friable with an erythematous area surrounding the os. Considering NHS guidelines, what is the most appropriate first step in her management?
A) Repeat cervical screening test
B) Immediate colposcopy
C) Prescribe antibiotics for cervicitis
D) Biopsy the cervix
E) Cryotherapy of the cervix
Explanations & Answers:
Question Easy Answer: A) Lifestyle and dietary advice
Question Easy Explanation: According to NICE guidelines, the initial management of nausea and vomiting in pregnancy should involve lifestyle and dietary advice. This includes eating small, frequent meals, staying hydrated, and avoiding triggering foods. Pharmacological treatment is considered if these measures do not provide relief.
Question Medium Answer: B) Fetal macrosomia
Question Medium Explanation: Poorly controlled gestational diabetes is commonly associated with fetal macrosomia, which means the baby grows larger than usual for its gestational age. This can lead to complications, such as shoulder dystocia during delivery.
Question Hard Answer: B) Immediate colposcopy
Question Hard Explanation: The NHS guidelines recommend an immediate colposcopy for women presenting with postcoital bleeding and suspicious-looking cervix findings, particularly with features suggestive of cervical pathology, such as a friable and erythematous cervix, to rule out cervical cancer.
Medical fact of the day: The term “tokophobia” refers to the intense fear of childbirth, which can affect some pregnant women and may impact their psychological well-being. 🤰
Quote of the day: “Every beat of hope you restore in your patients is as vital as the care you deliver. Keep inspiring, keep healing.”