By Sukhpreet Singh Dubb
Single most sensible resolution (SBA) examinations are an more and more renowned technique of checking out scientific scholars and people project postgraduate skills in a few topic components. Written by means of a final-year scientific pupil, junior medical professionals, and skilled clinicians, 450 unmarried top solutions within the medical Specialties offers important information from authors who comprehend from own event that particular and exact factors are the most important to winning revision.
The presentation of questions prepared by way of forte quarter, coupled with the transparent dialogue of ways the right kind solution used to be reached and different innovations governed out for each query, make this e-book a good studying relief in the course of all phases of medical reports, and especially whereas getting ready for clinical finals.
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Extra info for 450 Single Best Answers in the Clinical Specialities
All the others are true statements. 5 kg and born to a diabetic mother are at significant risk of shoulder dystocia (A). NICE recommends delivery after 38 weeks unless glycaemic control is very poor in order to reduce the risk of stillbirth (B). As soon as the cord is clamped the hyperglycaemic environment that the fetus has lived in for 9 months disappears so hypoglycaemia is a risk (C). Pre-eclampsia (E) is more common in diabetic mothers so urine dipsticks and blood pressure monitoring will form part of every clinic visit.
In pregnancy it can cause mid-trimester loss, early meconium and preterm labour. It typically presents as a flu-like illness. Toxoplasmosis (A) is caused by the parasite Toxoplasma gondii and characteristically is contracted via contact with cats and their faeces. CMV (B) is usually subclinical and 50–60 per cent of women in the UK are already immune having had exposure prior to pregnancy. It is not associated with food. Hepatitis E (D) is a non-chronic hepatitis transmitted by the faeco-oral route but it can have a fulminant course in pregnancy.
High risk antenatal care 3 B Obesity is an increasing problem for healthcare providers. The number of women falling pregnant who have a BMI >30 kg/m2 (obese) is increasing year on year. The rate of increase of morbidly obese and super morbidly obese women falling pregnant is dramatic. The Confidential Enquiries into maternal deaths informs us that a disproportionate number of mothers who die are obese. Ideally, pre-conception advice is key for these women; this should include weight loss and high-dose (5 mg) folic acid supplementation.