16226664
Beschreibung
Quiz von Matthew Coulson, aktualisiert more than 1 year ago
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Erstellt von Matthew Coulson
vor fast 6 Jahre
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Frage 1
Frage
Bleeding in late pregnancy is considered as bleeding any time after [blank_start]24 weeks[blank_end]
Antworten
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24 weeks
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20 weeks
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28 weeks
Frage 2
Frage
Bleeding before 24 weeks is a potential sign of [blank_start]miscarriage[blank_end]
Antworten
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miscarriage
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foetal malformation
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placental abruption
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breech presentation
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early labour
Frage 3
Frage
The placenta is completely formed and the sole source of foetal nutrition as of [blank_start]6 weeks[blank_end] gestation
Antworten
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6 weeks
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10 weeks
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14 weeks
Frage 4
Frage
Bleeding from the genital tract after 24 weeks gestation and before the end of the second stage of labour is known as [blank_start]antepartum[blank_end] haemorrhage
Antworten
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antepartum
Frage 5
Frage
A Major antepartum haemorrhage is considered as anything from [blank_start]50[blank_end]-1000ml of blood loss
Anything more than 1000ml is a Massive antepartum haemorrhage
Antworten
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50
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100
-
200
-
500
Frage 6
Frage
Premature separation of a normally implanted placenta from the uterine wall is known as placental [blank_start]abruption[blank_end]
Antworten
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abruption
Frage 7
Frage
Which 3 of the following are the main defining symptoms of placental abruption?
Antworten
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Intermittent abdominal pain
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Continuous abdominal pain
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Bleeding
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Headache
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Nausea & Vomiting
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Oliguria
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Dysuria
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Preterm Labour
Frage 8
Frage
A 'woody hard' uterus upon abdominal examination would suggest what is occurring?
Antworten
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Placental abruption
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Placenta praevia
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Placenta accreta
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Vasa praevia
Frage 9
Frage
A woman is diagnosed with having a placental abruption. She has been highly distressed for the past 30 minutes and has just become unresponsive. You feel for a foetal pulse and feel one present. Which two of the following things should be done next?
Antworten
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Resuscitation of Mother
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Delivery of Baby via Caesarean section
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Manual removal of foetus via vagina
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Induction of labour to promote natural birth
Frage 10
Frage
During a placental abruption, the foetal heart should be assessed using which means of investigation?
Antworten
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Cardiotocography (CTG)
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Doppler Ultrasound
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Pinard Stethoscope
Frage 11
Frage
After a placental abruption has occurred and been managed appropriately, which of the following is most likely to occur next?
Antworten
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Hypovolaemic shock
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Anaemia
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Renal failure
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Postpartum haemorrhage (PPH)
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Thromboembolism
Frage 12
Frage
The treatment plan for antiphospholipid syndrome when looking to conceive consists of [blank_start]LMWH + Low Dose Aspirin[blank_end]
Antworten
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LMWH + Low Dose Aspirin
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LMWH alone
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LMWH + Warfarin
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Warfarin + Low Dose Aspirin
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Low Dose Aspirin alone
Frage 13
Frage
Which condition is characterised by implantation of the placenta in the lower uterus, sometimes covering the cervix?
[blank_start]Placenta Praevia[blank_end]
Antworten
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Placenta Praevia
Frage 14
Frage
Placenta praevia typically becomes problematic when it lies over the [blank_start]internal os[blank_end]
Antworten
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internal os
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external os
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entrance to the fallopian tubes
Frage 15
Frage
The lower segment of the uterus is [blank_start]thinner[blank_end] and contains [blank_start]less[blank_end] muscle fibres than the upper segment. It also does not [blank_start]contract[blank_end] during labour.
Antworten
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contract
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dilate
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thinner
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thicker
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less
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more
Frage 16
Frage
Caesarean delivery is associated with an increased risk of placenta praevia in subsequent pregnancies.
Antworten
- True
- False
Frage 17
Frage
In terms of a method of delivery, LSCS stands for [blank_start]lower segment caesarean section[blank_end]
Antworten
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lower segment caesarean section
Frage 18
Frage
Which mode of delivery leaves a woman at most risk of developing placenta praevia in subsequent pregnancies?
Antworten
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Spontaneous Vaginal Delivery
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Caesarian Section
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Induced Labour
Frage 19
Frage
Placenta Praevia is typically found upon which method of scanning?
Antworten
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Uterine Venography
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Ultrasound (12 and 20 weeks)
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Maternal blood testing at 16 weeks
Frage 20
Frage
Placenta praevia typically presents as [blank_start]painless[blank_end] bleeding after the [blank_start]24th[blank_end] week. The amount of blood is typically proportional to the severity of the patient's condition.
Antworten
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painless
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painful
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24th
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20th
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28th
Frage 21
Frage
The uterus typically feels [blank_start]soft[blank_end] in placenta praevia
Antworten
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soft
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hard
Frage 22
Frage
CTG is usually normal in a case of placenta praevia
Antworten
- True
- False
Frage 23
Frage
Vaginal examination should not be performed until placenta praevia is excluded due to risk of damage to the placenta/foetus.
Antworten
- True
- False
Frage 24
Frage
Patients with placenta praevia are not advised to abstain from sexual intercourse
Antworten
- True
- False
Frage 25
Frage
For a woman going to give birth preterm, which drugs should be given for ...
Neuroprotection - [blank_start]Magnesium Sulphate[blank_end]
Encouraging Pulmonary Surfactant production in foetus - [blank_start]Steroids[blank_end]
Antworten
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Magnesium Sulphate
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Steroids
Frage 26
Frage
A woman with an uncomplicated placenta praevia should have her baby delivered around ...
Antworten
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36-37 weeks (pre-term)
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40 weeks (term)
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42 week (post-term)
Frage 27
Frage
In women with placenta praevia:
If the placenta is >2cm from the internal os - [blank_start]vaginal birth[blank_end] is encouraged
If the placenta lies directly over the internal os - [blank_start]caesarean section[blank_end] is encouraged
Antworten
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vaginal birth
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caesarean section
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caesarean section
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vaginal birth
Frage 28
Frage
Name the condition whereby the placenta is deeply rooted into the uterine wall and doesn't detach naturally, leading to major bleeding.
[blank_start]Placenta Accreta[blank_end]
Antworten
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Placenta Accreta
Frage 29
Frage
Most women who have a placenta accreta end up having a c-section w/ hysterectomy, leaving them infertile.
Antworten
- True
- False
Frage 30
Frage
In which condition of pregnancy does a full-thickness tear occur in the uterus?
Uterine [blank_start]rupture[blank_end]
Antworten
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rupture
Frage 31
Frage
As well as the severe abdominal pain, the pain from a uterine rupture typically refers to the ...
Antworten
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Central back
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Flank
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Shoulder Tip
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Epigastric region
Frage 32
Frage
Unprotected foetal vessels overlying the internal os of the uterus is known as [blank_start]vasa praevia[blank_end]
Antworten
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vasa praevia
Frage 33
Frage
Mortality of Vasa Praevia is fairly low at around 15%
Antworten
- True
- False
Frage 34
Frage
How is Vasa Praevia typically managed?
Antworten
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Delivery via caesarean section
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Intrauterine band ligation of blood vessels
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Termination of pregnancy due to high risk of maternal mortality
Frage 35
Frage
Vasa Praevia patients should be given steroids early (around 32 weeks) to prepare for elective preterm caesarean section delivery
Antworten
- True
- False
Frage 36
Frage
Postpartum haemorrhage is defined as a blood loss of greater than [blank_start]500ml[blank_end] following the birth of the baby
Antworten
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500ml
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250ml
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100ml
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1000ml
Frage 37
Frage
Primary PPH = Within [blank_start]24 hours[blank_end] of delivery
Secondary = [blank_start]24hr - 6 weeks[blank_end] post delivery
Antworten
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24 hours
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3 days
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12 hours
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24hr - 6 weeks
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12hr to 1 week
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3 days - 6 weeks
Frage 38
Frage
A major PPH is defined as a blood loss of greater than [blank_start]1000ml[blank_end]
Antworten
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1000ml
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500ml
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750ml
Frage 39
Frage
Which of the following is the main cause of PPH?
Antworten
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Uterine Atony
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Trauma
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Retained/abnormal placentation
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Clotting factor abnormality
Frage 40
Frage
Jehovah's Witnesses are typically more difficult to treat in cases of late bleeding in pregnancy.
Antworten
- True
- False
Frage 41
Frage
Injection of a synthetic version of which human hormone is typically used to stop the bleeding in PPH?
[blank_start]Oxytocin[blank_end]
Antworten
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Oxytocin
Frage 42
Frage
Ergometrine can be used induce contractions in cases of PPH, thus helping to stop the bleeding. It is however contraindicated in women with ...
Antworten
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Diabetes
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Asthma
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Hypertension
Frage 43
Frage
The laboratory test used to determine how much Anti-D a Rhesus negative woman requires to prevent isoimmunisation is called the [blank_start]Kleihauer[blank_end] test
Antworten
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Kleihauer
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Klaustein
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Kinnel's
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Kerstiell
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