By Sukhpreet Singh Dubb
Single most sensible solution (SBA) examinations are an more and more renowned technique of trying out clinical scholars and people project postgraduate skills in a few topic parts. Written by way of a final-year clinical pupil, junior medical professionals, and skilled clinicians, 450 unmarried top solutions within the scientific Specialties presents precious assistance from authors who comprehend from own event that particular and actual causes are the main to profitable revision.
The presentation of questions prepared by way of uniqueness quarter, coupled with the transparent dialogue of ways the right kind solution used to be reached and different techniques governed out for each query, make this e-book a good studying relief in the course of all levels of scientific stories, and especially whereas getting ready for clinical finals.
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Additional resources for 450 Single Best Answers in the Clinical Specialities
Option (E) is in fact a good answer but it is important not to forget to put a pregnant woman into a tilt with a wedge or a pillow, even when fitting. Answer (D) is the most appropriate answer. Thrombocytopenia 20 B TTP can occur at any time in pregnancy and is characterized with a pentad of microangiopathic haemolytic anaemia, thrombocytopenia, fever, neurological involvement and renal impairment (A). There is evidence of haemolysis here but her renal function is normal. ITP is caused by autoantibodies against platelet surface antigens and is a diagnosis of exclusion (C).
26 Section 1: Antenatal care and maternal medicine Antenatal care 25 D Mothers who have not had chicken pox are at risk of developing the disease in pregnancy. Pregnant women tend to be affected much worse if they contract chicken pox. Also, if chicken pox is contracted before 28 weeks gestation there is the risk of fetal varicella syndrome (eye defects, hypoplasia of limbs and neurological defects). This woman has had a significant contact with chicken pox and the fact that her child has been with the infected child means that he may well now be about to develop chicken pox.
Theoretically, if the woman’s partner is rhesus negative their child will be rhesus negative (D). However, with possibly one in 10 partners not being the real father it would be prudent to advise all women to have the anti-D (avoiding accusing them of infidelity). National guidance now is to have one injection of 1500 iu at 28 weeks gestation but if there are sensitizing events such as vaginal bleeding, abdominal trauma or an external cephalic version the mother will need further doses (E). By elimination, (C) is therefore the best option.
450 Single Best Answers in the Clinical Specialities by Sukhpreet Singh Dubb