Hypertension in Pregnancy (Pre-Eclampsia)

Beschreibung

Hypertension in Pregnancy lecture given on Tuesday morning of Week 4
Matthew Coulson
Quiz von Matthew Coulson, aktualisiert more than 1 year ago
Matthew Coulson
Erstellt von Matthew Coulson vor mehr als 5 Jahre
195
1

Zusammenfassung der Ressource

Frage 1

Frage
Which 3 clinical signs make up the triad of pre-eclampsia? (alphabetical order) [blank_start]Hypertension[blank_end] [blank_start]Oedema[blank_end] [blank_start]Proteinuria[blank_end]
Antworten
  • Hypertension
  • Oedema
  • Proteinuria

Frage 2

Frage
Blood pressure is typically [blank_start]decreased[blank_end] in pregnancy
Antworten
  • decreased
  • increased

Frage 3

Frage
Hypertension is defined as a blood pressure of greater than [blank_start]140/90[blank_end] on 2 occasions or a blood pressure of greater than [blank_start]160/110[blank_end] on one occasion.
Antworten
  • 140/90
  • 140/100
  • 135/85
  • 135/90
  • 160/110
  • 180/120
  • 160/120
  • 180/110

Frage 4

Frage
Pregnancy induced hypertension tends to occur in the [blank_start]second[blank_end] half of pregnancy ([blank_start]weeks 21-40[blank_end])
Antworten
  • second
  • first
  • weeks 21-40
  • weeks 1-20

Frage 5

Frage
Absence of one of the triad of signs for pre-eclampsia is enough to rule it out clinically.
Antworten
  • True
  • False

Frage 6

Frage
Whilst its definitive cause remains unknown, it is thought that pre-eclampsia occurs due to a defective [blank_start]placenta[blank_end]
Antworten
  • placenta
  • uterus
  • foetal heart
  • umbilical vein

Frage 7

Frage
Pre-eclampsia tends to present in the [blank_start]2nd trimester[blank_end]
Antworten
  • 2nd trimester
  • 3rd trimester
  • 1st trimester

Frage 8

Frage
Pre-eclampsia is a condition which typically affects only the placental vasculature. No other systems tend to be affected, allowing a low dose of aspirin to be used as the treatment to specifically target the origin of the disease.
Antworten
  • True
  • False

Frage 9

Frage
Pre-eclampsia causes proteinuria due to damaging the vasculature supplying the ...
Antworten
  • lungs
  • kidneys
  • liver
  • pancreas
  • gall bladder
  • stomach

Frage 10

Frage
A rare variant of pre-eclampsia caused by liver dysfunction is called HELLP Syndrome (acronym). What are the three constituents of this syndrome? H = [blank_start]Haemolysis[blank_end] EL = [blank_start]Elevated Liver enzymes[blank_end] LP = [blank_start]Low Platelets[blank_end]
Antworten
  • Low Platelets
  • Elevated Liver enzymes
  • Haemolysis

Frage 11

Frage
Pain from the liver is typically felt in the [blank_start]epigastric[blank_end] region however can also be referred to the [blank_start]right shoulder[blank_end].
Antworten
  • epigastric
  • umbilical
  • suprapubic
  • right shoulder
  • left shoulder
  • right flank
  • left flank
  • central back

Frage 12

Frage
Which 3 of the following form some of the main symptoms of pre-eclampsia?
Antworten
  • Severe headache
  • Abdominal pain
  • Nausea & Vomiting
  • Paraesthesia of the legs
  • Dysuria
  • Polyuria

Frage 13

Frage
Does eclampsia present with upper or lower motor neuron signs?
Antworten
  • UMN signs such as hyperreflexia, involuntary movements, etc
  • LMN signs such as hyporeflexia, flaccidity, etc

Frage 14

Frage
Which specific scan is typically conducted in order to diagnose pre-eclampsia
Antworten
  • Uterine Artery Doppler Ultrasound scan
  • Uterine Arteriography Scan
  • Uterine Artery Fluoroscopy

Frage 15

Frage
A pregnant woman with hypertension at <20 weeks gestation is likely to have had pre-existing hypertension
Antworten
  • True
  • False

Frage 16

Frage
The definitive treatment for pre-eclampsia is low dose aspirin.
Antworten
  • True
  • False

Frage 17

Frage
Which class of drugs are typically given to a woman during pre-term labour in order to increase the pulmonary surfactant production by her child? [blank_start]Steroids[blank_end]
Antworten
  • Steroids

Frage 18

Frage
Women at a moderate-high risk of pre-eclampsia should be given which prophylactic treatment? [blank_start]Low dose Aspirin[blank_end]
Antworten
  • Low dose Aspirin

Frage 19

Frage
Low Dose Aspirin should be given to moderate-high risk women as of [blank_start]12[blank_end] weeks gestation
Antworten
  • 12
  • 8
  • 20

Frage 20

Frage
Which two of the following medication types are teratogenic?
Antworten
  • ACE Inhibitors
  • Beta Blockers
  • Anti-Platelets
  • Thiazide Diuretics

Frage 21

Frage
Which type of seizures typically occur due to eclampsia?
Antworten
  • Tonic
  • Clonic
  • Tonic-Clonic
  • Atonic
  • Myoclonic

Frage 22

Frage
Which of the following is an antihypertensive that is typically given in cases of severe pre-eclampsia/eclampsia?
Antworten
  • IV Labetalol
  • IV Hydrocortisone
  • IV Fondaparinux
  • IV Diphenhydramine

Frage 23

Frage
Which drug is used to prevent or terminate seizures caused by eclampsia? IV [blank_start]Magnesium Sulphate[blank_end]
Antworten
  • Magnesium Sulphate
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