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Hyperemesis gravidarum — DRCOG MCQ

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EasyEarly PregnancyHyperemesis gravidarumDRCOG

A 27-year-old woman at 8 weeks' gestation has persistent vomiting, 4 kg weight loss and ketonuria. She is unable to tolerate oral fluids. There is no abdominal tenderness or vaginal bleeding. What is the most likely diagnosis?

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Correct answer: C — Hyperemesis gravidarum

Severe vomiting with weight loss, dehydration and ketonuria is hyperemesis gravidarum. Pre-eclampsia and obstetric cholestasis are typically later pregnancy conditions. PID would usually cause pelvic pain, fever or discharge. Mild nausea is common, but inability to keep fluids down and ketonuria indicate a more severe condition.

Reference: RCOG Green-top Guideline No. 69