Emergency Medicine Journal 2008;25:386
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.
EMQ ANSWERS
EMQ answers
327
| The first 150 words of the full text of this article appear below. |
ANSWER 1
- False. Automated cuffs tend to underestimate blood press in pregnancy.1 They may underestimate the diastolic pressure as much as 30% in pre-eclampsia.2
- True. Over 40% of eclamptic seizures take place in the post-partum period.3 The first 4 or 5 days post-delivery are of the highest risk.
- False. Magnesium is the anticonvulsant treatment of choice in eclamptic seizures (loading dose of 4 g followed by an infusion of 1 g/h).4
- True. Maternal pulmonary oedema is a significant cause of death in pre-eclampsia. There is evidence that fluid restriction is associated with a positive maternal outcome.5
ANSWER 2
- False. All rhesus-negative women with an ectopic pregnancy should be given 250 iu anti-D intramuscularly, regardless of their gestational age. A dose should be given within 72 h of the sensitising event.6
- False. A urinary beta-human chorionic gonadotrophin (HCG) does not exclude an ectopic pregnancy.7 Consider a serum beta-HCG in cases of high clinical suspicion and
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