MCQS 374-376:A woman in the 30th week of gestation is found to have mild hypertension unresponsive to counseling, restricted activity and nutritional diet

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Question:374
A 72 year old woman has experienced frequency of micturition intermittently for the last few months. Mid-stream urine (MSU) cultures have been persistently negative. She is well otherwise, but would like the symptoms resolved. The most helpful treatment would be

a) Clonidine J Vaginal lubricant
b) Combined Oestrogen and progestogen replacement therapy
c) Dietary modification
d) Progestins
e) Mineral supplements
f) Oestrogen only HRT
g) Psychological support
h) Referral to psychiatrist
i) vaginal estrogens
j) vaginal lubricant

 

 

Question:375
A woman in the 30th week of gestation is found to have mild hypertension unresponsive to counseling, restricted activity and nutritional diet. Her obstetrician want to start her on drug treatment. She is quite concenrned about possible effects of the medication on her baby. A suitable drug treatment would include:

a) ACE inhibitors
b) diethylstilbestrol
c) Streptomycin
d) a polyene macrolide
e) diuretics
f) fluorine analogue of cytosine
g) Acyclovir
h) a drug that stimulates central alpha2 -receptors
i) isoniazid and rifampin
j) methotrexate

 

 

Question:376
A young woman has severe nausea and vomiting. She also complains of tinnitus and dizziness. On examination she is seen to have hyperventilation and is slightly confused. Investigations show a mild respiratory alkalosis. She has most likely been intoxicated with

a) benzodiazepines
b) opiate analgesics
c) salicylates
d) methanol
e) sympathicomimetics
f) ethylene glycol
g) insulin
h) tricyclic antidepressants
i) carbon monoxide
j) anti psychotics


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