Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio de la Carrera de Medicina (Bolivia) Exam - Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio de la Carrera de Medicina (Bolivia) Exam

Question 1

A 24-year-old primigravida at 36 weeks of gestation presents to the obstetric emergency triage with a persistent throbbing frontal headache and visual scotomas. Her blood pressure is 165/112 mmHg on two occasions 15 minutes apart. Urinalysis shows 3+ proteinuria on dipstick. Physical examination reveals brisk patellar reflexes (3+) and bilateral pretibial edema. What is the most appropriate immediate medical management?

Initiate intravenous magnesium sulfate loading and maintenance infusion alongside intravenous labetalol Administer oral furosemide 40 mg and schedule an elective cesarean delivery in 48 hours Prescribe oral methyldopa 250 mg and discharge home with bed rest instructions Perform immediate amniotomy and administer intravenous oxytocin without antihypertensive therapy

Correct Answer:

Initiate intravenous magnesium sulfate loading and maintenance infusion alongside intravenous labetalol

Question 2

According to standard obstetric protocols (Zuspan regimen) for eclampsia and severe preeclampsia prophylaxis, what is the recommended intravenous loading and maintenance dosage of magnesium sulfate?

10 g IV bolus over 2 minutes, followed by a continuous infusion of 5 g/hour 4 to 6 g IV administered over 15 to 20 minutes, followed by a continuous infusion of 1 to 2 g/hour 2 g IV bolus over 30 minutes, followed by 0.2 g/hour infusion 1 g IV every 8 hours as an intermittent bolus injection

Correct Answer:

4 to 6 g IV administered over 15 to 20 minutes, followed by a continuous infusion of 1 to 2 g/hour

Question 3

A 28-year-old postpartum woman receiving a magnesium sulfate infusion for severe preeclampsia is noted to have loss of deep tendon patellar reflexes, a respiratory rate of 10 breaths per minute, and an hourly urine output of 15 mL over the past 2 hours. What is the immediate life-saving intervention?

Increase the intravenous fluid rate to 250 mL/hour and administer intravenous furosemide Administer intravenous naloxone 0.4 mg and continue the magnesium sulfate infusion at half the rate Stop the magnesium sulfate infusion and administer 10% calcium gluconate 1 g (10 mL) intravenously over 3 to 5 minutes Perform emergency endotracheal intubation immediately without discontinuing the infusion

Correct Answer:

Stop the magnesium sulfate infusion and administer 10% calcium gluconate 1 g (10 mL) intravenously over 3 to 5 minutes

Question 4

Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality in Bolivia. What is the most common etiology of primary postpartum hemorrhage occurring within the first 24 hours after birth?

Retained placental fragments (Tissue) Cervical laceration (Trauma) Disseminated intravascular coagulation (Thrombin) Uterine atony (Tone)

Correct Answer:

Uterine atony (Tone)

Question 5

What are the three essential components of the Active Management of the Third Stage of Labor (AMTSL / Manejo Activo del Tercer Período del Parto) endorsed by national and international obstetric guidelines?

Administration of 10 IU intramuscular oxytocin, controlled cord traction with counter-traction, and uterine fundal massage Immediate umbilical cord clamping, manual removal of the placenta, and prophylactic intravenous methylergonovine Expectant waiting until spontaneous placental expulsion, umbilical vein oxytocin injection, and ice pack placement Routine episiotomy repair, intravenous ergotamine administration, and vigorous uterine packing

Correct Answer:

Administration of 10 IU intramuscular oxytocin, controlled cord traction with counter-traction, and uterine fundal massage

Question 1

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Prepare with the Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio de la Carrera de Medicina (Bolivia) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, woman, bolivia, and national. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio de la Carrera de Medicina (Bolivia) Exam

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Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio de la Carrera de Medicina (Bolivia) Exam

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