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* secondary to infection with hepatitis C virus
 #462554  
  okt3 - 11/07/09 21:39
 
  Amara, a 30-year-old woman in her 25th week of gestation is diagnosed with chronic hepatitis secondary to infection with hepatitis C virus. Her pregnancy has been otherwise uncomplicated to date. She is married and is monogamous with her husband. Her past medical history is significant only for an appendectomy at age 12. She is currently not on any medications, aside from a daily prenatal multivitamin.

Which of the following recommendations should be given to this woman?

A. Commence treatment with interferon and ribavirin

B. Avoid breast-feeding the baby after birth

C. Use condoms when engaging in sexual activity with her husband

D. Obtain vaccination against Hepatitis A and B, if not already immune

E. Schedule an elective caesarean section
 
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* Re:secondary to infection with hepatitis C virus
#1945380
  fcbarcelona - 11/08/09 04:25
 
  Vaccinate her against other hep virus, cause she is at risk for fulminant hepatitis.

HCV is transmitted by sex, 2% only, risk is small !! ...

so i go with D.
 
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