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+--- Thread: 26 y/o lady with c/o Nausea and vomiting? - silentobserver1 (/showthread.php?tid=299105)
26 y/o lady with c/o Nausea and vomiting? - silentobserver1 - ArchivalUser - 05-05-2008
A 26 y/o lady comes to your office with c/o early morning nause and vomiting. you check her urine pregnancytest and that is positive. As a part of routine prenatal testing which of the following is not required
A. Blood Sugar
B. Cervical Swab for Gonnorhea
C. Atypical Ab titer
D. Rubella Ab titer
E. HbsAg serum
0 - ArchivalUser - 05-05-2008
B--------only for high risk
0 - ArchivalUser - 05-05-2008
C.
Everything else should be tested.
0 - ArchivalUser - 05-05-2008
A. is ur plausible answer.
Pneumonic for first trimester testing. May help u in CCS. CACTUS
C.. cbc
A.. antibodies for rubella, antigen for hbsag
C cervical smear (PAP)
T Typing of blood
U urine.. bacteria, ketone, sugar, leucocytes
S STDs cervical culture and VDRL
0 - ArchivalUser - 05-05-2008
goodnews, everyone is @ high risk for this.
Ask 3H how it is in Vegas...
0 - ArchivalUser - 05-05-2008
a.
it should be tested 24-28 wks.
0 - ArchivalUser - 05-05-2008
betso, lol
I dont mind you refer somebody to me, but unknowingly, you have insulted somebody else.
If it is Las Vegas, you need to ask Hypersexual and sir steve, before I say anything.
They are my Vegas "guru"..lol
My answer to this Q is A
You do blood glucose during 24-28 weeks, not at first visit, I think !!
0 - ArchivalUser - 05-05-2008
Ups, sorry!
Never meant to insult Hypersexual or Sir Steve as they are surely very knowledgeable concerning this topic.
And... you guys are right. A is the answer.
Sugar is tested only in urine in the first prenatal diagnostics routine.
0 - ArchivalUser - 05-05-2008
CACTUS IS NICE MNEMONIC.THANKS
0 - ArchivalUser - 05-05-2008
guys the answer is B.................Coz as Goodnews correctly said we do it only in high risk cases...like HIV...like HCV Ab etc
Also keep looking for indications for first time Blood Sugar check. It is not always 24 to 28th month.........
Age > 25
Previous child > 4000g
F Hx of DM
Obesity
Previous still born child
Previous child with congenital defect
recurrent spontaneous abortion