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Updated: Jun 30, 2026
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1. A 27-year-old woman presents to her family physician ' s office and states that she is pregnant and would like to be referred for an abortion. She is at approximately 9 weeks ' gestation by dates. The family physician has personal conscience-based objections to the procedure. Which one of the following would be the best next step for this physician?
A) Ask the patient to return in 2 weeks to give her time to consider her options
B) Recommend that the patient consider adoption
C) Explain their personal views about therapeutic abortion to the patient
D) Refer the patient to another physician
2. A 94-year-old woman with severe dementia is referred for vaginal bleeding and a persistent foul odour from the vagina. She lives in a long-term care facility. She has been using a ring pessary for the past 15 years. Her current pessary has not been replaced in 2 years. On examination, there is moderate vaginal atrophy. After removing the pessary, which one of the following is the best next step?
A) Wash the pessary and recommend a daily saline douche.
B) Arrange for a hysteroscopy and endometrial biopsy.
C) Prescribe vaginal metronidazole gel.
D) Start vaginal estrogen.
E) Perform a vaginal biopsy.
3. A 20-year-old woman from a remote northern community presents to the office with a 2-week history of malaise and a 2-day history of disabling pain in her left elbow. She had a sore throat 4 weeks ago. She also notes that she has had 2 weeks of pain and swelling in her right knee, followed by pain and swelling in her left elbow. On examination, you note 0.5-cm to 1-cm nodules just above both her elbows. You find no active joint swelling. An electrocardiogram shows a prolonged PR interval. Which one of the following is the most appropriate investigation?
A) Antistreptolysin O titre.
B) Echocardiography.
C) Excisional biopsy of nodules.
D) Rheumatoid factor.
E) Pharyngeal culture.
4. A 30-year-old woman presents to your office for a follow-up assessment of a sports-related musculoskeletal injury to her right leg. She requests a letter for her employer regarding her return to work. You feel she should be able to manage some aspects of her factory work. Which one of the following is most appropriate to include in your medical note to this patient ' s employer?
A) Treatment options
B) Diagnosis
C) Medical imaging results
D) Required workplace accommodations
E) Physiotherapist ' s evaluation
5. A 25-year-old woman who is at 8 weeks ' gestation plans to travel to rural Cambodia to care for her ill mother. Which one of the following treatments should be provided to her before the trip?
A) Hepatitis B immunoglobulin
B) Ciprofloxacin for travellers ' diarrhea
C) Tetanus and diphtheria booster if last received more than 5 years ago
D) Antimalarial chemoprophylaxis
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: D |
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