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Chapter: 18 / Q: 27
A 32 year old woman of 39 weeks gestation attends the antenatal day unit feeling very unwell with sudden onset of epigastric pain along with nausea and vomiting. Temperature 36.7C. Examination: right upper quadrant tenderness. Bloods: mild anemia, low platelets, elevated (liver function test) an
Chapter: 18 / Q: 28
A 57 year old woman presents with dysuria, frequency and urinary incontinence. She complains of dyspareunia. Urine culture has been done and is sterile. What is the most appropriate step?
Chapter: 18 / Q: 29
A patient came to the emergency department with severe lower abdominal pain. Vitals: BP 125/85mmHg, Temp 38.9C. Examination: abdomen rigid, very uncomfortable during par vaginal. She gave a past history of PID (pelvic inflammatory disease) 3 years ago which was successfully treated antibiotics
Chapter: 18 / Q: 30
A 24 year old 18 week pregnant lady presents with pain in her lower abdomen for the last 24h. She had painless vaginal bleeding. Exam: abdomen is tender, os is closed. What is the most probable dx?
Chapter: 18 / Q: 31
A 32 year old female who has had 3 previous miscarriages in the 1st trimester now comes with vaginal bleeding at 8wks. US (ultrasound) reveals a viable fetus. What would be the most appropriate definitive management?
Chapter: 18 / Q: 32
A 27 year old 34 week pregnant lady presents with headache, epigastric pain and vomiting. Examination: Pulse 115, BP 145/95mmHg, proteinuria ++. She complains of visual disturbance. What is the best medication for the treatment of the BP?
Chapter: 18 / Q: 33
A 24 year old lady who is 37 weeks pregnant was brought to the emergency department. Her husband says a few hours ago she complained of headache, visual disturbance and abdominal pain. On arrival at the emergency department she has a fit. What is the next appropriate management for this patient?
Chapter: 18 / Q: 34
A 24 year old girl comes to the woman sexual clinic and seeks advice for contraception. She is on sodium valproate
Chapter: 18 / Q: 35
A 27 year old lady came to the ED 10 days ago with fever, suprapubic tenderness and vaginal discharge. PID was diagnosed. She has been on the antibiotics for the last 10days. She presents again with lower abdominal pain. Temperature 39.5C. what is the most appropriate next management?
Chapter: 18 / Q: 36
A 27yo presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7wks ago. Exam: abdominal tenderness, BP=90/60mmHg. What is the next appropriate management?
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