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NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#10 (reveal difficulty score)
A 37-year-old primigravid woman at 9 weeks' ...
Antiemetic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro

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submitted by โˆ—keyseph(99)
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Pregnant woman with persistent nausea/vomiting and ketonuria suggests hyperemesis gravidarum. Although antiemetics do not treat this disorder, it can palliate symptoms.

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submitted by โˆ—step_prep7(71)
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  • Although it is normal for women to have nausea/vomiting during the first trimester, when they are having severe, persistent vomiting with signs of dehydration and orthostasis, >5% loss of pre-pregnancy weight, or lab findings of ketonuria (pathognomonic of hyperemesis gravidarum > normal pregnancy nausea) then they have hyperemesis gravidarum
  • Patients with hyperemesis gravidarum should be admitted to the hospital and treated with antiemetics and intravenous fluids
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