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Lactational amenorrhoea (LAM) is an effective temporary method of contraception which can be used by a new mother if she is breastfeeding her baby at least every 4 hours during the day and every 6 hours during the night.
A 30-year-old woman is admitted as an emergency with a two-hour history of severe abdominal pain and vomiting. Her last period was 3 weeks ago and she is not using contraception. On examination she is tachycardic but her temperature and BP are normal. Her abdomen is very tender and there is a tender mass palpable in the left adnexa on bimanual vaginal examination.
A primary school teacher attends the GP surgery in early pregnancy to report that several pupils in her class have chickenpox. There is no record in her notes of her having had chickenpox herself when she was younger.
A primigravid woman has developed a rash on her abdomen at 37 weeks’ gestation which is so itchy that her sleep is disturbed. On examination she has urticarial papules, some of which are coalescing into plaques, all over her abdomen except for an area around the umbilicus.
The principles of pre-conception care including management and optimisation of long-term health conditions, provision of assistance in ceasing risky behaviours (e.g. smoking and alcohol excess), promotion of healthy behaviours and identification/counselling of women at increased risk of genetic abnormalities
A 24-year-old woman complains of non-cyclical pain and deep dyspareunia. The dyspareunia is troubling her because she has been trying to get pregnant for 2 years and intercourse is becoming very infrequent.
In this chapter we explain the format of the exam and discuss how to approach questions and apply your knowledge logically in order to answer correctly. This will be consolidated in subsequent chapters as we explain each of the examples.