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A. Dexamethasone 12 mg , 2 doses, 12 hrs apart
B. Lower segment CS – category I
C. Fetal fibronectin assay
D. Insulin like growth factor binding Protein I test
E. Commence Magnesium sulphate infusion
F. High vaginal Swab for culture
G. In uterotransfer
H. Intravenous atosiban 6.75 mg bolus followed by infusion with dexamethasone
I. Urine microscopy and MSU for culture
J. Oral erythromycin 250 mg QID with betamethasone
K. Betamethasone 12 mg 24hrs apart
L. Oral Nifedepine 20mg followed by 10-20mg with betamethasone
M. Oral erythromycin 250mg TID with betamethasone
For each of the following questions, choose the single most appropriate options from the list given above. Each option may be used once or more than once or not at all
1. 35 year old Primi gravida with an uneventful Antenatal period presents at 28 weeks of gestation with complaints of draining P/V with no pain or bleeding. On examination, uterus was relaxed with no contractions and pooling of fluid was observed on speculum examination. The best management plan is
2. 30 year old Primigravida deemed to have low risk pregnancy presented with complaints of draining P/v at 33 weeks of gestation. On examination, uterus was relaxed and pooling of the liquor was not evident. The best management plan is
3. 35 year old second gravida presented with 33 weeks of gestation presented with leaking P/V. on examination, was found to have regular uterine contractions and pooling of vaginal fluid on speculum examination with a partially effaced cervix. The best management option is
4. 40 year old primigravida presented with complaints of pain abdomen at 31 weeks of gestation with complaints of leaking P/V with no pain or bleeding. She had been previously managed for a threatened preterm labour 3 days back. On examination, was found to have regular uterine contractions and pooling of vaginal fluid on speculum examination and cervix was 3-4 cms dilated. The best management option is
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