By Sukhpreet Singh Dubb
Single most sensible solution (SBA) examinations are an more and more well known technique of trying out clinical scholars and people project postgraduate skills in a few topic components. Written through a final-year clinical pupil, junior medical professionals, and skilled clinicians, 450 unmarried top solutions within the scientific Specialties offers worthwhile information from authors who comprehend from own adventure that certain and exact motives are the major to winning revision.
The presentation of questions prepared through forte quarter, coupled with the transparent dialogue of ways the proper resolution used to be reached and different innovations governed out for each query, make this e-book a good studying reduction in the course of all levels of medical stories, and especially whereas getting ready for clinical finals.
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Extra resources for 450 Single Best Answers in the Clinical Specialities
Tilting onto the left will relieve any aortocaval compression and stop the woman choking if she vomits. The mother must be your primary concern so until the seizure has stopped and the cause of her seizure – likely a raised blood pressure – is controlled, it is prudent not to try and monitor the fetus. This is why answer (C) is not the best course of action as the mother should have her BP checked before checking the fetal heart. This is because even if there is evidence of fetal distress it is not possible to deliver the fetus until the mother is stable.
The concern here is that, although the symptoms could fit with a migraine, you need to consider other diagnoses. Subarachnoid haemorrhage (D) has a very sudden onset. In addition to the presenting symptoms there is often papilloedema and focal neurology. The negative CT result does not completely exclude SAH. A lumbar puncture would help diagnosis, looking for blood, bilirubin or xanthochromia in the cerebrospinal fluid. A CVT (C) classically presents post-partum. It has similar symptoms but up to two-thirds will have neurological deficit.
Preeclampsia (A) is diagnosed with a raised blood pressure and proteinuria. A common cut off for normal urinary protein levels is a PCR of <30. It is always possible to diagnose her with white coat hypertension (B) but this is potentially a very dangerous label to give someone unless all other causes have been excluded. There is no evidence to diagnose Conn’s syndrome (D) from the information given. Conn’s syndrome arises when there is excess aldosterone production from the adrenal glands. This leads to hypertension and often lethargy and muscle fatigue as hypokalaemia can develop.
450 Single Best Answers in the Clinical Specialities by Sukhpreet Singh Dubb