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Kaplan Qbank USMLE



Author13 Posts
  #1

Please, any suggestions?

The following fetal parameter is MOST useful in assessment of gestational age in 2nd trimester

A) biparietal diameter
B) crown-rump length
C) mean diameter of gestational sac
D) abdominal circumference
E) head circumference


A multiparous woman complaints of decreased fetal movements at 36 weeks gestation.On examination the uterine size was equivalent to 32 weeks gestation. FHR was 130/min.What is the next step?

A) reassure her that the baby is alright
B) arrange her follow-up visit nest week
C) arrange her for an oral GTT
D) prescribe multivitamins
E) arrange for a cardiotocograph

  #2

! st answer 1 BPD
2nd ansswer is B


Edited by msyamp on 08/09/06 - 07:37 PM

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  #3

msyamp, y wud we simply arrange a fup visit for an sga baby with decreased fetal movments?..i think B wud only hold true if a was correct...hence i wud eliminate it

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  #4

E

  #5

1st q : A is similar to E, so they get eliminated. Crown rump length is the best in 1st trimester. i go for D!!

2nd Q : I agree with study_ng and choose E, we have to be 100% that baby is ok.


  #6

A IS NOT SAME AS E
ANSWER IS A AND E

  #7

A and E

  #8

Hi folks,
i couldn't decided between A & E either,but they have asked for the single best responseconfused
ice.

  #9

A for the 1st question and E for the 2nd question icemaiden

  #10

here is a similar que:

27 yr G3P2002 34wks gestation c/o decreased fetal movts for the past several hrs, her baby has moved only once per hr. she is healthy had regular prenatal checkupsand denies any complications so far during present pregnancy. what do u counsel her now:

a) reassurance

b)recomend to admit for delivery

c) tell her probbly baby is sleeping n ask her to monitor fetal kicks. if she still reports decreased movts ask her to follow up the next day

d)instruct pt to go to labor and delivery and schedule NST


  #11

for ice's q i guess its E http://www.fpnotebook.com/OB172.htm

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If you yourself are at peace, then there is at least some peace in the world.

  #12

and http://www.ob-ultrasound.net/omeasure.html

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #13

Hey study_ing,
Thanks a bunch. Those liks were very helful. ice.







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