Obstetric APS Treatment — RACP Adult Medicine MCQ

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ModerateRheumatologyObstetric APS TreatmentRACP Adult Medicine

A 40-year-old woman with SLE and recurrent miscarriages (triple-positive APS, no prior thrombosis). Treatment during pregnancy?

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Correct answer: C — Aspirin + prophylactic LMWH (enoxaparin 40 mg daily)

Obstetric APS: low-dose aspirin (pre-conception) + prophylactic LMWH. Improves live birth rate from ~10% to ~70%.

Reference: eTG – 2025; EULAR – 2019