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MRCOG PART 2 SBAs and EMQs

Course PAID
notes336
EMQ1502
SBA2115
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previous VTE + age 37 (age >35) shud the age be considered additional risk factor?

previous VTE + age 37 (age >35) shud the age be considered additional risk factor? Posted by Stanley T.
Options for Questions 9-9

 

A Thrombophilia screen B Stop heparin
C Offer termination of pregnancy D Low molecular weight heparin for 7 days post-partum
E Low molecular weight heparin for 6 weeks post-partum F Screen for antiphospholipid antibodies
G Close observation for additional risk factors H Close observation for additional risk factors + low molecular weight heparin for 7 days post-partum
I Close observation for additional risk factors + low molecular weight heparin for 6 weeks post-partum J Graduated elastic compression stockings
K Low molecular weight heparin antenatally + 6 weeks post-partum L Low molecular weight heparin antenatally + 7 days post-partum
M Warfarin from 12 weeks    

Instrunctions:For each scenario described below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
Explanation

 

Question 9 A 37 year old mother of 2 children attends the antenatal clinic at 22 weeks gestation. She suffered a pulmonary embolus at the age of 20 years following a road traffic accident with bilateral lower limb fractures. Her two previous pregnancies were uncomplicated.