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MRCOG PART 2 SBAs and EMQs

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EMQ1476
SBA2075
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VTE essay

VTE essay Posted by R S.
Dear Dr Paul,
Thanks a lot for your corrections. Please I need your help in the following issues:
- It has been stated in RCOG guideline [Intravenous unfractionated heparin is the traditional method of heparin administration in acute VTE and remains the preferred treatment in massive PTE because of its rapid effect and extensive experience of its use] , so please I think that the majority of PE are life threatening and we need rapid action of heparin, how can we wait for the start of action of LMWH while the patient having stab like chest pain with shortness of breath. We need your help please.

-Does the traditional pulmonary angiography still implemented in pregnant patient ? or it has been replaced by CTPA ? I mean does the risks of Pulm. angiography outweigh its use in pregnancy ?

Thank you.