Arab Board Ob Gyn Final Written Practice Questions - Arab Board Obstetrics And Gynecology Final Written Examination Exam

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A 29-year-old multipara at 29+4 weeks of gestation is admitted with severe right upper quadrant pain, nausea, and headache. Laboratory investigations reveal: Platelet count 38,000/microL, AST 310 IU/L, ALT 280 IU/L, total bilirubin 2.4 mg/dL, and LDH 890 IU/L. Fetal heart rate monitoring is reassuring. What is the most appropriate definitive management for this patient?

Expectant management with corticosteroids for 48 hours to achieve complete fetal lung maturity Plasmapheresis combined with high-dose intravenous methylprednisolone Maternal stabilization, platelet transfusion if indicated, magnesium sulfate seizure prophylaxis, and prompt delivery Immediate exploratory laparotomy for suspected hepatic rupture

Correct Answer:

Maternal stabilization, platelet transfusion if indicated, magnesium sulfate seizure prophylaxis, and prompt delivery

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