Matthew Coulson
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Medical Problems in Pregnancy lecture given in Week 4

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Matthew Coulson
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Medical Problems in Pregnancy

Question 1 of 33

1

Select from the dropdown lists to complete the text.

Cardiovascular changes in pregnancy:
Blood Volume: ( Increases, Decreases )
Cardiac Output: ( Increases, Decreases )
Heart Rate: ( Increases, Decreases )
Blood Pressure: ( Decreases, Increases )

Explanation

Question 2 of 33

1

Prevalence of heart disease in pregnancy is rising due to which two main reasons?

Select one or more of the following:

  • More women are obese

  • Women are choosing to have children at older ages

  • More mothers are on cardiovascular medication during pregnancy

  • More mothers have cardiovascular risk factors

Explanation

Question 3 of 33

1

Palpitations are a common finding in pregnant women and are not normally considered to be pathological

Select one of the following:

  • True
  • False

Explanation

Question 4 of 33

1

Hypertension is a common finding in pregnant women and are not normally considered to be pathological

Select one of the following:

  • True
  • False

Explanation

Question 5 of 33

1

Fill the blank space to complete the text.

If a woman's aortic root is wider than 45mm then she is at a high risk of aortic

Explanation

Question 6 of 33

1

Whilst they are considered normal, palpitations experienced by a woman during pregnancy are commonly investigated in order to rule out any potentially sinister connotations. Which investigative measure is most commonly used for this?

Select one of the following:

  • ECG

  • Echocardiography

  • Thyroid Function Test

  • Full Blood Count

  • 24 hour ECG

Explanation

Question 7 of 33

1

Select from the dropdown lists to complete the text.

Palpitations in pregnancy are usually exacerbated by ( rest, exercise ) and relieved by ( exercise, rest )

Explanation

Question 8 of 33

1

NYHA Functional Classification is used to classify symptoms of chest pain and/or breathlessness. Which classes of the NYHA are considered abnormal in pregnancy?

Select one or more of the following:

  • I

  • II

  • III

  • IV

Explanation

Question 9 of 33

1

Select from the dropdown lists to complete the text.

Arterial pH typically ( increases, decreases ) to become more ( alkaline, acidic ) in pregnancy.
PaO2 typically ( increases, decreases ) whilst PaCO2 typically ( decreases, increases ) in pregnancy

Explanation

Question 10 of 33

1

Breathlessness is an uncommon symptom in pregnancy and should be considered pathological until proven otherwise.

Select one of the following:

  • True
  • False

Explanation

Question 11 of 33

1

Select from the dropdown list to complete the text.

Breathlessness in pregnancy is typically ( relieved, exacerbated ) by exertion

Explanation

Question 12 of 33

1

Fill the blank space to complete the text.

The period following childbirth whereby the mother's reproductive organs return to normal (typically around 6 weeks) is known as the

Explanation

Question 13 of 33

1

If a woman is on long term oral steroids for Asthma, during labour she should be given which medication?

Select one of the following:

  • Beclometasone Inhaler

  • IV Hydrocortisone

  • IV Fludrocortisone

  • Oral Prednisolone

Explanation

Question 14 of 33

1

Asthmatic women should not discontinue their inhalers during pregnancy as inhaled b2-agonists do not impair uterine activity or delay onset of labour

Select one of the following:

  • True
  • False

Explanation

Question 15 of 33

1

What is the most common direct cause of maternal death in pregnancy?

Select one of the following:

  • Venous Thromboembolism

  • Diabetes

  • Hypertension

  • Asthma

Explanation

Question 16 of 33

1

Select from the dropdown lists to complete the text.

Women who are at a high risk of VTE should receive ( LMWH, Heparin, Warfarin ) throughout pregnancy and for ( 6, 2, 12 ) weeks postpartum

Explanation

Question 17 of 33

1

At which point are women most vulnerable to VTE?

Select one of the following:

  • Pregnancy

  • Labour

  • Puerperium

Explanation

Question 18 of 33

1

Fill the blank space to complete the text.

Which LMWH medication is given to women in Tayside as VTE prophylaxis?

Explanation

Question 19 of 33

1

The dose of Dalteparin given is dependent on the weight of the woman

Select one of the following:

  • True
  • False

Explanation

Question 20 of 33

1

Which investigation is used first line to diagnose DVT in pregnant women?

Select one of the following:

  • Duplex Ultrasound

  • Venous Doppler Scan

  • Arterial Doppler Scan

  • MRI venography

Explanation

Question 21 of 33

1

A pregnant woman is found by a junior registrar to have a completely swollen, erythematous left thigh with severe back pain. Which mode of investigation should be conducted immediately?

Select one of the following:

  • Duplex Ultrasound

  • MRI Venography

  • Venous Doppler Scan

  • Arterial Doppler Scan

  • CT Leg

Explanation

Question 22 of 33

1

If DVT/PE is suspected in a pregnant woman, D-dimers should be assessed thoroughly and urgently.

Select one of the following:

  • True
  • False

Explanation

Question 23 of 33

1

Which two investigations are commonplace in the diagnosis of Pulmonary Embolism?

Select one or more of the following:

  • CT Pulmonary Angiogram

  • Ventilation Perfusion (VQ) Scan

  • Chest X-ray

  • MRI Chest

  • CT Chest

  • D-dimers

Explanation

Question 24 of 33

1

: Involves radiation dose to woman and thus increases breast cancer risk
: Involves radiation dose to baby and increases risk of abnormality

Drag and drop to complete the text.

    CTPA
    V/Q Scan

Explanation

Question 25 of 33

1

Warfarin is safe in pregnancy.

Select one of the following:

  • True
  • False

Explanation

Question 26 of 33

1

Women are able to breastfeed on which of the following anti-coagulant medications?

Select one of the following:

  • Warfarin

  • Dalteparin

  • Both

Explanation

Question 27 of 33

1

Fill the blank space to complete the text.

Recurrent miscarriages and early onset pre-eclampsia are signs of syndrome

Explanation

Question 28 of 33

1

How is Antiphospholipid Syndrome typically managed?

Select one of the following:

  • LMWH

  • LMWH + Low Dose Aspirin

  • Low Dose Aspirin

  • Warfarin

  • Warfarin + LMWH

  • Warfarin + Low Dose Aspirin

Explanation

Question 29 of 33

1

Which anticonvulsant is most likely to cause congenital malformations and should not be prescribed to any woman of childbearing age without highly effective contraception in place?

Select one of the following:

  • Sodium Valproate

  • Lamotrigine

  • Clobazam

  • Carbamazepine

  • Phenytoin

Explanation

Question 30 of 33

1

Fill the blank space to complete the text.

Due to the risk of foetal neural tube defects, women with epilepsy are advised to take 5mg daily of which vitamin prior to conception until at least the end of the first trimester?

Explanation

Question 31 of 33

1

Most women with epilepsy tend to have normal vaginal births

Select one of the following:

  • True
  • False

Explanation

Question 32 of 33

1

Fill the blank space to complete the text.

Which very serious condition involving hypertension and proteinuria is also known to cause seizures in pregnant women?

Explanation

Question 33 of 33

1

Which class of drugs are usually utilised to stop seizures during childbirth?

Select one of the following:

  • Benzodiazepines

  • Anticonvulsants

  • Steroids

  • Anaesthetics

Explanation

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