USMLE Forum Archives - USMLE Step 3 - Obstetrics- anti-epileptic drug
Obstetrics- anti-epileptic drug
harry206 - 05-13-09 06:11
A 22-year-old Caucasian primigravida presents to your office at 12 weeks’ gestation for routine prenatal counseling. She has a history of idiopathic seizures since childhood and receives valproate monotherapy. She is very concerned that the use of the anti-epileptic drug could harm her baby. Her last seizure occurred one year ago, and she was hospitalized for aspiration pneumonia after that episode. She denies the use of tobacco, alcohol, or any recreational drugs. There is no family history of congenital abnormalities.
Which of the following is the best management strategy for this patient?
harry206 - 05-13-09 06:11
A 22-year-old Caucasian primigravida presents to your office at 12 weeks’ gestation for routine prenatal counseling. She has a history of idiopathic seizures since childhood and receives valproate monotherapy. She is very concerned that the use of the anti-epileptic drug could harm her baby. Her last seizure occurred one year ago, and she was hospitalized for aspiration pneumonia after that episode. She denies the use of tobacco, alcohol, or any recreational drugs. There is no family history of congenital abnormalities.
Which of the following is the best management strategy for this patient?
The correct answer and explanation will be available after you answer.
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#17
Re: Obstetrics- anti-epileptic drug babbu5508 - 09-30-10 01:01 My answer is: c.
valproate is known to cause neural tube defects...which can be reduced by giving folic acid supplements....
#20
Re: Obstetrics- anti-epileptic drug drnoor50 - 10-21-10 21:45 My answer is: a.
Has 2to5times risk of defects for baby cmpared to other drugs
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