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Kaplan Qbank USMLE



Author6 Posts
  #1

ans this?

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  #2

(D)

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  #3

switch from warfarin to heparin

just saw this question somewhereraised eyebrowhmmm

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  #4

hey guys what about prednisolone. there isnt any option in the question but arent steroids teratogenic. or can we use them in severe cases of RA even in pregnancy?

  #5

ok i found this on this web site:

While most studies do not show a large teratogenic risk, the association with corticosteroid use and clefting cannot be excluded. Avoidance of such medication exposure during specific times may be important to discuss, particularly for indications in which the medication is not essential for maternal health. For maternal disease, derivatives of cortisone and prednisone are suggested since they are more readily inactivated by the placenta, as opposed to dexamethasone and betamethasone, which are more likely to reach the fetus in the active state. As with any medication, use of a corticosteroid must be weighed against the severity of maternal disease.

http://www.fetal-exposure.org/CORTICOS.html

  #6

Warfarin --> heparin

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