Matthew Coulson
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Hypertension in Pregnancy lecture given on Tuesday morning of Week 4

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Matthew Coulson
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Hypertension in Pregnancy (Pre-Eclampsia)

Question 1 of 23

1

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Which 3 clinical signs make up the triad of pre-eclampsia? (alphabetical order)


Explanation

Question 2 of 23

1

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Blood pressure is typically ( decreased, increased ) in pregnancy

Explanation

Question 3 of 23

1

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Hypertension is defined as a blood pressure of greater than ( 140/90, 140/100, 135/85, 135/90 ) on 2 occasions or a blood pressure of greater than ( 160/110, 180/120, 160/120, 180/110 ) on one occasion.

Explanation

Question 4 of 23

1

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Pregnancy induced hypertension tends to occur in the ( second, first ) half of pregnancy (( weeks 21-40, weeks 1-20 ))

Explanation

Question 5 of 23

1

Absence of one of the triad of signs for pre-eclampsia is enough to rule it out clinically.

Select one of the following:

  • True
  • False

Explanation

Question 6 of 23

1

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Whilst its definitive cause remains unknown, it is thought that pre-eclampsia occurs due to a defective ( placenta, uterus, foetal heart, umbilical vein )

Explanation

Question 7 of 23

1

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Pre-eclampsia tends to present in the ( 2nd trimester, 3rd trimester, 1st trimester )

Explanation

Question 8 of 23

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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.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 23

1

Pre-eclampsia causes proteinuria due to damaging the vasculature supplying the ...

Select one of the following:

  • lungs

  • kidneys

  • liver

  • pancreas

  • gall bladder

  • stomach

Explanation

Question 10 of 23

1

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A rare variant of pre-eclampsia caused by liver dysfunction is called HELLP Syndrome (acronym). What are the three constituents of this syndrome?
H =
EL =
LP =

Explanation

Question 11 of 23

1

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Pain from the liver is typically felt in the ( epigastric, umbilical, suprapubic ) region however can also be referred to the ( right shoulder, left shoulder, right flank, left flank, central back ).

Explanation

Question 12 of 23

1

Which 3 of the following form some of the main symptoms of pre-eclampsia?

Select one or more of the following:

  • Severe headache

  • Abdominal pain

  • Nausea & Vomiting

  • Paraesthesia of the legs

  • Dysuria

  • Polyuria

Explanation

Question 13 of 23

1

Does eclampsia present with upper or lower motor neuron signs?

Select one of the following:

  • UMN signs such as hyperreflexia, involuntary movements, etc

  • LMN signs such as hyporeflexia, flaccidity, etc

Explanation

Question 14 of 23

1

Which specific scan is typically conducted in order to diagnose pre-eclampsia

Select one of the following:

  • Uterine Artery Doppler Ultrasound scan

  • Uterine Arteriography Scan

  • Uterine Artery Fluoroscopy

Explanation

Question 15 of 23

1

A pregnant woman with hypertension at <20 weeks gestation is likely to have had pre-existing hypertension

Select one of the following:

  • True
  • False

Explanation

Question 16 of 23

1

The definitive treatment for pre-eclampsia is low dose aspirin.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 23

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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?

Explanation

Question 18 of 23

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Women at a moderate-high risk of pre-eclampsia should be given which prophylactic treatment?

Explanation

Question 19 of 23

1

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Low Dose Aspirin should be given to moderate-high risk women as of ( 12, 8, 20 ) weeks gestation

Explanation

Question 20 of 23

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Which two of the following medication types are teratogenic?

Select one or more of the following:

  • ACE Inhibitors

  • Beta Blockers

  • Anti-Platelets

  • Thiazide Diuretics

Explanation

Question 21 of 23

1

Which type of seizures typically occur due to eclampsia?

Select one of the following:

  • Tonic

  • Clonic

  • Tonic-Clonic

  • Atonic

  • Myoclonic

Explanation

Question 22 of 23

1

Which of the following is an antihypertensive that is typically given in cases of severe pre-eclampsia/eclampsia?

Select one of the following:

  • IV Labetalol

  • IV Hydrocortisone

  • IV Fondaparinux

  • IV Diphenhydramine

Explanation

Question 23 of 23

1

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Which drug is used to prevent or terminate seizures caused by eclampsia?
IV

Explanation