450 Single Best Answers in the Clinical Specialities by Sukhpreet Singh Dubb

By Sukhpreet Singh Dubb

Single most sensible resolution (SBA) examinations are an more and more renowned technique of trying out clinical scholars and people venture postgraduate skills in a few topic components. Written via a final-year clinical scholar, junior medical professionals, and skilled clinicians, 450 unmarried top solutions within the scientific Specialties offers helpful tips from authors who comprehend from own adventure that designated and actual reasons are the main to winning revision.

The presentation of questions prepared by way of uniqueness quarter, coupled with the transparent dialogue of the way the proper resolution used to be reached and different thoughts governed out for each query, make this ebook a good studying reduction in the course of all levels of medical reviews, and especially whereas getting ready for scientific finals.

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It can then move all over the body. It normally occurs after 34 weeks of pregnancy and disappears after birth. Pemphigoid gestationis (A) is a blistering condition that starts in the umbilicus and spreads. Prurigo gestationis (D) is usually a rash of the trunk and upper limbs with abdominal sparing. Impetigo herpetiformis (C) is a blistering condition that always presents with a febrile illness and if not treated early can lead to maternal and fetal death. e. stretch mark cream. However, you would not find peri-umbilical sparing.

Induction is not indicated in normal pregnancy at this gestation (E). g. fetal maturation). Investigating physiological murmurs which pose no maternal or fetal risk may cause the mother unnecessary alarm (A, C, D). g. g. aortic steonsis in order to assess the patient’s capacity to cope with the stress on the heart during labour, and in particular the second stage of labour. Infection in pregnancy 14 E Although knowledge of managing HIV positive pregnant women is beyond the scope of most undergraduate curricula, in this question the presence of HIV infection is largely a distractor.

Although the mother thinks that she has never had chicken pox she may have had a previous subclinical or unknown childhood infection, so if she has antibodies no further action is necessary. Aciclovir can be used to treat chicken pox within 24 hours of the rash appearing so does not need to be started straight away (C). The appropriate management here is for VZIG to be administered (on consultation with the blood products laboratory as it may be in short supply) (D) if her antibody screen is negative.

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