Case-based MCQ

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⏳ Case-based MCQ | #Case_343 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A primigravida in her 7th gestational week was brought to hospital with severe nausea and vomiting of three days duration. No other symptoms could be elicited. Physical examination is as follows: pulse rate 108 bpm, respiratory rate 17/min, blood pressure 98/58 mmHg and body temperature 37.1°C; diminished skin turgor and dry oral mucous membrane and the rest of physical examination was normal. With appropriate work‐up the diagnosis of Hyperemesis Gravidarum was established. Some of her lab results are as follows: pH 7.42 [HCO‐3] 24mmol/L PaCO2 39mmHg Serum sodium 140mmol/L Serum potassium 3.7mmol/L Serum chloride 95mmol/L

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⏳ Case-based MCQ | #Case_342 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ E Patients with Down syndrome have a 15% increased incidence of atlantoaxial instability (AAI). There is a resulting risk of spinal cord injury in these patients. Certain sports are contraindicated for those with AAI, including gymnastics, and radiographs should be obtained prior to participation.

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