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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

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Old 03-18-2013
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Wink RhoGam

A 28 year old G1P1 18GW woman is expecting a child when she learns about Down's Syndrome and comes to ask you if you can perform a test to determine whether or not her baby is Down's Syndrome or not. Because she is thinking to terminate the pregnancy if the baby is Down's Syndrome. You perform Blood studies, vitals and ultrasound.
Vitals: HR: 80 RR: 13 BP: 130/80 T 37.8*C
A negative blood group, with antibody titer 1:32
MCV 70 Hg 14g/dL Serum Iron is low
Ultrasound show normal intrauterine pregnancy. What is the next best step?
A: Reassure the patient
B: Administer RhoGam
C: Perform Chorionic Villous Sampling
D: Administer RhoGam at 28 weeks gestation
E: Get details on previous pregnancy and child's karyotype
F: Prescribe oral Iron
G: Administer intramuscular iron
H: Perform Amniocentesis immediately
J: Perform fetal blood sampling
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