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Enzyme-inducing antiepileptic — DRCOG MCQ

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EasyContraceptionEnzyme-inducing antiepilepticDRCOG

A 45-year-old woman takes carbamazepine and asks about reliable contraception. What is the most appropriate management?

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Correct answer: DDiscuss copper intrauterine device or depot injection

Discuss copper intrauterine device or depot injection is the best answer because the vignette is testing Enzyme-inducing antiepileptic and the recommended approach is consistent with FSRH UKMEC. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Repeat the pregnancy test in one week; Offer combined hormonal contraception; Request outpatient ultrasound in three months; Start combined hormonal contraception would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: FSRH UKMEC