Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 2 Topic 1 Discussion

Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 2 Topic 1 Discussion

MCCQE Exam Topic 1 Question 2 Discussion:
Question #: 2
Topic #: 1

A 34-year-old woman, gravida 2, para 1, aborta 0, presents to the labor and delivery ward at 32 weeks' gestation with a 24-hour history of worsening frontal headache, photophobia, and neck stiffness. Vitals:

    BP: 121/78 mm Hg

    HR: 90 bpm

    Temp: 38°C

Neuro exam reveals a 2-beat ankle clonus. Tone and power are otherwise normal. No localizing signs or papilledema. Abdomen is soft, fetus is cephalic.

Which one of the following is the best next investigation?


A.

Computed tomography of the head


B.

Lumbar puncture


C.

Fetal ultrasonography


D.

Amniocentesis with culture


E.

Urine protein to creatinine ratio


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