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NBME 3-blcok2 - aim99
#1
a 30 year women , gravia 4,para3 is admitted to the hospital in labor at 38wks gestion. The cervix is 4 cm dilated, contraction occur every 4 minutes.The fundal is 40cm, The membrane are intact. The fatal lie can not be determined by abdominal examination, abd no presenting part is papable in the pelvis, which of the following is the most appropriate next step in management?

1.ultrasuond
2. admistration of oxytocin
3. amniotomy
4. C-secttion
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#2
USG
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#3
what are u thinking to this case??? tnx
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#4
please explain
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#5
Ultra sound is the answer...why i say that is cause on my obgyn rotation this happened a number of times and the doctor after doing a vaginal exam did the US.
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#6
333333
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#7
1.ultrasuond
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