Medicine an Surgery notes

Apr 24th, 2015
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MULTIPLE CHOICE QUESTIONS1. A Pregnant woman presents with a history of having fitted at home. On examination she was found to be 36 weeks pregnant, FHR 136/Min with blood pressure of 180/120mmHg and proteinuria of 3 pluses. On vaginal examination the cervix was found to be closed. She requires:A. Induction of labour after blood pressure is controlled.B. Control of blood pressure, sedation and delivery if surfactant test is positive.C. Control of blood pressure and delivery via emergency caesarian section.D. Control of blood pressure and delivery at 38 weeks.E. Dexamethasone to mature the fetal lungs.2. Regarding Cardiac disease in pregnancy:A. The commonest cause in Kenya is Congenital Heart Disease.B. Affects 6% of pregnancies in our KenyaC. Aortic regurgitation is the commonest cardiac lesion encountered.D. Patient in NYHA Class 4 are delivered at 38 weeks via Caesarian section. E. Vacuum assisted delivery should be planned for all vaginal deliveries.3. The following are normal cardiovascular changes in pregnancy:A. Cardiac output increases by 40%B. Systolic blood pressure increases by 10mmHg in mid-trimester.C. Functional diastolic murmurs are common.D. Apex beat is displaced upwards and outwards to the 4th intercostal space mid-clavicular line.E. There is decreased contractility of the cardiac smooth muscles. 4. In Diabetes Mellitus in pregnancy:A. Fetal lung maturity is delayed.B. Glycosylated hemoglobin HbAIC of 7.5% indicat

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