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Influenza in pregnancy — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareInfluenza in pregnancyUSMLE Step 3

A 34-year-old teacher comes to urgent care in February with fever, myalgias, dry cough, and headache for 18 hours. Several students have influenza. She is 28 weeks pregnant. Temperature is 38.6 C, oxygen saturation is 98% on room air, and lung examination is clear. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Start oral oseltamivir

Pregnancy increases influenza complication risk, so antiviral treatment should begin early without waiting for confirmatory testing.

Reference: CDC influenza antiviral guidance; ACOG influenza in pregnancy guidance