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nbme - akshaya007
#1
A healthy 37-year-old primigravid woman at 12 weeks' gestation comes for a routine prenatal visit. The pregnancy was achieved by in vitro fertilization. She does not use tobacco, alcohol, or drugs. She is a hematologist and works 10 to 12 hours daily. Two previous ultrasonographies have shown a triplet gestation. She weighs 66 kg (145 lb) and is 178 cm (70 in) tall. Her blood pressure is 116/70 mm Hg, and pulse is 72/min. Examination shows a uterus consistent in size with a 16-week gestation. Her pelvis is normal-sized. This patient is at greatest risk for which of the following?

A) Abruptio placentae

B) Hepatitis B

C) HIV infection

D) Preterm labor

E) Uterine rupture
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#2
The answer is D.
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