Mer Scott
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PHCY320 (Reproductive and Sexual Health) Quiz sobre L4 Hypertension, pre-eclampsia and gestational diabetes, criado por Mer Scott em 19-08-2019.

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L4 Hypertension, pre-eclampsia and gestational diabetes

Questão 1 de 13

1

Hypertension pre 20 weeks of gestation =
Hypertension after 20 weeks:
1. BP above 140/90 =
2. BP above 140/90, proteinuria and oedema =
3. Preeclampsia with seizure =

Arraste e solte para completar o texto.

    gestational hypertension
    chronic hypertension
    preeclampsia
    eclampsia

Explicação

Questão 2 de 13

1

Which of these is not a risk factor for gestational HTN?

Selecione uma das seguintes:

  • Change in partner

  • Pre-existing diabetes

  • BMI >35

  • Multiple pregnancy

  • BMI <20

Explicação

Questão 3 de 13

1

Select the three first line anti-hypertensives for gestational HTN.

Selecione uma ou mais das seguintes:

  • Labetalol

  • Cilazapril

  • Quinapril

  • Nifedipine

  • Methyldopa

Explicação

Questão 4 de 13

1

A severe feature of preeclampsia is visual disturbances.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 5 de 13

1

HELLP syndrome: A variant of severe pre-eclampsia. Elements include: H,
E L enzymes and
Low P count.
In a woman with pre-eclampsia, the presence of any of the following is an indicator of HELLP:
• Maternal platelet count of x 10^9/L
• Elevated (twice normal concentration)
• Haemolytic

Arraste e solte para completar o texto.

    aemolysis
    levated
    iver
    latelet
    less than 100
    transaminases
    anaemia

Explicação

Questão 6 de 13

1

Magnesium sulphate is an anticonvulsant used to prevent progression of preeclampsia to eclampsia.
It does not seizures but reduces of a further seizure.
Toxicity signs:
• Loss of patellar
paralysis
• Heart block
• Collapse of system
• Death
Antidote = calcium gluconate (10ml of 10% sln over 10 minutes)

Arraste e solte para completar o texto.

    stop
    risk
    reflexes
    circulatory
    Respiratory

Explicação

Questão 7 de 13

1

Preeclampsia/eclampsia risks:
In the baby -
• Can decrease the supply of to the baby, this can result in reduced fetal growth
• Preterm birth
• Stillbirth, if placental (separation of the placenta from the uterine wall), leads to heavy bleeding in the mother
• Infant death
In the Mum -
• Stroke
• Seizure
• Pulmonary
• Heart
• Reversible
• Bleeding from the liver
• Post-partum haemorrhage

Arraste e solte para completar o texto.

    food and oxygen
    abruption
    odema
    failure
    blindness

Explicação

Questão 8 de 13

1

The only cute for eclampsia is delivery.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 9 de 13

1

• Women at high risk of developing pre-eclampsia are recommended to
commence taking ________ and ______ before 16 weeks’ gestation

Selecione uma das seguintes:

  • low dose aspirin and calcium

  • low dose aspirin and magnesium sulphate

  • acute antihypertensive and calcium

  • acute antihypertensive and magnesium sulphate

Explicação

Questão 10 de 13

1

Risks for gestational diabetes: Close family of type 2 diabetes, overweight, over , if previous baby had or was large, previous stillbirth or miscarriage

Mechanism: placenta makes certain hormones that cause . Mother needs to make more insulin, sometimes can't be done.

Symptoms: usually none, may be or tired, picked up during (antenatal blood tests include HbA1c) around weeks

Risks if untreated: needing C section, increased chance of HTN and , fat baby, shoulder of baby during birth, baby after birth,

Arraste e solte para completar o texto.

    history
    30
    defect
    insulin resistance
    x3
    thirsty
    screening
    20 - 24
    UTIs
    dislocation
    hypoglycaemic

Explicação

Questão 11 de 13

1

Pregnant 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 12 de 13

1

Insulin aspart, lispro, glulisine are first line for gestational diabetes.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 13 de 13

1

Choose the incorrect statement

Selecione uma das seguintes:

  • At three months postpartum and annually thereafter, all women with gestational diabetes should have an HbA1c.

  • A woman who has had gestational diabetes has an increased risk (50-60%) of developing type 2 diabetes in the future.

  • Discourage breastfeeding to reduce neonatal hypoglycemia, childhood obesity & diabetes, AND maternal risk of diabetes & hypertension.

Explicação