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A 28-Year-Old Primigravid Woman at 35 Weeks' Gestation Comes to the Physician

Question 784

Multiple Choice

A 28-year-old primigravid woman at 35 weeks' gestation comes to the physician with a 5-day history of epigastric pain and nausea that is worse at night. Two years ago, she was diagnosed with a peptic ulcer and was treated with a proton pump inhibitor and antibiotics. Medications include folic acid and a multivitamin. Her pulse is 90/min and blood pressure is 130/85 mm Hg. Pelvic examination shows a uterus consistent in size with a 35-week gestation. The abdomen is tender over the right upper quadrant, but no rebound or guarding is present.  Hemoglobin is 8 g/dL.  Urinalysis shows 3+ protein.  Which of the following associated laboratory changes are most likely to be seen in this patient? A 28-year-old primigravid woman at 35 weeks' gestation comes to the physician with a 5-day history of epigastric pain and nausea that is worse at night. Two years ago, she was diagnosed with a peptic ulcer and was treated with a proton pump inhibitor and antibiotics. Medications include folic acid and a multivitamin. Her pulse is 90/min and blood pressure is 130/85 mm Hg. Pelvic examination shows a uterus consistent in size with a 35-week gestation. The abdomen is tender over the right upper quadrant, but no rebound or guarding is present.  Hemoglobin is 8 g/dL.  Urinalysis shows 3+ protein.  Which of the following associated laboratory changes are most likely to be seen in this patient?   A) A B) B C) C D) D E) E


A) A
B) B
C) C
D) D
E) E

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