doyoudig Forum Guru
Topics: 144 Posts: 613
| | 06/18/07 - 11:14 AM  
 
   
 
|   #1 |
A 19-year-old primigravid woman at 34 weeks' gestation comes to the physician for a routine prenatal visit. Her pregnancy has been uncomplicated. She has no history of serious illness. She takes no medications and has no known allergies. Examination shows a uterus consistent in size with a 34-week gestation. A routine clean-catch urine culture grows greater than 100,000 colonies/mL of Escherichia coli. Which of the following is the most appropriate pharmacotherapy? A Ampicillin B Ciprofloxacin C Clindamycin D Doxycycline E Trimethoprim-sulfamethoxazole
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| dncosta Licensed, finally

Topics: 19 Posts: 603
| | 06/18/07 - 11:39 AM  
 
   
 
|   #2 |
A
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| doyoudig Forum Guru
Topics: 144 Posts: 613
| | 06/18/07 - 12:47 PM  
 
   
 
|   #3 |
Is TMP-SMC a Contraindiaction in the 3rd Trimester??
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| prathapdoctor Forum Elite
Topics: 12 Posts: 406
| | 06/18/07 - 02:44 PM  
 
   
 
|   #4 |
yes, its a contraindication for sure, because it can cause hyperbilirubinemia by displacing it from albumin binding sites.
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| Justice Forum Fanatic

Topics: 117 Posts: 2,324
| | 06/18/07 - 03:37 PM  
 
   
 
|   #5 |
Could be A, but they say that in most of the hospitals E. Coli is amp-resistant in 70%. I would go with TMP-SMC, at 34 weeks it should be safe...
___________________ Don't live in a town where there are no doctors
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| dr in trouble Forum Guru

Topics: 62 Posts: 610
| | 06/22/07 - 10:41 AM  
 
   
 
|   #6 |
I think it shud b A
___________________ If u want to do something, do it today as there is no tomorrow.
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| ram3 Forum Guru
Topics: 48 Posts: 525
| | 06/22/07 - 10:53 AM  
 
   
 
|   #7 |
Ampicillin
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