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MMLU / A 32-year-old woman, gravida 3, para 2, at 41 weeks' gestation is admitted to…

Problem

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question

A 32-year-old woman, gravida 3, para 2, at 41 weeks' gestation is admitted to the hospital in active labor. Pregnancy has been complicated by mild asthma treated with inhaled bronchodilators. At the beginning of the second stage of labor, the cervix is 100% effaced and 10 cm dilated; the vertex is at -1 station. The fetal heart rate is reactive with no decelerations. After 10 minutes of pushing, there is a prolonged deceleration to 60/min. The patient has the acute onset of shortness of breath, rapidly develops cyanosis, and becomes unresponsive. Her pulse and blood pressure cannot be detected. Immediate resuscitation is started. Five minutes later, there is bleeding from the nose, mouth, and intravenous sites. Which of the following is the most likely diagnosis?

choices

  1. Amniotic fluid embolism
  2. Intracerebral hemorrhage
  3. Myocardial infarction
  4. Status asmaticus

subject

professional_medicine

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Source and history

task_id
f62a219c-743a-55be-9346-4177ed6001fb
task_key
all--test--f62a219c-743a-55be-9346-4177ed6001fb
task_revision_id
1
config / split
all / test

Official source

initial import