05-05-2008, 12:34 PM
Please, be assured that I am posting to clear my confusion.
This is not to offend anybody or to argue the correct answer that hs been posted.
Please help me to understand what CMDT says. Thank you !
this is the Q:
A 26 y/o lady comes to your office with c/o early morning nause and vomiting. you check her urine pregnancytest and that is positive. As a part of routine prenatal testing which of the following is not required
A. Blood Sugar
B. Cervical Swab for Gonnorhea
C. Atypical Ab titer
D. Rubella Ab titer
E. HbsAg serum
and silentobserver giave the answer is B
Now, this is what is said in CMDT, 2008
---------------------------------------------
The first prenatal visit should occur as early as possible after the diagnosis of pregnancy and should include the following: history, physical examination, laboratory tests, advice to patients, and tests and procedures.
Height, weight, and blood pressure should be measured, and a general physical examination should be done. Abdominal and pelvic examination should include the following: (1) estimate of uterine size or measure fundal height; (2) evaluation of bony pelvis for symmetry and adequacy; (3) evaluation of cervix for structural anatomy, infection, effacement, dilation; (4) detection of fetal heart sounds by Doppler device after 10 weeks or fetoscope after 18 weeks.
Urinalysis, culture of a clean-voided midstream urine sample, complete blood count with red
----------------------------------------------------------------------------------------------------------
cell indices, serologic test for syphilis, rubella antibody titer, history of varicella infection,
-------------------------------------------------------------------------------------------------------
blood group, Rh type, atypical antibody screening, and hepatitis B surface antigen (HBsAg)
----------------------------------------------------------------------------------------------------------
evaluation. HIV screening should be offered to all pregnant women. Cervical cultures are
--------------------------------------------------------------------------------------------------------
usually obtained for Neisseria gonorrhoeae and chlamydia, along with a Papanicolaou smear
-----------------------------------------------------------------------------------------------------------
of the cervix.
---------------
All black women should have sickle cell screening. Women of African, Asian, or Mediterranean ancestry with anemia or low mean corpuscular volume (MCV) values should have hemoglobin electrophoresis performed to identify abnormal hemoglobins (Hb S, C, F, -thalassemia, -thalassemia). Tuberculosis skin testing is indicated for high-risk immigrant and local populations. Genetic counseling with the option of chorionic villus sampling or genetic amniocentesis should be offered to all women who will be 35 years of age or older at delivery and those who have had prior offspring with chromosomal abnormalities. Noninvasive first trimester screening for Down syndrome by ultrasonographic nuchal translucency and serum levels of PAPP-A (pregnancy-associated plasma protein A) and free subunit of hCG can also be offered. Blood screening for Tay-Sachs and Canavan disease is offered to Jewish women with Jewish partners (especially those of Ashkenazi descent), and couples of French-Canadian or Cajun ancestry should also be screened as possible Tay-Sachs carriers. Screening for cystic fibrosis is offered to all pregnant women. Hepatitis C antibody screening should be offered to pregnant women who are at high risk for infection.
Pregnant women who work in medical-dental health care or the police and fire departments and those who are household contacts of a hepatitis B virus carrier or a hemodialysis patient and are HBsAg-negative at prenatal screening are at high risk for acquiring hepatitis B. They should be vaccinated during pregnancy.
This is not to offend anybody or to argue the correct answer that hs been posted.
Please help me to understand what CMDT says. Thank you !
this is the Q:
A 26 y/o lady comes to your office with c/o early morning nause and vomiting. you check her urine pregnancytest and that is positive. As a part of routine prenatal testing which of the following is not required
A. Blood Sugar
B. Cervical Swab for Gonnorhea
C. Atypical Ab titer
D. Rubella Ab titer
E. HbsAg serum
and silentobserver giave the answer is B
Now, this is what is said in CMDT, 2008
---------------------------------------------
The first prenatal visit should occur as early as possible after the diagnosis of pregnancy and should include the following: history, physical examination, laboratory tests, advice to patients, and tests and procedures.
Height, weight, and blood pressure should be measured, and a general physical examination should be done. Abdominal and pelvic examination should include the following: (1) estimate of uterine size or measure fundal height; (2) evaluation of bony pelvis for symmetry and adequacy; (3) evaluation of cervix for structural anatomy, infection, effacement, dilation; (4) detection of fetal heart sounds by Doppler device after 10 weeks or fetoscope after 18 weeks.
Urinalysis, culture of a clean-voided midstream urine sample, complete blood count with red
----------------------------------------------------------------------------------------------------------
cell indices, serologic test for syphilis, rubella antibody titer, history of varicella infection,
-------------------------------------------------------------------------------------------------------
blood group, Rh type, atypical antibody screening, and hepatitis B surface antigen (HBsAg)
----------------------------------------------------------------------------------------------------------
evaluation. HIV screening should be offered to all pregnant women. Cervical cultures are
--------------------------------------------------------------------------------------------------------
usually obtained for Neisseria gonorrhoeae and chlamydia, along with a Papanicolaou smear
-----------------------------------------------------------------------------------------------------------
of the cervix.
---------------
All black women should have sickle cell screening. Women of African, Asian, or Mediterranean ancestry with anemia or low mean corpuscular volume (MCV) values should have hemoglobin electrophoresis performed to identify abnormal hemoglobins (Hb S, C, F, -thalassemia, -thalassemia). Tuberculosis skin testing is indicated for high-risk immigrant and local populations. Genetic counseling with the option of chorionic villus sampling or genetic amniocentesis should be offered to all women who will be 35 years of age or older at delivery and those who have had prior offspring with chromosomal abnormalities. Noninvasive first trimester screening for Down syndrome by ultrasonographic nuchal translucency and serum levels of PAPP-A (pregnancy-associated plasma protein A) and free subunit of hCG can also be offered. Blood screening for Tay-Sachs and Canavan disease is offered to Jewish women with Jewish partners (especially those of Ashkenazi descent), and couples of French-Canadian or Cajun ancestry should also be screened as possible Tay-Sachs carriers. Screening for cystic fibrosis is offered to all pregnant women. Hepatitis C antibody screening should be offered to pregnant women who are at high risk for infection.
Pregnant women who work in medical-dental health care or the police and fire departments and those who are household contacts of a hepatitis B virus carrier or a hemodialysis patient and are HBsAg-negative at prenatal screening are at high risk for acquiring hepatitis B. They should be vaccinated during pregnancy.