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Medical Problems in Pregnancy

Description

Medical Problems in Pregnancy lecture given in Week 4
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson over 5 years ago
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1
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Resource summary

Question 1

Question
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]
Answer
  • Decreases
  • Increases
  • Increases
  • Decreases
  • Increases
  • Decreases
  • Increases
  • Decreases

Question 2

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

Question 3

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

Question 4

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

Question 5

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

Question 6

Question
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?
Answer
  • ECG
  • Echocardiography
  • Thyroid Function Test
  • Full Blood Count
  • 24 hour ECG

Question 7

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

Question 8

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

Question 9

Question
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
Answer
  • increases
  • decreases
  • decreases
  • increases
  • increases
  • decreases
  • alkaline
  • acidic

Question 10

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

Question 11

Question
Breathlessness in pregnancy is typically [blank_start]relieved[blank_end] by exertion
Answer
  • relieved
  • exacerbated

Question 12

Question
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]
Answer
  • puerperium

Question 13

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

Question 14

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

Question 15

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

Question 16

Question
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
Answer
  • LMWH
  • Heparin
  • Warfarin
  • 6
  • 2
  • 12

Question 17

Question
At which point are women most vulnerable to VTE?
Answer
  • Pregnancy
  • Labour
  • Puerperium

Question 18

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

Question 19

Question
The dose of Dalteparin given is dependent on the weight of the woman
Answer
  • True
  • False

Question 20

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

Question 21

Question
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?
Answer
  • Duplex Ultrasound
  • MRI Venography
  • Venous Doppler Scan
  • Arterial Doppler Scan
  • CT Leg

Question 22

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

Question 23

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

Question 24

Question
[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
Answer
  • CTPA
  • V/Q Scan

Question 25

Question
Warfarin is safe in pregnancy.
Answer
  • True
  • False

Question 26

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

Question 27

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

Question 28

Question
How is Antiphospholipid Syndrome typically managed?
Answer
  • LMWH
  • LMWH + Low Dose Aspirin
  • Low Dose Aspirin
  • Warfarin
  • Warfarin + LMWH
  • Warfarin + Low Dose Aspirin

Question 29

Question
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?
Answer
  • Sodium Valproate
  • Lamotrigine
  • Clobazam
  • Carbamazepine
  • Phenytoin

Question 30

Question
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]
Answer
  • Folic acid

Question 31

Question
Most women with epilepsy tend to have normal vaginal births
Answer
  • True
  • False

Question 32

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

Question 33

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