Perinatal Psychiatry

Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago More Less
Matthew Coulson
Created by Matthew Coulson about 1 year ago
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2
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Description

Perinatal Psychiatry lecture given on the Wednesday of Week 4

Resource summary

Question 1

Question
Venous Thromboembolism is the leading cause of maternal death the year after birth of the child
Answer
  • True
  • False

Question 2

Question
2/3 of mothers who commit suicide within 7 weeks of delivery have a history of mental health problems
Answer
  • True
  • False

Question 3

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

Question 4

Question
At which point in the pregnancy does the mother have her first appointment with a midwife?
Answer
  • 12 weeks
  • 8 weeks
  • 16 weeks
  • 4 weeks

Question 5

Question
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? [blank_start]Baby Blues[blank_end]
Answer
  • Baby Blues

Question 6

Question
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? [blank_start]Puerperal Psychosis[blank_end]
Answer
  • Puerperal Psychosis

Question 7

Question
The recurrence rate of Puerperal Psychosis is [blank_start]50[blank_end]%
Answer
  • 50

Question 8

Question
Puerperal Psychosis is a common disorder and should be routinely treated in the community with antipsychotics.
Answer
  • True
  • False

Question 9

Question
25% of women who experience puerperal psychosis go on to develop which condition?
Answer
  • Depression
  • Bipolar Disorder
  • Schizophrenia
  • Dementia
  • Post-Traumatic Stress Disorder

Question 10

Question
[blank_start]10%[blank_end] of women experience a period of postnatal depression, with around 1/3 lasting over a year
Answer
  • 10%
  • 5%
  • 25%
  • 40%

Question 11

Question
Baby blues typically lasts up to around [blank_start]10 days[blank_end] and is typically self limiting
Answer
  • 10 days
  • 3 days
  • 4 weeks
  • 6 weeks

Question 12

Question
[blank_start]Postnatal depression[blank_end] typically has a later onset than [blank_start]baby blues[blank_end], usually presenting around 2 weeks after delivery [blank_start]Postnatal depression[blank_end] is known to cause problems with the mother-baby relationship, whereas [blank_start]baby blues[blank_end] does not typically have this effect.
Answer
  • Postnatal depression
  • Baby blues
  • Postnatal depression
  • Baby blues
  • baby blues
  • Postnatal depression
  • baby blues
  • Postnatal depression

Question 13

Question
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?
Answer
  • Yes
  • No

Question 14

Question
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?
Answer
  • 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

Question 15

Question
Order the following drugs based on their safety in pregnancy, with the most safe at the top. [blank_start]Amitriptyline[blank_end] [blank_start]Sertraline[blank_end] [blank_start]Fluoxetine[blank_end]
Answer
  • Amitriptyline
  • Sertraline
  • Fluoxetine

Question 16

Question
In terms of Benzodiazepines 1st trimester: [blank_start]Unsafe to use[blank_end] 2nd trimester: [blank_start]Unsafe to use[blank_end] 3rd trimester: [blank_start]Unsafe to use[blank_end]
Answer
  • Unsafe to use
  • Safe to use
  • Unsafe to use
  • Safe to use
  • Unsafe to use
  • Safe to use

Question 17

Question
Benzodiazepines are safe to use in breastfeeding.
Answer
  • True
  • False

Question 18

Question
In terms of Antipsychotics: [blank_start]Clozapine[blank_end]: Should be avoided due to risk of agranulocytosis [blank_start]Olanzapine[blank_end]: Should be avoided due to risk of gestational diabetes
Answer
  • Clozapine
  • Olanzapine
  • Risperidone
  • Olanzapine
  • Clozapine
  • Risperidone

Question 19

Question
In terms of Lithium for Epilepsy: During pregnancy: [blank_start]Can continue if necessary[blank_end] Breastfeeding: [blank_start]Avoid[blank_end]
Answer
  • Can continue if necessary
  • Avoid
  • Avoid
  • Can continue if necessary

Question 20

Question
Which anticonvulsant medication should be avoided in all women of childbearing age due to the potential for neural tube defects very early in pregnancy? [blank_start]Sodium Valproate[blank_end]
Answer
  • Sodium Valproate

Question 21

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

Question 22

Question
If a mother frequently intakes alcohol during pregnancy, she risks her baby developing [blank_start]foetal alcohol[blank_end] syndrome
Answer
  • foetal alcohol

Question 23

Question
Hyperemesis should resolve by which approximate stage of pregnancy?
Answer
  • 8 weeks
  • 16 weeks
  • 24 weeks

Question 24

Question
Intravenous drug users are at an increased risk of [blank_start]Venous thromboembolism[blank_end] and are thus typically prescribed Dalteparin for 6 weeks after delivery.
Answer
  • Venous thromboembolism

Question 25

Question
Having a C-section significantly reduces the likelihood of a woman having a postpartum haemorrhage
Answer
  • True
  • False
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