1 D 2 A 3E 4 B 5C 6D 7B 8B 9A 10A 11C 12A 14B 15E 16A 17D 18D 19E 20E 21B
ANC
Posted by rasheeda B.
1d 2a 3e 4b 5c 6d 7e 8b 9b 10a 11d 12d 14a 15e 16a 17b 18d 19e 20b 21b
Posted by shah M.
A
Low molecular weight heparin from 8 weeks
B
Aspirin from 12 weeks
C
Low molecular weight heparin and aspirin from 12 weeks
D
Low molecular weight heparin from 8 weeks + aspirin from 12 weeks
E
Aspirin from 12 weeks + low molecular weight heparin from 28 weeks
Explanation
Question 14
A 23 year old woman with sickle cell disease attends the antenatal clinic at 8 weeks gestation in her first pregnancy. She has a history of painful crises every 6 months, is up-to-date with all immunization and is taking prophylactic penicillin. She is also taking folic acid 5 mg daily. BP = 133/69, urine analysis is normal. She has a viable intra-uterine pregnancy on scan.
SCD comes in intermediate risk,so why the answer is D not E sir?
Posted by Farrukh G.
Explanation
Question 14
A 23 year old woman with sickle cell disease attends the antenatal clinic at 8 weeks gestation in her first pregnancy. She has a history of painful crises every 6 months, is up-to-date with all immunization and is taking prophylactic penicillin. She is also taking folic acid 5 mg daily. BP = 133/69, urine analysis is normal. She has a viable intra-uterine pregnancy on scan.
SCD comes in intermediate risk,so why the answer is D not E sir?
See notes / RCOG guidelines
Intermediate risk – consider antenatal prophylaxis with LMWH
Hospital admission
Single previous VTE related to major surgery
High-risk thrombophilia + no VTE (antithrombin deficiency, protein C or S deficiency, compound or homozygous for low-risk thrombophilia)
Medical comorbidities e.g. cancer, heart failure, active SLE, IBD or inflammatory polyarthro-pathy, nephrotic syndrome, type I DM with nephropathy, sickle cell disease, current IVDU
Any surgical procedure e.g. appendicectomy
OHSS (first trimester only)
IT DOES NOT SAY CONSIDER FROM 28 WEEKS - The scoring system in the RCOG guidelines is inaccurate.
Doubts
Posted by shah M.
Sir I have some very basic doubts,,,
1.In trial of VBAC ,if Ctg abnormlity occurs ,should we go for FBS or straight to CS taking impending rupture as a possibility
2.How to find out baseline foetal heart rate from Ctg tracing as single FHR need to b taken instead of a range?
3.how to assess the strength or amplitude of uterine contraction from Ctg trace ,to decide upon need for oxytocin?
4.For location of pregnancy,serum progesterone used or not?
