07-22-2016, 04:38 PM
hello every body i need help with this qs...
1) A 32 primigravida at 10 wks gestational age come for her first prenatal visit she has a history of 2-3 seizures yearly but she has had 2 seizure over the past 2 wks medications include phenytoin Examination shows a uterus consistent with a 10 wks her serum phenytoin is 5ug/ml (normal 10-20). which is the next step in mangement?
A)Routine prenata care
B)Add valporic acid to the medication regimen
C)Increasing her current medication
D)Switch to carbamazpinde (wrong)
E)Termination of pregnancy
2) A 25 yo women come with 4 wks history of rt sided pelvic pain she has been sexually active with 1 partner for 3 yrs they use condoms for contraception her LMP was 3 wks ago she is afebrile a pelvic exam shows a 12 cm cystic mobile rt adnexal mass. her serum CA 125 is 35 U/ml(n
1) A 32 primigravida at 10 wks gestational age come for her first prenatal visit she has a history of 2-3 seizures yearly but she has had 2 seizure over the past 2 wks medications include phenytoin Examination shows a uterus consistent with a 10 wks her serum phenytoin is 5ug/ml (normal 10-20). which is the next step in mangement?
A)Routine prenata care
B)Add valporic acid to the medication regimen
C)Increasing her current medication
D)Switch to carbamazpinde (wrong)
E)Termination of pregnancy
2) A 25 yo women come with 4 wks history of rt sided pelvic pain she has been sexually active with 1 partner for 3 yrs they use condoms for contraception her LMP was 3 wks ago she is afebrile a pelvic exam shows a 12 cm cystic mobile rt adnexal mass. her serum CA 125 is 35 U/ml(n