Rh Negative Woman - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 01-22-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,406
Threads: 118
Thanked 644 Times in 408 Posts
Reputation: 654
ObGyn Rh Negative Woman

A 20-year old woman comes to the physician because of two miscarriages. She delivered a full-term boy at home 4 years ago. She had no prenatal care. Laboratory studies show that the patient is Rh-negative. Which of the following is the most appropriate next test?

A. Direct Coombs
B. Direct fluorescent antibody
C. Enzyme linked immunoabsorbent assay (ELISA)
D. Indirect Coombs
E. Indirect fluorescent antibody
__________________
"inflammable means flammable!? What a country."
Reply With Quote Quick reply to this message



  #2  
Old 01-22-2012
Hitman's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 539 Times in 375 Posts
Reputation: 549
Default

Ans D ........ indirect coombs test ........ but being rh neg and even being sensitized doesnot increase risk of miscarriage ...... so was wondering if it could be antiphospholipid syndrome , but nothing in the history to suggest that .....
Reply With Quote Quick reply to this message
  #3  
Old 01-22-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 646
Threads: 52
Thanked 761 Times in 256 Posts
Reputation: 772
Default

Quote:
Originally Posted by Hitman View Post
Ans D ........ indirect coombs test ........ but being rh neg and even being sensitized doesnot increase risk of miscarriage ...... so was wondering if it could be antiphospholipid syndrome , but nothing in the history to suggest that .....
haha.. was thinking the SAME EXACT THING


anyways... way to remember is

BABY is DIRECTLY affected in RH incompatibility... (cos you know.. it dies.. lol) so DIRECT coombs is for baby

and INDIRECT is for mom
Reply With Quote Quick reply to this message
The above post was thanked by:
hassansiraj (12-22-2013), Hitman (01-22-2012), rose (01-22-2012)



Reply

Tags
Hematology-, Immunology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Catalase negative, motility negative, H2S positive ag2011n USMLE Step 2 CK Forum 5 10-15-2011 01:17 AM
Negative Stranded RNA Viruses kdm0101 USMLE Step 1 Mnemonics 0 09-19-2011 03:40 PM
Oxidase-negative, Motile, Gram-negative Bacillus! rulz USMLE Step 1 Forum 8 07-31-2011 08:09 AM
Dominant Negative Mutation usluipek USMLE Step 1 Forum 0 05-29-2011 02:34 PM
Who's doing the negative feedback, T3 or T4? hippocampus USMLE Step 1 Forum 4 12-18-2010 06:32 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)