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Phase 3 Medicine 2026
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A 32 year old woman visits her general practitioner for a "baby check" 2 weeks after the elective caesarean delivery of her second child. He appears to be doing well but the GP picks up that there may be something else bothering her. On questioning she states that she has recovered well from her surgery but has been feeling a little sad and tearful. She is eating and sleeping normally though she says she is generally tired. She has had no strange thoughts or thoughts of hurting herself or others. She has no personal or familial history of depression. Which of the following is the most likely diagnosis?
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A 15 year old girl is brought to the Emergency Department by her mother on day 2 of her period because of heavy vaginal bleeding. She had her first period at 14 but that her periods have remained very irregular and heavy and it is nearly 8 weeks since the last one. She has no medical problems, has no personal or family history of bleeding dyscrasia, and takes no medications. Though she has a regular boyfriend she denies any sexually activity. On examination, T 37°C, PR 96/min, BP 110/70 mm Hg, and RR 12/minute. She has a BMI of 22 and some mild facial acne. Gynaecological examination reveals an intact hymen. Urine β-hCG is negative. Haemoglobin is 108 g/L (115-165). Which of the following options would be the most appropriate management?
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Which of the following human papillomavirus (HPV) subtypes are most commonly associated with visible external genital warts?
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A 35 year old woman presents with a history of severe epilepsy for which she is currently taking sodium valproate. She and her partner are considering pregnancy in the near future. After advising her of the risk to her infant from sodium valproate, which of the following is the most appropriate step in management?
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Scrubbing hand using alcohol-based hand rub requires 90 seconds.
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Subsequent scrubbing consists of:
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The first scrub of the day consists of:
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You can change the scrubbing solution (betadine or chlorhexidine) throughout the day as you wish.
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The scrubbed team members consider their aseptic zone as:
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Which sequence is the most correct for scrubbing when using povidone or chlorhexidine?
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