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6274 Surgery

A 26-year-old gravida 3 woman has a history of gestational diabetes and a delivery of two previous infants at term that were greater than 4000 grams, each of whom had severe hypoglycemia. Which of the following maneuvers is least likely to reduce the chance of the next child’s having hypoglycemia?

ACareful control of the maternal blood glucose levels during pregnancy
BMaternal intravenous loading with 10% glucose beginning 2 to 4 h prior to the expected time of delivery
CCareful glucose monitoring of the infant
DEarly feedings of the infant
Surgery
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6278 Surgery

In the evaluation of a 64-year-old woman with fluctuating neurological signs of ptosis, eleventh and twelfth cranial nerve palsy, and generalized extremity weakness are noted. Edrophonium (Tensilon) given intravenously results in clinical improvement. A computed tomography (CT) scan shows a lesion in the anterior mediastinum, and a biopsy confirms the presence of a thymoma. She should undergo which of the following?

AHigh-dose steroid administration
BIrradiation of the anterior mediastinum
CCalcium administration
DThymectomy
Surgery
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