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1.Which of the following is the best treatment for toxic shock syndrome?CorrectIncorrect
- What is the case-fatality rate of toxic shock syndrome?
- A 42-year-old para 3 woman with three previous normal vaginal deliveries and postpartum haemorrhage after her last delivery was induced at 39 weeks’ gestation due to severe pre-eclampsia. She had an instrumental delivery for prolonged second stage and has consented for the active third-stage management. What is the most appropriate immediate drug of choice?
- You were asked to attend to a para 3 woman, who had a normal vaginal delivery 45 minutes ago in the midwifery-led birth unit and was transferred to the adjacent labour ward for retained placenta. She has moderate per vaginal bleeding, but is haemodynamically stable. IV access was secured and bloods were sent by the midwife. What is your most appropriate immediate course of action?
- A para 4 woman with all previous normal vaginal deliveries and a big baby has just delivered spontaneously. She has consented for the active management of the third stage of labour and oxytocics were given at birth. Active management of the third stage of labour reduces the risk of PPH by what proportion?
- An anaesthetist is asked to assist with the insertion of an intravenous cannula prior to the commencement of a Syntocinon infusion in labour. The cannula is inserted successfully, but shortly after it was flushed through as the woman starts to have convulsions and becomes hypotensive and bradycardic. The syringes on the trolley are unlabeled and the anaesthetist suspects he may have flushed the cannula with a local anaesthetic solution. What is the appropriate management of her collapse?
- A primigravida has been brought to the Accident and Emergency department following a road traffic accident at 32 weeks gestation. The obstetric registrar is summoned urgently. On arrival she learns that CPR had been commenced 3 minutes earlier following a diagnosis of cardiac arrest and pulseless electrical activity. What is the most appropriate initial action for an ST5 trainee?
- A woman who is a recent immigrant to the United Kingdom is admitted in labour and delivers rapidly. At delivery, the midwife had noted that the liquor was offensive and appropriate swabs were taken. The mother is also noted to have a low-grade pyrexia and mild tachycardia. Within minutes of antibiotic administration, the mother collapses and anaphylactic shock is diagnosed. An A, B, C, D, E approach has been initiated. What is the definitive treatment for anaphylaxis?
- A laboring patient receiving oxytocin for augmentation of labor suddenly clutches her chest in pain. Amniotic fluid embolus (AFE) is suspected. The initial signs and symptoms occurring with AFE include which of the following?
10. Treatment for AFE may include which of the following?CorrectIncorrect