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Hiv in pregnancy a couple s intending to get pregnant

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45. hiv in pregnancya)Couple s intending to get pregnant should have undetectable viral values beforeadvised to have planned fruitful coitus.b)Safe sex is not necessary for HIV positive partnersc)C/Sis a relative indication in viral load >1000 copies/mld)Antiretroviral therapy to be started at 14 weeks.46. Classification of heart diseasea) Class 1 –asymptomatic .a) Class 11-history of valve repairb) Class iii-dyspnoea at restc) Class iv-dyspnoea at with mild activities.44. Concerning malaria in pregnancya) Artesunate is the first line treatment for severe malaria regardless of gestation.a) Iv quinine is the first line treatment in severe malariab) Al should never be given in first trimesterc) Anemia due to malaria should be managed with blood transfusion45.Indication ofdigital vaginal examination includea) Premature rapture of membranes at 30 weeks.a) Confirmed placenta previa IIIin laborb) 2year old child presenting with a history of rape.c) False labour.46. Imperforate hymena) Common in multiparaa) Causes primary amenorrheab) Predisposes to postpartum hemorrhage.c)Is a cause of Sheehan syndrome?47. The following are fetal risk factors promoting mother to child transmission ofHIV
a) Milkingthe cord after deliver.a) Weaning at 6 months of age.b) Lowmaternal viral loadc) Exclusivefeeding.48.Associated with VVF.
49.The following is a cause of vaginal discharge
53.The presence of diabetes mellitus in pregnancy should be suspected if there is;
54.The most common complication of uterine fibroidsa)Renal failurea)Malignant changeb)Torsionc)Menorrhagia55.In management of vesicovaginal fistula

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