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Kaplan Qbank USMLE



Author4 Posts
  #1

Hi Guys
While working on UW I faced two similar scenarios with typical choices to choose from.

The first case was a lady with premature labour, everything else including the baby was fine, and she is 2-3 cm dilated.

The answer was: Bed rest and IV hydration. (in the explanantion it mentioned that tocolysis can be used as the second step if this fails).

The second one was almost typical but the lady was more dilated at 5 cm and the answer was: Tocolysis with MGSO4.

My question is, since almost everything in the stems was typical amongst the two questions and the choices were exactly the same (even in sequence and wording) with the only difference being the degree of dilatation, IS THAT WHAT I DEPEND ON?

In other words: What is the degree of dilatation until which I can try IV hydration and bed rest before resorting to tocolysis?

Thanks.

  #2

4 cm is the number

if less than 4cm then bed rest, but if equals or more than 4cm (active phase) then u should give tocolysis.


  #3

Thanks alot, appreciate it.


  #4

cirus wrote:
4 cm is the number

if less than 4cm then bed rest, but if equals or more than 4cm (active phase) then u should give tocolysis.

Exactly said

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