#july2020mccqe1
A 35-year-old mother of an 8-year-old child is considering a second pregnancy. Her previous pregnancy was complicated by puerperal psychosis, for which she had electroconvulsive therapy (ECT) and from which she made a prompt recovery and has remained well since. Her physical health is excellent and she has a happy marriage. Patient records indicate she is a very good mother. Which one of the following is the most appropriate advice?
(A) In view of her age and previous problem, further pregnancies are out of the question
(B) Start another pregnancy and see how she feels about it. If she has misgivings. then have the pregnancy terminated
(C) In view of her good outcome, there is minimal risk of further recurrence
(D) If she gets pregnant, then she should take prophylactic antipsychotics throughout the pregnancy
(E) There is a 15-20% chance of recurrence of psychosis postpartum
A 35-year-old mother of an 8-year-old child is considering a second pregnancy. Her previous pregnancy was complicated by puerperal psychosis, for which she had electroconvulsive therapy (ECT) and from which she made a prompt recovery and has remained well since. Her physical health is excellent and she has a happy marriage. Patient records indicate she is a very good mother. Which one of the following is the most appropriate advice?
(A) In view of her age and previous problem, further pregnancies are out of the question
(B) Start another pregnancy and see how she feels about it. If she has misgivings. then have the pregnancy terminated
(C) In view of her good outcome, there is minimal risk of further recurrence
(D) If she gets pregnant, then she should take prophylactic antipsychotics throughout the pregnancy
(E) There is a 15-20% chance of recurrence of psychosis postpartum
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