By Sukhpreet Singh Dubb
Single most sensible solution (SBA) examinations are an more and more renowned technique of checking out clinical scholars and people project postgraduate skills in a few topic components. Written by means of a final-year clinical pupil, junior medical professionals, and skilled clinicians, 450 unmarried most sensible solutions within the scientific Specialties offers beneficial advice from authors who comprehend from own event that precise and actual factors are the main to winning revision.
The presentation of questions prepared via distinctiveness quarter, coupled with the transparent dialogue of the way the right kind resolution used to be reached and different recommendations governed out for each query, make this e-book an exceptional studying reduction in the course of all phases of medical experiences, and especially whereas getting ready for clinical finals.
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Extra resources for 450 Single Best Answers in the Clinical Specialities
It is important to find out why she wants a sterilization at 30 years old. It is imperative to explain that it is permanent, irreversible, has a failure rate of one in 200 and, if it fails, an increased risk of ectopic pregnancy. You must explore all long-acting reversible contraceptive methods with her, these being the Mirena coil, copper coil (T380) implanon and depoprovera IM injections. If she is sure that hormones (A, D) have a bad effect on her then the copper coil would be appropriate for her.
She has symptomatic pre-eclampsia so answer (B) is the most likely cause. Vertical infections 21 D If primary herpes develops in pregnancy it is imperative to consider risk of vertical transmission. If the herpes presents at the time of delivery or within 6 weeks of the due date a caesarean is the safest mode of delivery (D). If she labours within 6 weeks (not 8 weeks) of developing primary herpes she should consider a caesarean (B). If she refuses to have a caesarean then IV aciclovir during labour and close liaison with the neonatologist is recommended.
This woman has had little or no care. Her CD4 count is low (below 200/mm3) and she is at risk of developing an AIDS defining illnesses. In addition her viral load is high (over 50 copies/mL). If a mother needs HAART she should start it and continue throughout her pregnancy and into the puerperium. If she does not need HAART to treat her HIV then she should start antiretroviral treatment between 20 and 28 weeks in order to prevent vertical transmission. If her viral load is less than 50 copies/mL she may choose to have a normal delivery (A and D).