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Medical Problems in Pregnancy

Beschreibung

Medical Problems in Pregnancy lecture given in Week 4
Matthew Coulson
Quiz von Matthew Coulson, aktualisiert more than 1 year ago
Matthew Coulson
Erstellt von Matthew Coulson vor mehr als 5 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
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]
Antworten
  • Decreases
  • Increases
  • Increases
  • Decreases
  • Increases
  • Decreases
  • Increases
  • Decreases

Frage 2

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

Frage 3

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

Frage 4

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

Frage 5

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

Frage 6

Frage
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?
Antworten
  • ECG
  • Echocardiography
  • Thyroid Function Test
  • Full Blood Count
  • 24 hour ECG

Frage 7

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

Frage 8

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

Frage 9

Frage
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
Antworten
  • increases
  • decreases
  • decreases
  • increases
  • increases
  • decreases
  • alkaline
  • acidic

Frage 10

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

Frage 11

Frage
Breathlessness in pregnancy is typically [blank_start]relieved[blank_end] by exertion
Antworten
  • relieved
  • exacerbated

Frage 12

Frage
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]
Antworten
  • puerperium

Frage 13

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

Frage 14

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

Frage 15

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

Frage 16

Frage
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
Antworten
  • LMWH
  • Heparin
  • Warfarin
  • 6
  • 2
  • 12

Frage 17

Frage
At which point are women most vulnerable to VTE?
Antworten
  • Pregnancy
  • Labour
  • Puerperium

Frage 18

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

Frage 19

Frage
The dose of Dalteparin given is dependent on the weight of the woman
Antworten
  • True
  • False

Frage 20

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

Frage 21

Frage
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?
Antworten
  • Duplex Ultrasound
  • MRI Venography
  • Venous Doppler Scan
  • Arterial Doppler Scan
  • CT Leg

Frage 22

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

Frage 23

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

Frage 24

Frage
[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
Antworten
  • CTPA
  • V/Q Scan

Frage 25

Frage
Warfarin is safe in pregnancy.
Antworten
  • True
  • False

Frage 26

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

Frage 27

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

Frage 28

Frage
How is Antiphospholipid Syndrome typically managed?
Antworten
  • LMWH
  • LMWH + Low Dose Aspirin
  • Low Dose Aspirin
  • Warfarin
  • Warfarin + LMWH
  • Warfarin + Low Dose Aspirin

Frage 29

Frage
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?
Antworten
  • Sodium Valproate
  • Lamotrigine
  • Clobazam
  • Carbamazepine
  • Phenytoin

Frage 30

Frage
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]
Antworten
  • Folic acid

Frage 31

Frage
Most women with epilepsy tend to have normal vaginal births
Antworten
  • True
  • False

Frage 32

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

Frage 33

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