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MRCOG PART 2 SBAs and EMQs

Course PAID
notes331
EMQ1476
SBA2073
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H1N1

H1N1 Posted by ghada S.
A Administer H1N1 vaccine B Transfer to the intensive care unit
C Deliver by caesarean section D Induce labour
E Administer oseltamivir F Administer zanamivir
G Avoid contact with partner H Transfer neonate to the neonatal intensive care unit
I Administer HINI vaccine to the neonate J Take swabs for H1N1
K Sputum for culture and sensitivity L Administer oseltamivir within 48 hours
M Administer zanamivir within 48 hours N Administer zanamivir within 36 hours

 

Instructions: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 An H1N1 influenza pandemic has been declared and a 35 year old woman presents with a 24 hour history of flu-like illness with diarrhoea and vomiting. Her temperature is 38.5C, pulse 90 / min and respiratory rate is 20 / min. SO2 is 96% on air. She had a vaginal delivery 3 days earlier and is breastfeeding.
 

Dear Paul; Could you please explain why my answer L is worng despite that it is written in notes "Ideally to start treatment withen 48 hours"

Thanks