#april2020mccqe1
A 40-year-old multigravid woman (gravida 4, para 3) has noted that severe varicose veins have become evident in her legs and vulva at about 28 weeks of gestation and are causing considerable discomfort. These have not been such a problem to her in the previous pregnancies. Which one of the following is the most appropriate method of relieving her symptoms?
(A) Rest in bed in hospital
(B) Anticoagulant therapy with low-dose heparin
(C) Use of pressure stockings and a vulval pad
(D) Surgical ligation and stripping of the affected veins
(E) Injection of sclerosing solution into the affected veins
A 40-year-old multigravid woman (gravida 4, para 3) has noted that severe varicose veins have become evident in her legs and vulva at about 28 weeks of gestation and are causing considerable discomfort. These have not been such a problem to her in the previous pregnancies. Which one of the following is the most appropriate method of relieving her symptoms?
(A) Rest in bed in hospital
(B) Anticoagulant therapy with low-dose heparin
(C) Use of pressure stockings and a vulval pad
(D) Surgical ligation and stripping of the affected veins
(E) Injection of sclerosing solution into the affected veins
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