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* CMS ob & Gync
 #851429  
  medipsychknow - 05/22/18 08:04
 
  A 24 year old primigravid woman at 30 weeks’ gestation is admitted to the hospital because of bright red vaginal bleeding that she first noticed as spotting on her underwear 12 hours ago after sexual intercourse. Since then, the bleeding has increased, and she has had to wear a sanitary pad. Her pregnancy has been otherwise uncomplicated. US at 20 weeks showed a fundal placenta. Her pulse is 64/min, and BP is 110/60mmHg. The uterine fundus is nontender, the fundal height is 30cm. The fetal heart rate is 150/min with moderate variability. External fetal monitoring shows 2 contractions during the next hour. Which of the following is the most likely cause of this patient’s bleeding?

A—Abruptio placentae
B—cervical cancer
C—cervical trauma
D—placenta previa
E—preterm labor
 
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* Re:CMS ob & Gync
#3367058
  captan - 05/22/18 08:34
 
  E—preterm labor cose 30 weeks  
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* Re:CMS ob & Gync
#3367061
  virgo32 - 05/22/18 09:45
 
  D or E?  
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* Re:CMS ob & Gync
#3367062
  tchops - 05/22/18 09:51
 
  A..abruptio placentae (mild)  
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* Re:CMS ob & Gync
#3367090
  crossover - 05/22/18 20:36
 
  D

 
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* Re:CMS ob & Gync
#3367097
  virgo32 - 05/22/18 22:26
 
  what's the right answer? I"ll go with D too.  
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* Re:CMS ob & Gync
#3367116
  tchops - 05/23/18 10:05
 
  how can it be palcenta previa if Usg at 20 weeks show fundal palcenta??!  
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* Re:CMS ob & Gync
#3368134
  loulou - 06/13/18 23:41
 
  Do you have cms offline? Can you share it with me please?  
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