NBME Step 2 CK Form 7 Intramuscular administration of betamethasone (NBME Answers)

need help with your account or subscription? click here to email us (or see the contact page)

search for anything ⋅ score predictor (“predict me!”)

NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#29 (reveal difficulty score)
A 25-year-old primigravid woman at 27 weeks' ...
Intramuscular administration of betamethasone 🔍 / 📺 / 🌳 / 📖
tags: repro

+6 upvote downvote
submitted by ∗yotsubato(1208)

get full access to all content ⋅ pick a username

Note: Oral Amoxicillin is not given. It has to be IV pennicillin.

get full access to all content ⋅ pick a username

+3 upvote downvote
submitted by ∗step_prep5(246)

get full access to all content ⋅ pick a username

Patient presenting with preterm labor < 32 weeks: (1) Betamethasone (for fetal lung development) (2) IV penicillin (if GBS positive or unknown) (3) Magnesium (neuroprotective for baby) (4) Tocolytic (to stop contractions)
Active labor: Contractions AND cervical changes
C-section would only be indicated if there were signs of intramniotic infection, fetal instability or maternal instability
Note: Patients should receive intravenous antibiotics rather than oral antibiotics in a patient who is GBS positive or GBS unknown

https://step-prep.org/tutoring/

get full access to all content ⋅ pick a username

+0 upvote downvote
submitted by embeemee(1)

get full access to all content ⋅ pick a username

i get the answer, but would a VB even be possible given her GBS+ status?

get full access to all content ⋅ pick a username

usmile1 Yes, being GBS+ is very common and is not a contrainidcation for vaginal delivery. just give intrapartum IV PCN to prevent infection in the newborn +1

Must-See Comments from step2ck_form7

seagull on Analgesic therapy
athleticmedic on Uterine atony
seagull on Haemophilus influenzae
jlbae on Lorazepam therapy
seagull on Spondylolisthesis
carolebaskin on B lymphocyte
yotsubato on Indomethacin
yotsubato on Uterine atony
study_dude_guy on Bone marrow aspiration
chris07 on Heat stroke
osler_weber_rendu on Compression fracture
buttercup on Repeat blood pressure measurement in 4 weeks
step_prep5 on CT scan of the head
thajoker on Brisk rotatory nystagmus on left lateral gaze