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MRCOG PART 2 SBAs and EMQs

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notes336
EMQ1502
SBA2115
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EMQ quiry

EMQ quiry Posted by Dr. Umme  H.
Dear Paul,
Please help me understanding the indications of the Kleiheur Test regarding the anti D prophylaxes
A 34 year old Rhesus negative, un-sensitised woman has been referred by the community midwife at 32 weeks gestation because she experienced an episode of fresh vaginal bleeding 7 days earlier but was too busy to attend hospital. She has not suffered any recurrence. Fetal movements are normal and the fundal height is appropriate for gestation age. Fetal heart rate is normal. Your answer: B

A 34 year old Rhesus negative woman has been referred by the community midwife at 32 weeks gestation with fresh vaginal bleeding. Fetal movements are normal and the woman is haemodynamically stable. Fundal height is appropriate for gestation age and the fetal heart rate is normal. The woman is known to have anti-Kell antibodies but no anti-D antibodies. Your answer: B

Correct answer: D

Correct answer: D

D Administer anti-D 500IU plus Kleihauer test
B Administer anti-D 500IU

In the Rh allo immunisation notes, the RCOG recom, the test as i understand, is at post natal prophylaxis.
please help
thanks