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Kaplan Qbank USMLE



Author7 Posts
  #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

  #2

A

  #3

Is TMP-SMC a Contraindiaction in the 3rd Trimester??

  #4

yes, its a contraindication for sure, because it can cause hyperbilirubinemia by displacing it from albumin binding sites.

  #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...

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  #6

I think it shud b A

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  #7

Ampicillin







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