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Babies are considered to be large for dates if their development is above the ...
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50th centile
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75th centile
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90th centile
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95th centile
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100th centile
Frage 2
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A large for dates baby has a fundal height of [blank_start]greater than 2cm[blank_end] above their expected gestational age
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greater than 2cm
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greater than 1cm
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greater than 3cm
Frage 3
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The term "fetal [blank_start]macrosomia[blank_end]" is used to describe a newborn who's significantly larger than average
Frage 4
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One method of predicting foetal weight is by measuring the length of which foetal bone?
The [blank_start]Femur[blank_end]
Frage 5
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When a mother is found to have a macrosomic baby, which of the following conditions is it most important to rule out?
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Maternal Diabetes
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Hypertension
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Cardiac Arrhythmia
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Hyperthyroidism
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Hyperprolactinaemia
Frage 6
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The medical condition describing an excess of amniotic fluid in the amniotic sac is known as [blank_start]Polyhydramnios[blank_end]
Frage 7
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Obstructed labour, also known as labour [blank_start]dystocia[blank_end], is when, even though the uterus is contracting normally, the baby does not exit the pelvis during childbirth due to being physically blocked
Frage 8
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On ultrasound, an amniotic fluid index (AFI) of greater than [blank_start]25[blank_end]cm is diagnostic of polyhydramnios
Frage 9
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What is the depth of amniotic fluid diagnostic of polyhydramnios on ultrasound?
Deepest pool = ...
Frage 10
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Which endocrine condition is a common cause of polyhydramnios?
Maternal [blank_start]Diabetes[blank_end]
Frage 11
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Polyhydramnios can cause [blank_start]premature[blank_end] labour
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premature (early)
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post-term (late)
Frage 12
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Which of the following is the main presenting symptom of polyhydramnios?
Frage 13
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Which of the following investigative tests should be conducted in a mother of a polyhydramnios foetus?
Frage 14
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If a pregnant woman with a polyhydramnios foetus hasn't given birth by 37 weeks, labour should be induced.
Frage 15
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What is the diagnosis?
Frage 16
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Assisted conception therapy for infertility is known to increase the chances of a multiple pregnancy
Frage 17
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Low maternal age is a risk factor for multiple pregnancy
Frage 18
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Monozygotic twins occur when ...
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Two eggs are fertilised by two different sperm
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One fertilised egg splits
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One egg divides into two, which are then fertilised by two different sperm
Frage 19
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Dizygotic twins occur when ...
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Two eggs are fertilised by two different sperm
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One fertilised egg splits
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One egg splits into two and these are fertilised by two different sperm
Frage 20
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In terms of dizygous twins, such pregnancies are always dichorionic and diamniotic.
Frage 21
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In terms of monozygous twins, such pregnancies are always dichorionic and diamniotic.
Frage 22
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The [blank_start]earlier[blank_end] the fertilised ovum divides, the more likely a monozygotic pregnancy is to be dichorionic diamniotic (DCDA)
Frage 23
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Day 0-3 after fertilisation: [blank_start]Dichorionic, diamniotic (DCDA)[blank_end]
Day 4-7 after fertilisation: [blank_start]Monochorionic , diamniotic (MCDA)[blank_end]
Day 8-14 after fertilisation: [blank_start]Monochorionic , monoamniotic (MCMA)[blank_end]
Day 15 after fertilisation onwards: [blank_start]Conjoined twins[blank_end]
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Conjoined twins
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Monochorionic , monoamniotic (MCMA)
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Monochorionic , diamniotic (MCDA)
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Dichorionic, diamniotic (DCDA)
Frage 24
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Which sign, found using ultrasound scanning, shows two placentas with a conjoining membrane and can thus be used to differentiate DCDA and MCDA twins?
The [blank_start]Lambda[blank_end] sign
Frage 25
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In multiple pregnancy, hCG levels are [blank_start]higher[blank_end] than in a usual pregnancy
Frage 26
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Severe nausea and vomiting in pregnancy (which can be exacerbated by multiple pregnancy) is known as [blank_start]hyperemesis gravidarum[blank_end]
Frage 27
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Which supplement which is not generally required in normally pregnancy is a necessity in multiple pregnancy patients?
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Folic Acid
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Vitamin D
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Vitamin C
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Zinc
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Iron
Frage 28
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Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose [blank_start]aspirin[blank_end] in order to protect against this.
Frage 29
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Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose [blank_start]aspirin[blank_end] (antiplatelet medication) in order to protect against this.
Frage 30
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Which vitamin is also supplemented to women with multiple pregnancy in order to protect the foetus against neural tube defects?
[blank_start]Folic Acid[blank_end] Supplementation
Frage 31
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What is twin-twin transfusion syndrome?
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When one twin has polyhydramnios and the other has oligohydramnios due to imbalanced amniotic fluid
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When one twin has hypotension and the other has hypertension due to incorrect formation of blood vessels from a single placenta (only occurs in MCDA and MCMA twins)
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When one twin is macrosomic and the other is small for dates due to incorrect formation of blood vessels from a single placenta meaning that there is uneven distribution of nutrients (only occurs in MCDA and MCMA twins)
Frage 32
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Which type of drugs are given during preterm labour to promote pulmonary surfactant production?
[blank_start]Steroids[blank_end]
Frage 33
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What is the target HbA1c in pregnant women?
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< 48 mmol/mol
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< 53 mmol/mol
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< 58 mmol/mol
Frage 34
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Pregnancy should be avoided is the HbA1c is above [blank_start]86 mmol/mol[blank_end]
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86 mmol/mol
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58 mmol/mol
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65 mmol/mol
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76 mmol/mol
Frage 35
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Patients with known diabetes should be started on a high dose of which supplement 3 months prior to pregnancy?
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Folic acid
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Iron
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Zinc
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Vitamin D
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Vitamin C
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Thiamine
Frage 36
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In diabetic patients, high dose Folic Acid (5mg) should be started 3 months prior to conception and continued at a high dose until ...
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12 weeks gestation
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14 weeks gestation
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20 weeks gestation
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24 weeks gestation
Frage 37
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Diabetic patients are also given low dose [blank_start]aspirin[blank_end] in order to protect against the potential development of pre-eclampsia