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Full Version: nbme 1 can u use tmp-smx in pregnancy? - needusmlehelp
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39. A 19-year-old primigravid woman at 34 weeks' gestation comes to the physician for a routine prenatal visit. Her pregnancy has been uncomplicated. She has no history of serious illness. She takes no medications and has no known allergies. Examination shows a uterus consistent in size with a 34-week gestation. A routine clean-catch urine culture grows greater than 100,000 colonies/mL of Escherichia coli. Which of the following is the most appropriate pharmacotherapy?

A
) Ampicillin

B
) Ciprofloxacin

C
) Clindamycin

D
) Doxycycline

E
) Trimethoprim-sulfamethoxazole
aMPICILLIN
aaaaaaaaaaa
WHY AMPICILLIN
is tmp-smx contraindicated in pregnancy?????????? anyone?
tmp-smx is associated with teratogenicity especially the sulfonamide part......so better to avoid it