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181967 Gynaecology & Obstetrics

A 30 year old G1P1001 patient comes to see you In office at 37 weeks gestational age for her routine OB visit. Her 1st pregnancy resulted in a vaginal delivery of a 9-lb, 8-02 baby boy after 30 minutes of pushing. On doing Leopold maneuvers during this office visit codetermine ttwt the fetus is breech. Vaginal exam demonstrate that the cervix is 50% effaced and 1-2 cm dilated. The presenting breech is high out of pelvis. The estimated fetal weight, is about 7 lb. yn the patient- for a USG, which confirms a fetus frank breech prestation. There is a normal am &; amniotic fluid present, and the head is well-felt the patient&;s obstetrician, you offer all the following possible mgmt plans except

AAllow the patient to undergo a vaginal breech delivery whenever she goes into labor
BSend the patient to labor and delivery immediately for an emergen CS
CSchedule a CS at or after 39 weeks gestation a
DSchedule an ext cephalic version In next few days
Gynaecology & Obstetrics
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181971 Surgery

Stemmer’s sign is

ASwelling in the foot seen with lymphoedema
BLoss of normal perimalleolar shape in lymphoedema
CSubcutaneous fibrosis which makes skin over dorsum of foot not pinchable
DPitting Oedema in filariasis
Surgery
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