NBME Step 2 CK Form 7 Intramuscular administration of betamethasone (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#29 (reveal difficulty score)
A 25-year-old primigravid woman at 27 weeks' ...
Intramuscular administration of betamethasone 🔍 / 📺 / 🌳 / 📖
tags: repro

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submitted by ∗yotsubato(1208)

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Note: Oral Amoxicillin is not given. It has to be IV pennicillin.

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+3 upvote downvote
submitted by ∗step_prep5(246)

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Patient presenting with preterm labor < 32 weeks: (1) Betamethasone (for fetal lung development) (2) IV penicillin (if GBS positive or unknown) (3) Magnesium (neuroprotective for baby) (4) Tocolytic (to stop contractions)
Active labor: Contractions AND cervical changes
C-section would only be indicated if there were signs of intramniotic infection, fetal instability or maternal instability
Note: Patients should receive intravenous antibiotics rather than oral antibiotics in a patient who is GBS positive or GBS unknown

https://step-prep.org/tutoring/

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submitted by embeemee(1)

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i get the answer, but would a VB even be possible given her GBS+ status?

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usmile1 Yes, being GBS+ is very common and is not a contrainidcation for vaginal delivery. just give intrapartum IV PCN to prevent infection in the newborn +1

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