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* nbme q5
 #139232  
  santabanta - 11/17/06 00:51
 
  YOU ASSIST IN THE DELIVERY OF A NEONATE BORN TO A COUPLE WHO HAVE BEEN YOUR PATIENTS FOR THE PAST 7 YRS. THE HUSBAND IS 50 YRS OLD AND THE WIFE IS 45 YRS OLD. THE WIFE HAD BEEN OFFERED MATERNAL SERUM TRIPLE MARKER SCREENING AND AMNIOCENTESIS DURING THE PREGNANCY BCAZ OF HER ADVANCED AGE, AND SHE HAD DECLINED THE TESTING. AT THE DELIVERY THE NEONATE HAS FEATURES SUGGESTIVE OF DOWN SYNODROME. APGAR SCORE IS 9 AT 1 MINUTE AND 9 AT 5 MINUTES. INITAL PHYSICAL EXAM DEMONSTARTES NO CYANOSIS AND NO HEART MURMUR. IN THE DELIVERY ROOM WHICH OF THE FOLL IS THE BEST INITIAL STATEMENT TO MAKE TO THE PATIENTS.

A. DO YOU REMEBER THE TESTS WE DISCUSSED EARLY IN YOUR PREGNENCY

B. IAM CONCERNED ABOUT YOUR INFANT BCAZ SHE MAY HAVE DOWN SYNDROME

C. IAM SORRY TO HAVE TO TELL YOU THIS, BUT I SUSPECT YOUR BABY HAS DOWN SYNODROME.

D. WE ARE GOING TO HAVE TO TAKE THE BABY TO THE NURSEY FOR SOME TESTS

E. YOUR DAUGHETER IS DOING WELL BUT IAM CONCERNED ABOUT SOME OF HER PHYSICAL FEATURES.

 
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* Re:nbme q5
#561811
  humerus - 11/17/06 00:56
 
  this is a killer q.. first initial statement to parents..

ill go with e
 
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* Re:nbme q5
#561829
  yuvraj1001 - 11/17/06 01:16
 
  This is a tough question and is very difficult to pick one choice but i wll go for e  
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* Re:nbme q5
#562114
  soujany - 11/17/06 10:11
 
  I too would go with E.  
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* Re:nbme q5
#562132
  pedres - 11/17/06 10:20
 
  d its better to do some more tests and vent out the suspicion rather than making a statement like there is some problem  
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* Re:nbme q5
#562144
  chinni - 11/17/06 10:28
 
  d  
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* Re:nbme q5
#562491
  pk007 - 11/17/06 14:06
 
  shud be 'e'  
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* Re:nbme q5
#562533
  benign1998 - 11/17/06 14:30
 
  i ll go 4 e  
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* Re:nbme q5
#562961
  tea - 11/17/06 17:46
 
  e
 
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