Quiz
L4 Hypertension, pre-eclampsia and gestational diabetes
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Fragen in diesem Quiz (13)
1Hypertension pre 20 weeks of gestation = [blank_start]chronic hypertension[blank_end]
Hypertension after 20 weeks:
1. BP above 140/90 = [blank_start]gestational hypertension[blank_end]
2. BP above 140/90, proteinuria and oedema = [blank_start]preeclampsia[blank_end]
3. Preeclampsia with seizure = [blank_start]eclampsia[blank_end]- Agestational hypertension
- Bchronic hypertension
- Cpreeclampsia
- Declampsia
2Which of these is not a risk factor for gestational HTN?
- AChange in partner
- BPre-existing diabetes
- CBMI >35
- DMultiple pregnancy
- EBMI <20
3Select the three first line anti-hypertensives for gestational HTN.
- ALabetalol
- BCilazapril
- CQuinapril
- DNifedipine
- EMethyldopa
4A severe feature of preeclampsia is visual disturbances.
- ARichtig
- BFalsch
5HELLP syndrome: A variant of severe pre-eclampsia. Elements include: H[blank_start]aemolysis[blank_end],
E[blank_start]levated[blank_end] L[blank_start]iver[blank_end] enzymes and
Low P[blank_start]latelet[blank_end] count.
In a woman with pre-eclampsia, the presence of any of the following is an indicator of HELLP:
• Maternal platelet count of [blank_start]less than 100[blank_end] x 10^9/L
• Elevated [blank_start]transaminases[blank_end] (twice normal concentration)
• Haemolytic [blank_start]anaemia[blank_end]- Aaemolysis
- Blevated
- Civer
- Dlatelet
- Eless than 100
- Ftransaminases
- Ganaemia
6Magnesium sulphate is an anticonvulsant used to prevent progression of preeclampsia to eclampsia.
It does not [blank_start]stop[blank_end] seizures but reduces [blank_start]risk[blank_end] of a further seizure.
Toxicity signs:
• Loss of patellar [blank_start]reflexes[blank_end]
• [blank_start]Respiratory[blank_end] paralysis
• Heart block
• Collapse of [blank_start]circulatory[blank_end] system
• Death
Antidote = calcium gluconate (10ml of 10% sln over 10 minutes)- Astop
- Brisk
- Creflexes
- Dcirculatory
- ERespiratory
7Preeclampsia/eclampsia risks:
In the baby -
• Can decrease the supply of [blank_start]food and oxygen[blank_end] to the baby, this can result in reduced fetal growth
• Preterm birth
• Stillbirth, if placental [blank_start]abruption[blank_end] (separation of the placenta from the uterine wall), leads to heavy bleeding in the mother
• Infant death
In the Mum -
• Stroke
• Seizure
• Pulmonary [blank_start]odema[blank_end]
• Heart [blank_start]failure[blank_end]
• Reversible [blank_start]blindness[blank_end]
• Bleeding from the liver
• Post-partum haemorrhage- Afood and oxygen
- Babruption
- Codema
- Dfailure
- Eblindness
8The only cute for eclampsia is delivery.
- ARichtig
- BFalsch
9• Women at high risk of developing pre-eclampsia are recommended to
commence taking ________ and ______ before 16 weeks’ gestation- Alow dose aspirin and calcium
- Blow dose aspirin and magnesium sulphate
- Cacute antihypertensive and calcium
- Dacute antihypertensive and magnesium sulphate
10Risks for gestational diabetes: Close family [blank_start]history[blank_end] of type 2 diabetes, overweight, over [blank_start]30[blank_end], if previous baby had [blank_start]defect[blank_end] or was large, previous stillbirth or miscarriage
Mechanism: placenta makes certain hormones that cause [blank_start]insulin resistance[blank_end]. Mother needs to make [blank_start]x3[blank_end] more insulin, sometimes can't be done.
Symptoms: usually none, may be [blank_start]thirsty[blank_end] or tired, picked up during [blank_start]screening[blank_end] (antenatal blood tests include HbA1c) around [blank_start]20 - 24[blank_end] weeks
Risks if untreated: needing C section, increased chance of HTN and [blank_start]UTIs[blank_end], fat baby, shoulder [blank_start]dislocation[blank_end] of baby during birth, [blank_start]hypoglycaemic[blank_end] baby after birth,- Ahistory
- B30
- Cdefect
- Dinsulin resistance
- Ex3
- Fthirsty
- Gscreening
- H20 - 24
- IUTIs
- Jdislocation
- Khypoglycaemic
11Pregnant women should aim to do at least 150 minutes of moderate intensity physical activity spread throughout the week, for example, 30 minutes most days a week.
- ARichtig
- BFalsch
12Insulin aspart, lispro, glulisine are first line for gestational diabetes.
- ARichtig
- BFalsch
13Choose the incorrect statement
- AAt three months postpartum and annually thereafter, all women with gestational diabetes should have an HbA1c.
- BA woman who has had gestational diabetes has an increased risk (50-60%) of developing type 2 diabetes in the future.
- CDiscourage breastfeeding to reduce neonatal hypoglycemia, childhood obesity & diabetes, AND maternal risk of diabetes & hypertension.
Informationen
- Beschreibung
- Der Nutzer hat seine Fachbereichs-Information gelöscht. Quiz am L4 Hypertension, pre-eclampsia and gestational diabetes, erstellt von Gelöschter Nutzer am 02/10/2019.
- Autor
- Gelöschter Nutzer
- Sprache
- English
- Aufrufe
- 152
- Verlauf
- Erstellt am 2 Okt 2019 · aktualisiert am 2 Okt 2019
- Schlagwörter
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