A 32-year-old woman attends your pharmacy requesting to buy the morning after pill. She gives you the following information during your consultation. She had unprotected sex with her husband last night She currently takes no other medicines She is breastfeeding her 5-month-old baby She is generally well with no underlying health concerns She has never taken the morning after pill before Her BMI is 23 kg/m2   Using the information provided above, detail the product you should supply to this patient giving reasons for your decision.  (2 marks) Explain the associated advice that should be provided to the patient when the supply is made. (3 marks)

The Comptroller of Public Accounts is:

A stillborn infant exhibits near normal development of the head, trunk and upper limbs but a profound underdevelopment below the waist including fusion of the lower limbs (sirenomelia). Lack of complete development of which of the following structures could best account for this deformity?

During a cerebrovascular accident (“stroke”) a large number of upper motor neurons located in the motor cortex of the brain are killed. Loss of these cells is most likely to result in which one of the following clinical signs? 

The closer two genes are to each other on a chromosome, the more likely they are to segregate independently.

The posterior tibial artery pulse can be palpated at the ankle immediately posterior to the medial malleolus. The medial malleolus is part of which one of the following bones?

A 27-year-old woman is currently 28 weeks pregnant and has recently started to suffer from constipation. This is her first pregnancy, she is normally fit and healthy and does not suffer from any medical conditions.  She takes no medication and has tried appropriate lifestyle advice to relieve her symptoms, but they have not helped.  What would be the MOST appropriate medication to recommend for the treatment of constipation in this patient?

Carbimazole and Propylthiouracil (PTU) are the main therapeutic agents for hyperthyroidism and share a near identical mode of action. Describe the mechanism of action of these drugs. Your answer should also include any additional mode of action PTU has that Carbimazole does not (5 marks).

After receiving an intramuscular injection in the buttock, a 19-year-old male develops a limping gait. Physical examination reveals a Trendelenburg Sign. When standing stationary on his right foot with the left foot raised off of the ground, both sides of his hips remain at the same level. However, when standing stationary on his left foot with the right foot raised off of the ground, the left side of his hip appears to “rise”, and he falls to his right side. Which one of the following best describes the patient’s functional deficit?

John received $350 for delivery services; this transaction increased Cash and revenue.