By Sukhpreet Singh Dubb
Single most sensible solution (SBA) examinations are an more and more renowned technique of checking out clinical scholars and people project postgraduate skills in a couple of topic parts. Written via a final-year scientific pupil, junior medical professionals, and skilled clinicians, 450 unmarried most sensible solutions within the medical Specialties presents precious advice from authors who comprehend from own event that specific and actual factors are the major to winning revision.
The presentation of questions prepared by means of uniqueness sector, coupled with the transparent dialogue of the way the right kind solution was once reached and different suggestions governed out for each query, make this ebook a good studying relief in the course of all levels of medical stories, and especially whereas getting ready for clinical finals.
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Additional info for 450 Single Best Answers in the Clinical Specialities
Initial assessment should involve a cardiovascular review, IV access, full blood count and cross-match for 4 units of blood. Continuous CTG should be in place and antenatal steroids should be commenced as while the patient bleeds the fetuses are at risk. If delivery is imminent, the steroids will not have enough time to affect fetal lung maturity. It is imperative that you involve the consultant obstetrician, anaesthetist, paediatricians and senior midwife as early as possible. Answers (B) and (C) confirm that the doctor has not grasped the seriousness of the situation.
Her pregnancy has been straightforward and she has good fetal movements. Liver function tests reveal an alanine transaminase (ALT) of 64 IU/L and bile acids of 30 µmol/L. You suspect that she might have developed obstetric cholestasis. Which of the following bits of advice is true? A. B. C. D. E. She could have intermittent monitoring in labour Ultrasound and CTG surveillance help prevent stillbirth Poor outcomes can be predicted by bile acid levels Ursodeoxycholic acid (UDCA) helps prevent stillbirth Meconium stained liquor is more common in labour 12 Section 1: Antenatal care and maternal medicine 23.
Stillbirth E. Preterm delivery 29. Antenatal care (4) A 44-year-old women who is 18 weeks pregnant presents to your clinic with a 2-day history of a viral illness. She is extremely anxious and is in floods of tears. She recently had some soft cheese in a restaurant and after an internet search she is convinced she has a particular infection. What infection is she concerned about? Toxoplasmosis B. Cytomegalovirus (CMV) C. Listeria monocytogenes D. Hepatitis E E. Parvovirus B 19 30. Rashes in pregnancy A 26-year-old woman is 37 weeks pregnant and consults you about a rash that started on her abdomen and has now spread all over her body.
450 Single Best Answers in the Clinical Specialities by Sukhpreet Singh Dubb