USMLE Forum Archives - USMLE Step 2 CK - A 14 year old female, G1P0
A 14 year old female, G1P0
meduploader - 05-08-09 14:22 Bookmark and Share

A 14 year old female, G1P0, with no antenatal care and no previous medical history, comes to the ER with severe abdominal pain. She says her last menstrual period was about 2-3 months ago. On physical examination, her abdomen is consistent with a 12-13 week pregnancy. She delivers the baby, who has a Heart rate of 30/min and no spontaneous breathing, his eyes are fused and the testicles are not found within the scrotum. After 15 minutes of resuscitation meassures and administration of epinephrine, the child still has no spontaneous breathing and a heart rate of 30/min. Which of the following is the best next step?






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#1
Re: A 14 year old female, G1P0
gul2008 - 05-08-09 14:29

My answer is: e.

#2
Re: A 14 year old female, G1P0
usmlefever3 - 05-09-09 02:41

My answer is: b.

#3
Re: A 14 year old female, G1P0
bingousmle - 05-09-09 02:57

My answer is: a.

#4
Re: A 14 year old female, G1P0
lucky11 - 05-09-09 10:55

My answer is: d.

#5
Re: A 14 year old female, G1P0
docbul - 05-25-09 13:40

My answer is: b.

#6
Re: A 14 year old female, G1P0
poluashok - 05-25-09 16:17

My answer is: d.

#7
Re: A 14 year old female, G1P0
angella - 05-26-09 14:10

My answer is: d.

#8
Re: A 14 year old female, G1P0
horrified - 05-26-09 14:14

My answer is: e.

#9
Re: A 14 year old female, G1P0
shahprasun - 06-02-09 14:03

My answer is: d.

#10
Re: A 14 year old female, G1P0
nayabmom - 06-05-09 16:35

My answer is: d.

#11
Re: A 14 year old female, G1P0
shujayat - 06-08-09 01:27

My answer is: d.

#12
Re: A 14 year old female, G1P0
omojesu - 06-12-09 02:10

My answer is: e.


euthanasia?

#13
Re: A 14 year old female, G1P0
docraj - 06-13-09 18:52

My answer is: b.

#14
Re: A 14 year old female, G1P0
xmfever - 06-14-09 07:29

My answer is: d.

#15
Re: A 14 year old female, G1P0
caraga - 06-14-09 09:13

My answer is: d.

#16
Re: A 14 year old female, G1P0
crazyserb - 06-14-09 10:39

My answer is: c.

#17
Re: A 14 year old female, G1P0
crazyserb - 06-14-09 10:40

what a stupid question!

#18
Re: A 14 year old female, G1P0
InSitu - 06-14-09 11:53

My answer is: d.

#19
Re: A 14 year old female, G1P0
InSitu - 06-14-09 11:55

posted by crazyserb on 06-14-09 10:40

what a stupid question!



And who told you the the USMLE is fair. These can be actual questions.
:)

#20
Re: A 14 year old female, G1P0
fas148 - 06-14-09 13:33

My answer is: b.

#21
Re: A 14 year old female, G1P0
samer06 - 06-15-09 13:31

My answer is: d.

#22
Re: A 14 year old female, G1P0
drdick - 06-15-09 23:24

My answer is: b.

#23
Re: A 14 year old female, G1P0
heyamawad - 06-16-09 11:23

My answer is: b.

#24
Re: A 14 year old female, G1P0
obedjohn - 06-17-09 01:04

My answer is: d.

#25
Re: A 14 year old female, G1P0
conym5 - 06-17-09 01:18

My answer is: b.

#26
Re: A 14 year old female, G1P0
reksarma - 09-28-09 13:38

My answer is: d.

#27
Re: A 14 year old female, G1P0
mtniharika - 09-29-09 13:58

My answer is: b.

#28
Re: A 14 year old female, G1P0
ajitelaprolu - 09-30-09 12:33

My answer is: b.

#29
Re: A 14 year old female, G1P0
wilmayala70 - 10-01-09 00:47

My answer is: d.

#30
Re: A 14 year old female, G1P0
amaniagz - 10-01-09 17:09

My answer is: d.

#31
Re: A 14 year old female, G1P0
ysemak - 10-23-09 10:28

My answer is: d.

#32
Re: A 14 year old female, G1P0
zoah2005 - 10-24-09 07:14

My answer is: d.

#33
Re: A 14 year old female, G1P0
farnazmd - 10-26-09 00:03

My answer is: b.

#34
Re: A 14 year old female, G1P0
ramarao - 10-26-09 19:24

My answer is: b.

#35
Re: A 14 year old female, G1P0
vernette - 11-06-09 15:35

My answer is: b.

#36
Re: A 14 year old female, G1P0
dadukids - 12-07-09 04:20

My answer is: a.

#37
Re: A 14 year old female, G1P0
tianjin - 12-07-09 04:53

My answer is: d.

#38
Re: A 14 year old female, G1P0
virenbjmc - 12-07-09 10:23

My answer is: d.

#39
Re: A 14 year old female, G1P0
jordanrobin - 12-07-09 11:38

My answer is: b.

#40
Re: A 14 year old female, G1P0
hadeelaya - 12-14-09 23:14

My answer is: d.

#41
Re: A 14 year old female, G1P0
badrh4sse5n - 12-15-09 08:02

My answer is: b.

#42
Re: A 14 year old female, G1P0
medusmle01 - 12-16-09 01:17

My answer is: b.

#43
Re: A 14 year old female, G1P0
demolition - 12-23-09 21:42

My answer is: d.

#44
Re: A 14 year old female, G1P0
rababzain - 12-24-09 07:38

My answer is: b.

#45
Re: A 14 year old female, G1P0
drmead - 12-26-09 14:31

My answer is: d.

#46
Re: A 14 year old female, G1P0
suadabdul - 12-26-09 18:14

My answer is: d.


because he is just3 months and has bradycardia cant tolarate epinephrin

#47
Re: A 14 year old female, G1P0
pat2005 - 01-09-10 12:28

My answer is: d.

#48
Re: A 14 year old female, G1P0
oldman - 01-10-10 11:58

My answer is: d.

#49
Re: A 14 year old female, G1P0
stanikzai - 01-10-10 20:24

My answer is: d.

#50
Re: A 14 year old female, G1P0
komalz - 02-01-10 19:46

My answer is: d.

#51
Re: A 14 year old female, G1P0
tamaramahmood - 02-01-10 20:11

My answer is: d.

#52
Re: A 14 year old female, G1P0
nothing - 02-05-10 11:32

My answer is: d.

#53
Re: A 14 year old female, G1P0
vaishali - 02-06-10 21:12

My answer is: d.

#54
Re: A 14 year old female, G1P0
drumesh - 02-07-10 00:14

My answer is: d.

#55
Re: A 14 year old female, G1P0
tahiraraees - 02-07-10 00:40

My answer is: e.

#56
Re: A 14 year old female, G1P0
shahra - 02-15-10 03:45

My answer is: e.

#57
Re: A 14 year old female, G1P0
mn1024 - 02-17-10 00:36

My answer is: d.

#58
Re: A 14 year old female, G1P0
ammulufy - 03-14-10 21:17

My answer is: d.


The chances of the baby's survival are extremely bleak due to various reasons like mother's young age,prematurity of the baby,extremely low APGAR score(most probably),no spontaneous respiratory effort,baby's incompetent CVS......moreover the features are consistent wid midtrimester abortion rather than termination of pregnancy.

#59
Re: A 14 year old female, G1P0
hem7sak - 03-15-10 17:31

My answer is: d.

#60
Re: A 14 year old female, G1P0
syedhussain - 03-16-10 11:48

My answer is: b.

#61
Re: A 14 year old female, G1P0
dreguieg - 03-20-10 22:12

My answer is: d.

#62
Re: A 14 year old female, G1P0
pawan238 - 03-22-10 02:51

My answer is: d.

#63
Re: A 14 year old female, G1P0
nasermd81 - 03-22-10 09:52

My answer is: d.

#64
Re: A 14 year old female, G1P0
gill2010 - 03-22-10 14:35

My answer is: d.

#65
Re: A 14 year old female, G1P0
preethy21 - 03-22-10 18:13

My answer is: d.

#66
Re: A 14 year old female, G1P0
ugamshah - 03-23-10 09:36

My answer is: b.

#67
Re: A 14 year old female, G1P0
enas3110 - 03-24-10 11:05

My answer is: d.

#68
Re: A 14 year old female, G1P0
dana44 - 03-24-10 12:21

My answer is: e.

#69
Re: A 14 year old female, G1P0
residencyrace - 05-30-10 10:10

My answer is: d.

#70
Re: A 14 year old female, G1P0
nikoskostas - 05-30-10 13:06

My answer is: b.

#71
Re: A 14 year old female, G1P0
usmlerose - 06-01-10 11:34

My answer is: c.

#72
Re: A 14 year old female, G1P0
habhob - 06-01-10 15:08

My answer is: b.

#73
Re: A 14 year old female, G1P0
shakari - 06-01-10 18:52

My answer is: d.

#74
Re: A 14 year old female, G1P0
samyou - 06-02-10 15:34

My answer is: c.

#75
Re: A 14 year old female, G1P0
zubiashoaib - 06-15-10 19:45

My answer is: b.

#76
Re: A 14 year old female, G1P0
amnaabdullah - 06-16-10 00:20

My answer is: e.

#77
Re: A 14 year old female, G1P0
rescue2011 - 04-17-11 20:48

My answer is: b.

#78
Re: A 14 year old female, G1P0
sudha2015 - 04-18-11 04:03

My answer is: a.


She delivers the baby, who has a Heart rate of 30/min and no spontaneous breathing, his eyes are fused and the testicles are not found within the scrotum. After 15 minutes of resuscitation meassures and administration of epinephrine, the child still has no spontaneous breathing and a heart rate of 30/min.

#79
Re: A 14 year old female, G1P0
usmleus - 09-08-11 17:28

My answer is: d.

#80
Re: A 14 year old female, G1P0
bluesea - 09-14-11 00:41

My answer is: b.

#81
Re: A 14 year old female, G1P0
drmonia57 - 09-23-11 09:42

My answer is: c.

#82
Re: A 14 year old female, G1P0
luckyhussain - 09-28-11 17:58

My answer is: e.

#83
Re: A 14 year old female, G1P0
chowdhury84 - 12-22-11 22:51

My answer is: d.

#84
Re: A 14 year old female, G1P0
shaiza - 04-01-12 21:57

My answer is: b.

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