Matthew Coulson
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Perinatal Psychiatry lecture given on the Wednesday of Week 4

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Matthew Coulson
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Perinatal Psychiatry

Perinatal Psychiatry

Question 1 of 25

1

Venous Thromboembolism is the leading cause of maternal death the year after birth of the child

Select one of the following:

  • True
  • False

Explanation

Question 2 of 25

1

2/3 of mothers who commit suicide within 7 weeks of delivery have a history of mental health problems

Select one of the following:

  • True
  • False

Explanation

Question 3 of 25

1

Which 3 of the following are key red flags of mental illness in pregnancy?

Select one or more of the following:

  • Recent significant change in mental state

  • New thoughts of violence/self harm

  • New thoughts of estrangement from baby

  • Development of chronic regional pain syndrome

  • Withdrawal from normal social activities

  • Refusing to move from bed other than to see her baby

Explanation

Question 4 of 25

1

At which point in the pregnancy does the mother have her first appointment with a midwife?

Select one of the following:

  • 12 weeks

  • 8 weeks

  • 16 weeks

  • 4 weeks

Explanation

Question 5 of 25

1

Fill the blank space to complete the text.

Shortly after delivery of their child, 50% of women enter a brief period (3-10 days) of emotional instability whereby they are tearful, irritable and anxious. They may also be confused and sleeping poorly. What is this brief period known as?

Explanation

Question 6 of 25

1

Fill the blank space to complete the text.

7 days following delivery a woman is brought to her GP by her partner who is complaining that she has barely slept in the past week and has also seemed confused, frequently thinking that the news anchor on her television was telling people to steal her baby.
What is this woman suffering from?

Explanation

Question 7 of 25

1

Fill the blank space to complete the text.

The recurrence rate of Puerperal Psychosis is %

Explanation

Question 8 of 25

1

Puerperal Psychosis is a common disorder and should be routinely treated in the community with antipsychotics.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 25

1

25% of women who experience puerperal psychosis go on to develop which condition?

Select one of the following:

  • Depression

  • Bipolar Disorder

  • Schizophrenia

  • Dementia

  • Post-Traumatic Stress Disorder

Explanation

Question 10 of 25

1

Select from the dropdown list to complete the text.

( 10%, 5%, 25%, 40% ) of women experience a period of postnatal depression, with around 1/3 lasting over a year

Explanation

Question 11 of 25

1

Select from the dropdown list to complete the text.

Baby blues typically lasts up to around ( 10 days, 3 days, 4 weeks, 6 weeks ) and is typically self limiting

Explanation

Question 12 of 25

1

Select from the dropdown lists to complete the text.

( Postnatal depression, Baby blues ) typically has a later onset than ( baby blues, Postnatal depression ), usually presenting around 2 weeks after delivery

( Postnatal depression, Baby blues ) is known to cause problems with the mother-baby relationship, whereas ( baby blues, Postnatal depression ) does not typically have this effect.

Explanation

Question 13 of 25

1

A 24 primigravida presents to her first appointment with the midwife at 12 weeks. During this consultation, the midwife finds that the woman is taking Paroxetine for her depression.
Should this medication be changed?

Select one of the following:

  • Yes

  • No

Explanation

Question 14 of 25

1

A 24 primigravida presents to her first appointment with the midwife at 12 weeks. During this consultation, the midwife finds that the woman is taking Paroxetine for her depression.
Why should this medication be changed?

Select one of the following:

  • Increased risk of Down Syndrome if Paroxetine is used in first trimester

  • Increased risk of neural tube defects if Paroxetine is used in first trimester

  • Increased risk of neonatal persistent pulmonary hypertension if Paroxetine is used in first trimester

  • Increased risk of foetal heart defects if Paroxetine is used in first trimester

Explanation

Question 15 of 25

1

Order the following drugs based on their safety in pregnancy, with the most safe at the top.


Drag and drop to complete the text.

    Amitriptyline
    Sertraline
    Fluoxetine

Explanation

Question 16 of 25

1

Select from the dropdown lists to complete the text.

In terms of Benzodiazepines
1st trimester: ( Unsafe to use, Safe to use )
2nd trimester: ( Unsafe to use, Safe to use )
3rd trimester: ( Unsafe to use, Safe to use )

Explanation

Question 17 of 25

1

Benzodiazepines are safe to use in breastfeeding.

Select one of the following:

  • True
  • False

Explanation

Question 18 of 25

1

Select from the dropdown lists to complete the text.

In terms of Antipsychotics:
( Clozapine, Olanzapine, Risperidone ): Should be avoided due to risk of agranulocytosis
( Olanzapine, Clozapine, Risperidone ): Should be avoided due to risk of gestational diabetes

Explanation

Question 19 of 25

1

Select from the dropdown lists to complete the text.

In terms of Lithium for Epilepsy:
During pregnancy: ( Can continue if necessary, Avoid )
Breastfeeding: ( Avoid, Can continue if necessary )

Explanation

Question 20 of 25

1

Fill the blank space to complete the text.

Which anticonvulsant medication should be avoided in all women of childbearing age due to the potential for neural tube defects very early in pregnancy?

Explanation

Question 21 of 25

1

Women with history of opiate abuse should not be given opiates such as diamorphine during pregnancy due to their likelihood of becoming dependent again.

Select one of the following:

  • True
  • False

Explanation

Question 22 of 25

1

Fill the blank space to complete the text.

If a mother frequently intakes alcohol during pregnancy, she risks her baby developing syndrome

Explanation

Question 23 of 25

1

Hyperemesis should resolve by which approximate stage of pregnancy?

Select one of the following:

  • 8 weeks

  • 16 weeks

  • 24 weeks

Explanation

Question 24 of 25

1

Fill the blank space to complete the text.

Intravenous drug users are at an increased risk of and are thus typically prescribed Dalteparin for 6 weeks after delivery.

Explanation

Question 25 of 25

1

Having a C-section significantly reduces the likelihood of a woman having a postpartum haemorrhage

Select one of the following:

  • True
  • False

Explanation

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