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Symptomatic influenza in pregnancy — DRCOG MCQ

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ModerateAntenatal CareSymptomatic influenza in pregnancyDRCOG

A 28-year-old woman at 24 weeks has fever, myalgia and cough during a community influenza outbreak. What is the most appropriate management?

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Correct answer: A — Start antiviral treatment if within the treatment window

Start antiviral treatment if within the treatment window is the best answer because the vignette is testing Symptomatic influenza in pregnancy and the recommended approach is consistent with UKHSA; BNF. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Request outpatient ultrasound in three months; Refer for routine gynaecology review; Offer empirical antifungal treatment; Prescribe oral metronidazole after self-swab 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: UKHSA; BNF