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Hyperemesis with ketosis — DipIMC MCQ

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EasyMedical EmergenciesHyperemesis with ketosisDipIMC

A 10-week pregnant woman has persistent vomiting, dizziness and ketones on urine testing. She cannot keep fluids down. What is the most appropriate management?

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

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Correct answer: AArrange hospital assessment for dehydration and ketosis in pregnancy

Option A is correct because Hyperemesis with dehydration and ketonuria requires medical assessment and fluid or electrolyte management. Option B is less appropriate because watchful waiting risks deterioration or delays definitive care; option E is less appropriate because the clinical risk exceeds that destination or timeframe. Option D is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines