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1708 Gynaecology & Obstetrics

A patient present for her first initial OB visit after performing a home pregnancy test and gives a last menstrual period of about 8 weeks ago. She says she is not entirely sure of her dates, however because she has a long history of irregular menses. Which of the following is the most accurate of way of dating the pregnancy

ADetermination of uterine size on pelvic examination
BQuantitave serum HCG levels
CCrown rump length on abdominal or vaginal examination
DDetermination of progesterone level along with serum HCG level
Gynaecology & Obstetrics
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1710 Gynaecology & Obstetrics

A woman with mitral stenosis but no pulmonary hypertension is in labor at 39 weeks of gestation. She has dyspnea on exertion. Her pulse rate is 80 bpm. There are no basal creps in lungs.The cervix is 4 cm dilated. She is having 1-2 uterine contractions in 10 minutes. Which of the following steps is best avoided in her?

AActive management of third stage of labor
BAugmentation of labor with oxytocin
CUse of epidural analgesia for pain relief
DUse of ergometrine in third stage of labor
Gynaecology & Obstetrics
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