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Hyperemesis gravidarum — DRCOG MCQ

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HardAntenatal CareHyperemesis gravidarumDRCOG

A 19-year-old woman at 9 weeks has persistent vomiting, ketonuria and 4 kg weight loss despite oral fluids. What is the most appropriate management?

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Correct answer: B — Arrange urgent assessment for fluids and antiemetics

Arrange urgent assessment for 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, Offer reassurance without further assessment; Repeat the pregnancy test in one week; Start topical oestrogen treatment; Arrange routine review in six weeks 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