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Kaplan Qbank USMLE



Author7 Posts
  #1

Regarding type 2 Herpes virus genital infection at 32 weeks pregnancy WOF is true

a-active infection at 32 wks is a definitive indication for C_section

b-Shedding of Virus does not occur without active lesions.

c-Acylovir should be given for 6 wks to prevent recurences.

d-A C-section is recommended in a patient within 4 hours of ruptures of membranes.

e-normal delivery can be suggested almost always.


  #2

d/e which is correct

  #3

e

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  #4

d

but i am not sure


  #5

e
ACTIVE herpes infection is a contraindication to labor, but since most people with herpes do not have active lesions at time of delivery, most can have NSVD.
d cannot be correct since simple infection with herpes does not mandate a C-section without active lesions

  #6

the answer is D ...

CS is indicated when genital lesions are present and with rupture of mem there is a chance of spread of infection to the fetus. when it is for a smaller duration like 4 hrs we can go for CS but when the mem have been ruptured for a long time like say 20 hrs then the whole point of doing CS is lost as the infection must have spread already to the fetus.


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  #7

the question does say type 2 herpes virus genital lesions ... so i think the answer is D.

___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "







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