By Schneider K., Patrick S.
Obstetrics & Gynecology: PreTest™ Self-Assessment & overview is the suitable solution to examine your wisdom of obstetrics and gynecology for the USMLE Step 2 CK and shelf checks. you will find 500 USMLE-style questions and solutions that deal with the clerkship's center talents besides exact motives of either right and flawed solutions. All questions were reviewed by way of scholars who lately handed the forums and accomplished their clerkship to make sure they fit the fashion and hassle point of the examination.
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Extra info for Obstetrics & Gynecology PreTest Self-Assessment & Review, Twelfth Edition (PreTest Clinical Medicine)
In addition, women should modify their exercise based on symptoms. There is not set pulse above which exercise is to be avoided; rather, women should decrease exercise intensity when experiencing symptoms of fatigue. Non–weight-bearing exercises will minimize the risk of injury. Since the physiologic changes associated with pregnancy will persist from 4 to 6 weeks following delivery, women should not resume the intensity of prepregnancy exercise regimens immediately following delivery. 9. The answer is b.
67. A 29-year-old G1P0 patient at 24 weeks gestational age presents to your office complaining of some shortness of breath that is more intense with exertion. She has no significant past medical history and is not on any medication. The patient denies any chest pain. She is concerned because she has always been very athletic and cannot maintain the same degree of exercise that she was accustomed to prior to becoming pregnant. On physical examination, her pulse is 72 beats per minute. Her blood pressure is 90/50 mm Hg.
Sulfonamides are associated with kernicterus in the newborn. They compete with bilirubin for binding sites on albumin, thereby leaving more bilirubin free for diffusion into tissues. Sulfonamides should be withheld during the last 2 to 6 weeks of pregnancy. With prolonged treatment of tuberculosis (TB) in pregnancy, streptomycin has been associated with fetal hearing loss. Its use is restricted to complicated cases of TB. Nitrofurantoins can cause maternal and fetal hemolytic anemia if glucose 6-phosphate dehydrogenase deficiency is present.