A 25-year-old with pelvic pain and positive pregnancy test has ultrasound showing IUP. β‑hCG is 50,000 mIU/mL. She reports severe vomiting and dehydra...

Question

A 25-year-old with pelvic pain and positive pregnancy test has ultrasound showing IUP. β‑hCG is 50,000 mIU/mL. She reports severe vomiting and dehydration. Diagnosis is hyperemesis gravidarum. Best initial therapy?

Accepted Answer

IV fluids, thiamine, and antiemetics (pyridoxine/doxylamine)

Answer

Ondansetron only

Answer

Corticosteroids immediately

Answer

No treatment

Answer

Metoclopramide only

us-abfm MCQ (SBA): Hyperemesis Gravidarum

A 25-year-old with pelvic pain and positive pregnancy test has ultrasound showing IUP. β‑hCG is 50,000 mIU/mL. She reports severe vomiting and dehydration. Diagnosis is hyperemesis gravidarum. Best initial therapy?