MFSRH Part 1: Demo

A 52-year-old patient presents to your clinic requesting removal of her progestogen-only implant. It has been in situ for three years. She reports a history of hot flushes and difficulty sleeping. Her last period was two years ago and she is not using HRT.

Her FSH level is 34 IU/L.

Does she still require contraception?

Endogenous sex steroids are derived from cholesterol and contain a basic carbon skeleton. The number of carbon atoms within the skeleton defines the steroid group. How many carbon atoms does the carbon skeleton of progesterone contain?

You review a transgender man in your clinic who is using GnRH analogues to suppress oestrogen synthesis.

Which of the following statements regarding GnRH is correct?

The dorsal artery of the penis provides the blood supply to the glans penis and prepuce. From which artery does it originate?

Chromosomal trisomy is a common cause of first trimester miscarriage. What is the most common mechanism behind trisomy formation?

You see a patient in clinic requesting the combined hormonal contraceptive pill. They have a past medical history of epilepsy for which they take topiramate. Which  of the following options is the most appropriate management?

Which of the following statements regarding intrauterine contraception is false?

You are reviewing a new diagnostic test where the data demonstrates it has a low specificity. What does this mean?

Which of the following microbiological features is true of Mycoplasma genitalium?

Ceftriaxone is a third-generation cephalosporin commonly used to treat gonorrhoea. What is the mechanism of action of ceftriaxone?