Hypertension in Pregnancy (Pre-Eclampsia)

Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson almost 3 years ago
146
1

Description

Hypertension in Pregnancy lecture given on Tuesday morning of Week 4

Resource summary

Question 1

Question
Which 3 clinical signs make up the triad of pre-eclampsia? (alphabetical order) [blank_start]Hypertension[blank_end] [blank_start]Oedema[blank_end] [blank_start]Proteinuria[blank_end]
Answer
  • Hypertension
  • Oedema
  • Proteinuria

Question 2

Question
Blood pressure is typically [blank_start]decreased[blank_end] in pregnancy
Answer
  • decreased
  • increased

Question 3

Question
Hypertension is defined as a blood pressure of greater than [blank_start]140/90[blank_end] on 2 occasions or a blood pressure of greater than [blank_start]160/110[blank_end] on one occasion.
Answer
  • 140/90
  • 140/100
  • 135/85
  • 135/90
  • 160/110
  • 180/120
  • 160/120
  • 180/110

Question 4

Question
Pregnancy induced hypertension tends to occur in the [blank_start]second[blank_end] half of pregnancy ([blank_start]weeks 21-40[blank_end])
Answer
  • second
  • first
  • weeks 21-40
  • weeks 1-20

Question 5

Question
Absence of one of the triad of signs for pre-eclampsia is enough to rule it out clinically.
Answer
  • True
  • False

Question 6

Question
Whilst its definitive cause remains unknown, it is thought that pre-eclampsia occurs due to a defective [blank_start]placenta[blank_end]
Answer
  • placenta
  • uterus
  • foetal heart
  • umbilical vein

Question 7

Question
Pre-eclampsia tends to present in the [blank_start]2nd trimester[blank_end]
Answer
  • 2nd trimester
  • 3rd trimester
  • 1st trimester

Question 8

Question
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.
Answer
  • True
  • False

Question 9

Question
Pre-eclampsia causes proteinuria due to damaging the vasculature supplying the ...
Answer
  • lungs
  • kidneys
  • liver
  • pancreas
  • gall bladder
  • stomach

Question 10

Question
A rare variant of pre-eclampsia caused by liver dysfunction is called HELLP Syndrome (acronym). What are the three constituents of this syndrome? H = [blank_start]Haemolysis[blank_end] EL = [blank_start]Elevated Liver enzymes[blank_end] LP = [blank_start]Low Platelets[blank_end]
Answer
  • Low Platelets
  • Elevated Liver enzymes
  • Haemolysis

Question 11

Question
Pain from the liver is typically felt in the [blank_start]epigastric[blank_end] region however can also be referred to the [blank_start]right shoulder[blank_end].
Answer
  • epigastric
  • umbilical
  • suprapubic
  • right shoulder
  • left shoulder
  • right flank
  • left flank
  • central back

Question 12

Question
Which 3 of the following form some of the main symptoms of pre-eclampsia?
Answer
  • Severe headache
  • Abdominal pain
  • Nausea & Vomiting
  • Paraesthesia of the legs
  • Dysuria
  • Polyuria

Question 13

Question
Does eclampsia present with upper or lower motor neuron signs?
Answer
  • UMN signs such as hyperreflexia, involuntary movements, etc
  • LMN signs such as hyporeflexia, flaccidity, etc

Question 14

Question
Which specific scan is typically conducted in order to diagnose pre-eclampsia
Answer
  • Uterine Artery Doppler Ultrasound scan
  • Uterine Arteriography Scan
  • Uterine Artery Fluoroscopy

Question 15

Question
A pregnant woman with hypertension at <20 weeks gestation is likely to have had pre-existing hypertension
Answer
  • True
  • False

Question 16

Question
The definitive treatment for pre-eclampsia is low dose aspirin.
Answer
  • True
  • False

Question 17

Question
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? [blank_start]Steroids[blank_end]
Answer
  • Steroids

Question 18

Question
Women at a moderate-high risk of pre-eclampsia should be given which prophylactic treatment? [blank_start]Low dose Aspirin[blank_end]
Answer
  • Low dose Aspirin

Question 19

Question
Low Dose Aspirin should be given to moderate-high risk women as of [blank_start]12[blank_end] weeks gestation
Answer
  • 12
  • 8
  • 20

Question 20

Question
Which two of the following medication types are teratogenic?
Answer
  • ACE Inhibitors
  • Beta Blockers
  • Anti-Platelets
  • Thiazide Diuretics

Question 21

Question
Which type of seizures typically occur due to eclampsia?
Answer
  • Tonic
  • Clonic
  • Tonic-Clonic
  • Atonic
  • Myoclonic

Question 22

Question
Which of the following is an antihypertensive that is typically given in cases of severe pre-eclampsia/eclampsia?
Answer
  • IV Labetalol
  • IV Hydrocortisone
  • IV Fondaparinux
  • IV Diphenhydramine

Question 23

Question
Which drug is used to prevent or terminate seizures caused by eclampsia? IV [blank_start]Magnesium Sulphate[blank_end]
Answer
  • Magnesium Sulphate
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