Hyperemesis gravidarum — DRCOG MCQ
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Correct answer: B — Arrange urgent assessment for intravenous fluids and antiemetics
Arrange urgent assessment for intravenous fluids and antiemetics is the best answer because the vignette is testing Hyperemesis gravidarum and the recommended approach is consistent with RCOG Green-top Guideline 69. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Prescribe oral metronidazole after self-swab; Book a non-urgent community midwife appointment; Offer reassurance without further assessment; Refer for routine gynaecology review would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: RCOG Green-top Guideline 69