By Sukhpreet Singh Dubb
Single most sensible resolution (SBA) examinations are an more and more renowned technique of checking out scientific scholars and people venture postgraduate skills in a few topic parts. Written through a final-year scientific scholar, junior medical professionals, and skilled clinicians, 450 unmarried top solutions within the scientific Specialties presents valuable counsel from authors who comprehend from own event that specified and exact factors are the major to profitable revision.
The presentation of questions prepared through strong point zone, coupled with the transparent dialogue of ways the right kind resolution was once reached and different strategies governed out for each query, make this ebook a superb studying relief in the course of all phases of medical reviews, and especially whereas getting ready for scientific finals.
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Extra info for 450 Single Best Answers in the Clinical Specialities
C. D. E. Pemphigoid gestationis Pruritic urticarial papules and plaques of pregnancy (PUPP) Impetigo herpetiformis Prurigo gestationis Contact dermatitis 31. Medication in pregnancy Which of the following drugs is not absolutely contraindicated in pregnancy? Mebendazole D. Methotrexate 32. Hypertension in pregnancy A 42-year-old woman is in her first pregnancy. She conceived with in vitro fertilization (IVF) and has had a straightforward pregnancy so far. At 25 weeks’ gestation she is seen in clinic with a blood pressure of 142/94 mmHg and protein + in her urine.
Stopping the insulin (D) all together is not correct as she is a type 1 diabetic who needs exogenous insulin. Continuing the sliding scale for 24 (A) or even 48 (E) hours is unnecessary if the patient is eating. It subjects them to frequent finger prick testing, including at night when they are trying to sleep. Halving her pre-pregnancy dose of insulin (C) is likely to give her less than she requires and provoke hyperglycaemia. Maternal medicine 28 B SLE is a systemic connective tissue disorder that is more common in black African and black Caribbean women with an overall incidence of one in 1000.
Intravenous crystalloids and doxycycline, urgent ultrasound assessment Discharge with 1 week’s course of ciprofloxacin Referral to the medics for investigation of viral gastroneteritis Intravenous crystalloids, oral antiemetics Referral to the surgeons for investigation of appendicitis 3. Threatened miscarriage A 19-year-old woman is referred to your early pregnancy unit as she is having some vaginal bleeding. This is her first pregnancy, she has regular menses and the date of her last menstrual period suggests she is 8 weeks gestation today.