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Medical Problems in Pregnancy

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Medical Problems in Pregnancy lecture given in Week 4
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson mais de 5 anos atrás
10
1
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Resumo de Recurso

Questão 1

Questão
Cardiovascular changes in pregnancy: Blood Volume: [blank_start]Increases[blank_end] Cardiac Output: [blank_start]Increases[blank_end] Heart Rate: [blank_start]Increases[blank_end] Blood Pressure: [blank_start]Decreases[blank_end]
Responda
  • Decreases
  • Increases
  • Increases
  • Decreases
  • Increases
  • Decreases
  • Increases
  • Decreases

Questão 2

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

Questão 3

Questão
Palpitations are a common finding in pregnant women and are not normally considered to be pathological
Responda
  • True
  • False

Questão 4

Questão
Hypertension is a common finding in pregnant women and are not normally considered to be pathological
Responda
  • True
  • False

Questão 5

Questão
If a woman's aortic root is wider than 45mm then she is at a high risk of aortic [blank_start]dissection[blank_end]
Responda
  • dissection

Questão 6

Questão
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?
Responda
  • ECG
  • Echocardiography
  • Thyroid Function Test
  • Full Blood Count
  • 24 hour ECG

Questão 7

Questão
Palpitations in pregnancy are usually exacerbated by [blank_start]rest[blank_end] and relieved by [blank_start]exercise[blank_end]
Responda
  • exercise
  • rest
  • rest
  • exercise

Questão 8

Questão
NYHA Functional Classification is used to classify symptoms of chest pain and/or breathlessness. Which classes of the NYHA are considered abnormal in pregnancy?
Responda
  • I
  • II
  • III
  • IV

Questão 9

Questão
Arterial pH typically [blank_start]increases[blank_end] to become more [blank_start]alkaline[blank_end] in pregnancy. PaO2 typically [blank_start]increases[blank_end] whilst PaCO2 typically [blank_start]decreases[blank_end] in pregnancy
Responda
  • increases
  • decreases
  • decreases
  • increases
  • increases
  • decreases
  • alkaline
  • acidic

Questão 10

Questão
Breathlessness is an uncommon symptom in pregnancy and should be considered pathological until proven otherwise.
Responda
  • True
  • False

Questão 11

Questão
Breathlessness in pregnancy is typically [blank_start]relieved[blank_end] by exertion
Responda
  • relieved
  • exacerbated

Questão 12

Questão
The period following childbirth whereby the mother's reproductive organs return to normal (typically around 6 weeks) is known as the [blank_start]puerperium[blank_end]
Responda
  • puerperium

Questão 13

Questão
If a woman is on long term oral steroids for Asthma, during labour she should be given which medication?
Responda
  • Beclometasone Inhaler
  • IV Hydrocortisone
  • IV Fludrocortisone
  • Oral Prednisolone

Questão 14

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

Questão 15

Questão
What is the most common direct cause of maternal death in pregnancy?
Responda
  • Venous Thromboembolism
  • Diabetes
  • Hypertension
  • Asthma

Questão 16

Questão
Women who are at a high risk of VTE should receive [blank_start]LMWH[blank_end] throughout pregnancy and for [blank_start]6[blank_end] weeks postpartum
Responda
  • LMWH
  • Heparin
  • Warfarin
  • 6
  • 2
  • 12

Questão 17

Questão
At which point are women most vulnerable to VTE?
Responda
  • Pregnancy
  • Labour
  • Puerperium

Questão 18

Questão
Which LMWH medication is given to women in Tayside as VTE prophylaxis? [blank_start]Dalteparin[blank_end]
Responda
  • Dalteparin

Questão 19

Questão
The dose of Dalteparin given is dependent on the weight of the woman
Responda
  • True
  • False

Questão 20

Questão
Which investigation is used first line to diagnose DVT in pregnant women?
Responda
  • Duplex Ultrasound
  • Venous Doppler Scan
  • Arterial Doppler Scan
  • MRI venography

Questão 21

Questão
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?
Responda
  • Duplex Ultrasound
  • MRI Venography
  • Venous Doppler Scan
  • Arterial Doppler Scan
  • CT Leg

Questão 22

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

Questão 23

Questão
Which two investigations are commonplace in the diagnosis of Pulmonary Embolism?
Responda
  • CT Pulmonary Angiogram
  • Ventilation Perfusion (VQ) Scan
  • Chest X-ray
  • MRI Chest
  • CT Chest
  • D-dimers

Questão 24

Questão
[blank_start]CTPA[blank_end]: Involves radiation dose to woman and thus increases breast cancer risk [blank_start]V/Q Scan[blank_end]: Involves radiation dose to baby and increases risk of abnormality
Responda
  • CTPA
  • V/Q Scan

Questão 25

Questão
Warfarin is safe in pregnancy.
Responda
  • True
  • False

Questão 26

Questão
Women are able to breastfeed on which of the following anti-coagulant medications?
Responda
  • Warfarin
  • Dalteparin
  • Both

Questão 27

Questão
Recurrent miscarriages and early onset pre-eclampsia are signs of [blank_start]antiphospholipid[blank_end] syndrome
Responda
  • antiphospholipid

Questão 28

Questão
How is Antiphospholipid Syndrome typically managed?
Responda
  • LMWH
  • LMWH + Low Dose Aspirin
  • Low Dose Aspirin
  • Warfarin
  • Warfarin + LMWH
  • Warfarin + Low Dose Aspirin

Questão 29

Questão
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?
Responda
  • Sodium Valproate
  • Lamotrigine
  • Clobazam
  • Carbamazepine
  • Phenytoin

Questão 30

Questão
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? [blank_start]Folic acid[blank_end]
Responda
  • Folic acid

Questão 31

Questão
Most women with epilepsy tend to have normal vaginal births
Responda
  • True
  • False

Questão 32

Questão
Which very serious condition involving hypertension and proteinuria is also known to cause seizures in pregnant women? [blank_start]Eclampsia[blank_end]
Responda
  • Eclampsia

Questão 33

Questão
Which class of drugs are usually utilised to stop seizures during childbirth?
Responda
  • Benzodiazepines
  • Anticonvulsants
  • Steroids
  • Anaesthetics

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