This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
When is pregnancy is terminated in hyperemesis Gravidarum : 
Select and explain. 
A. Increased acetone in urine, B. Decrease in renal output, C. Vomiting is more than 3 months, D. All
B: Decrease in renal output
Answer: B: Decrease in renal output 
Explanation: Ans. is b i.e. Decrease in renal output Indications for Therapeutic termination in Hyperemesis Steady deterioration, in spite of therapy Rising pulse rate of 100/min or more Temperature constantly above 38degC (100.4"F) Gradually increasing oliguria and proteinuriadeg Appearance of jaundicedeg Appearance of neurological complications. gravidarum Extra Edge Vitamin deficiencies associated with hyperemesis gravidarum. - Thiamine deficiency leading to Wernicke encephalopathy. - Vitamin K deficiency. Level of various minerals in hyperemesis gravidarum. - Plasma zinc levels increased. - Plasma copper levels decreased. - Plasma magnesium levels unchanged.