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Dermatology · STI: anogenital warts in pregnancy
Sample itemA pregnant woman has extensive genital warts. Which treatment option is appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Cryotherapy or trichloroacetic acid
Cryotherapy, trichloroacetic acid and surgical removal are safe in pregnancy. Podophyllin, podophyllotoxin and imiquimod are avoided because of potential fetal harm or lack of safety data.
Option by option
A. Imiquimod
Imiquimod lacks safety data and is avoided.
B. Cryotherapy or trichloroacetic acid (correct)
Correct. Physical and chemical ablation is safe in pregnancy.
C. Podophyllotoxin
Podophyllotoxin is not recommended in pregnancy.
D. Podophyllin resin
Podophyllin is contraindicated in pregnancy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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