Between you, me and the IUD

Question 1 of 3

1. Question

What is the most important step in the emergency management of this patient?

IV fluid resuscitation with normal saline
Removal of her Mirena coil
2 units un-crossmatched blood
Tranexamic acid
Norethisterone

Question 2 of 3

2. Question

Once stabilised, you perform a speculum examination and see a friable cervical mass. Direct pressure and vaginal packing temporarily controls the bleeding. The expired Mirena coil unfortunately is not the cause of this woman’s symptoms.

How long is a Mirena coil licensed for?

3 years
4 years
5 years
6 years
7 years

Question 3 of 3

3. Question

Her husband, a surgeon from a previous rotation, approaches you outside the cubicle and asks you what you think is going on. He also asks to see her previous surgical records.

Under what circumstances is it permissible to breach patient confidentiality? (Select all that apply)

If required by a court order
On the request of a uniformed police constable
Once a patient has died
To make a report under statutory communicable disease regulations
Where a patient lacks capacity