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Old 07-02-2011
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Question Painful vulvular vesicles

A 20 year old woman develops painful vulvar vesicles that contain intranuclear inclusions on cytologic examination. She is at 22 weeks gestation. Which of the following statements about genital herpes is correct?

A. Acyclovir should be prescribed from 36 gestational weeks until after delivery in women with primary herpes anytime in pregnancy
B. Herpes culture should be obtained from the cervix weekly beginning at 30 weeks
C. An active genital herpetic lesion any time after 20 weeks requires a c-section
D. Intrauterine infection with herpes is common after 20 weeks in women with primary infection
E. Pitocin induction of labor should be started within 4 hours after ruptured amniotic membranes in a woman at term with active genital herpes.
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Old 07-02-2011
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Answer is C ???
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Old 07-02-2011
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Answer is A. Acyclovir prescribed from 36 weeks gestation until after delivery reduces the probability of a c-section. Nonetheless acyclovir is a class C drug. and newer antiviral such as Valacyclovir, famicyclovir both class B should be given to any woman with either primary outbreak or a recurrence during pregnancy.
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Old 07-02-2011
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how reduce risk of CS you mean if rash gone

because i think CS is important in case of HSV
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Old 07-03-2011
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Yes. Would go with C!

CS
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Old 07-03-2011
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answer is c
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Old 07-03-2011
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but C also not correct because of they said perform CS above 20 weeks which is not appropriate ?

i think the mode of delivery should be with CS but when baby at term
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Old 07-04-2011
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Quote:
Originally Posted by kemoo View Post
but C also not correct because of they said perform CS above 20 weeks which is not appropriate ?

i think the mode of delivery should be with CS but when baby at term
Term is NOT "before 20 weeks", isn't it!
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