Download Obstetric medicine : a problem-based approach by Catherine Nelson-Piercy PDF

By Catherine Nelson-Piercy

Recognition of the significance of maternal medication is now mirrored within the content material of the MRCOG examination, middle education and better education in either obstetrics and medication. This ebook ways obstetric drugs from the viewpoint of genuine sufferers and medical eventualities in addition to version solutions to examination questions. The ebook may be worthy for trainees and experts who are looking to ‘test themselves’.

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Ultimately, liver transplantation is required. 31 TUBERCULOSIS IN PREGNANCY IN UK (a) TB in pregnancy is more common in Asian and African immigrants than in indigenous women. (b) Extrapulmonary TB is rare compared with pulmonary TB. (c) Heaf testing is contraindicated in pregnancy. (d) Antituberculous medication, including rifampicin, should not be used in the first trimester of pregnancy. (e) Most cases of tuberculosis (TB) in pregnancy are associated with HIV infection. Answers (a) (b) (c) (d) (e) T F F F F 34 OBSTETRIC MEDICINE: A PROBLEM-BASED APPROACH Explanation (a) The prevalence of TB in UK is rising.

2. 3. 4. 5. 6. (b) (e) (d) (f ) (a) (h) Explanation 1. This lady has SLE. Butterfly rash and photosensitivity are typical of SLE, which can manifest as abnormalities in every body system, 2. EXTENDED MATCHING QUESTIONS 2. 3. 4. 5. 51 and frequently also includes nonspecific symptoms, such as fatigue and fever. It is nine times more common in women than men, and is especially prevalent in black women, affecting 1 in 250. Women with SLE need close surveillance in pregnancy, especially if their disease is active.

Choose the most likely auscultatory abnormality from the list below: (a) (b) (c) (d) (e) (f) (g) Early diastolic murmur Mid-systolic click Ejection systolic murmur Pan-systolic murmur Late-systolic murmur Third heart sound Opening snap 2. EXTENDED MATCHING QUESTIONS 43 (h) Venous hum (i) Mid-diastolic murmur (j) Fourth heart sound 1. A Somalian primiparous woman at 27 weeks’ gestation presents to an obstetric day assessment unit with orthopnoea. 2. A multiparous woman on an obstetric high-dependency unit, who presented with breathlessness 2 weeks after delivery by Caesarean section.

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