CMSA FC Fam Med(SA) Part II Practice Questions - CMSA FC Fam Med(SA) Part II - College Of Family Physicians Of South Africa Exam

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A 34-year-old G2P1 at 38 weeks gestation presents to a rural district hospital emergency center in South Africa with a blood pressure of 170/110 mmHg, 3+ proteinuria, severe frontal headache, and hyperreflexia. Fetal heart rate is 140 bpm. What is the most appropriate initial pharmacological step to prevent eclamptic seizures according to South African ESMOE guidelines?

Administer a loading dose of IV magnesium sulfate 4 g slowly over 10-15 minutes plus 10 g IM (5 g in each buttock) Administer IV diazepam 10 mg slow push every 15 minutes until headache resolves Initiate oral methyldopa 500 mg immediately and recheck blood pressure in 4 hours Administer IV phenytoin loading dose of 18 mg/kg in normal saline over 1 hour

Correct Answer:

Administer a loading dose of IV magnesium sulfate 4 g slowly over 10-15 minutes plus 10 g IM (5 g in each buttock)

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