Arab Board OB GYN Final Clinical & Oral Practice Questions - Arab Board Of Health Specializations (ABHS) Obstetrics & Gynecology Final Clinical And Oral Examination Exam

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A 24-year-old primigravida at 38 weeks of gestation with preeclampsia develops a generalized tonic-clonic seizure in the labor ward. Airway protection, high-flow oxygen, and left lateral tilt are established. What is the first-line anticonvulsant regimen for terminating and preventing recurrent eclamptic convulsions?

Diazepam 10 mg intravenously over 2 minutes followed by phenytoin infusion Magnesium sulfate 4 g IV loading dose over 15-20 minutes, then 1 g/hour IV infusion Lorazepam 4 mg IV bolus followed by levetiracetam 1,000 mg IV infusion Phenobarbital 200 mg intramuscularly followed by continuous midazolam infusion

Correct Answer:

Magnesium sulfate 4 g IV loading dose over 15-20 minutes, then 1 g/hour IV infusion

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