Nokea
The priority management of uncomplicated malaria during the second trimester includes administration of
- A. Oral quinine
- B. Parenteral quinine
- C. Artemether lumefantrine
- D. Sulphadoxine pyrimethamine
Correct Answer: C
Rationale: Artemether lumefantrine is recommended for uncomplicated malaria in pregnancy.
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Ms. Carpenter is a 28-year-old female who presents in significant pain she indicates that the discomfort is in the right lower quadrant. The discomfort is colicky in nature and has the patient in tears. Which of the following associated findings increases the index of suspicion for ureteral colic?
- A. Temperature > 102°F
- B. White blood cell count > 14,000 cells/µL
- C. Vomiting
- D. Hematuria
Correct Answer: A
Rationale: Hematuria (blood in the urine) is a common associated finding in ureteral colic. The presence of blood in the urine suggests that there may be damage or irritation to the urinary tract, typically caused by the passage of a kidney stone through the ureter. Along with the sharp, colicky pain in the right lower quadrant, the presence of hematuria significantly raises the suspicion for ureteral colic.
The commonest causative agent for pyelonephritis is
- A. Proteus vulgaris
- B. Escherichia coli
- C. Neisseria gonococcal
- D. Streptococcus faecalis
Correct Answer: B
Rationale: Escherichia coli is the most common causative agent for pyelonephritis.
Puerperal pyrexia is characterized by any episode of fever during the entire puerperium.
- A. TRUE
- B. FALSE
- C. -
- D. -
Correct Answer: B
Rationale: Puerperal pyrexia is defined by persistent fever, not any episode during puerperium.
In marginal cephalopelvic disproportion,
- A. All the patients will need an operative delivery.
- B. Half of the patients will need an operative delivery.
- C. The problem is always overcome during labor.
- D. The pelvis is too small for the fetus to pass through.
Correct Answer: C
Rationale: Marginal cephalopelvic disproportion can often be managed in labor without the need for a cesarean.
Based on vaginal examination findings, indicators of abnormal labor are
- A. Bandl’s ring and oedematous vulva
- B. Oedematous cervix and fetal hypoxia
- C. Maternal distress and severe moulding
- D. Hot, dry vagina and arrest in descent
Correct Answer: D
Rationale: A hot, dry vagina and lack of descent suggest abnormal labor patterns.