16184098
Descripción
Test por Matthew Coulson, actualizado hace más de 1 año
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Creado por Matthew Coulson
hace casi 6 años
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Pregunta 1
Pregunta
Babies are considered to be large for dates if their development is above the ...
Respuesta
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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
Pregunta 2
Pregunta
A large for dates baby has a fundal height of [blank_start]greater than 2cm[blank_end] above their expected gestational age
Respuesta
-
greater than 2cm
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greater than 1cm
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greater than 3cm
Pregunta 3
Pregunta
The term "fetal [blank_start]macrosomia[blank_end]" is used to describe a newborn who's significantly larger than average
Respuesta
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macrosomia
Pregunta 4
Pregunta
One method of predicting foetal weight is by measuring the length of which foetal bone?
The [blank_start]Femur[blank_end]
Respuesta
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Femur
Pregunta 5
Pregunta
When a mother is found to have a macrosomic baby, which of the following conditions is it most important to rule out?
Respuesta
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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
Pregunta 6
Pregunta
The medical condition describing an excess of amniotic fluid in the amniotic sac is known as [blank_start]Polyhydramnios[blank_end]
Respuesta
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Polyhydramnios
Pregunta 7
Pregunta
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
Respuesta
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dystocia
Pregunta 8
Pregunta
On ultrasound, an amniotic fluid index (AFI) of greater than [blank_start]25[blank_end]cm is diagnostic of polyhydramnios
Respuesta
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25
Pregunta 9
Pregunta
What is the depth of amniotic fluid diagnostic of polyhydramnios on ultrasound?
Deepest pool = ...
Respuesta
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5cm
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8cm
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12cm
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15cm
Pregunta 10
Pregunta
Which endocrine condition is a common cause of polyhydramnios?
Maternal [blank_start]Diabetes[blank_end]
Respuesta
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Diabetes
Pregunta 11
Pregunta
Polyhydramnios can cause [blank_start]premature[blank_end] labour
Respuesta
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premature (early)
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post-term (late)
Pregunta 12
Pregunta
Which of the following is the main presenting symptom of polyhydramnios?
Respuesta
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Abdominal pain
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Prelabour rupture of membranes
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Nausea and vomiting
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Preterm labour
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Cord prolapse
Pregunta 13
Pregunta
Which of the following investigative tests should be conducted in a mother of a polyhydramnios foetus?
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Random blood sugar test
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Oral glucose tolerance test
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Dexamethasone suppression test
Pregunta 14
Pregunta
If a pregnant woman with a polyhydramnios foetus hasn't given birth by 37 weeks, labour should be induced.
Respuesta
- True
- False
Pregunta 15
Respuesta
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Multiple Pregnancy
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Polyhydramnios
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Macrosomia
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Uterus Didelphys (double uterus)
Pregunta 16
Pregunta
Assisted conception therapy for infertility is known to increase the chances of a multiple pregnancy
Respuesta
- True
- False
Pregunta 17
Pregunta
Low maternal age is a risk factor for multiple pregnancy
Respuesta
- True
- False
Pregunta 18
Pregunta
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
Pregunta 19
Pregunta
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
Pregunta 20
Pregunta
In terms of dizygous twins, such pregnancies are always dichorionic and diamniotic.
Respuesta
- True
- False
Pregunta 21
Pregunta
In terms of monozygous twins, such pregnancies are always dichorionic and diamniotic.
Respuesta
- True
- False
Pregunta 22
Pregunta
The [blank_start]earlier[blank_end] the fertilised ovum divides, the more likely a monozygotic pregnancy is to be dichorionic diamniotic (DCDA)
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earlier
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later
Pregunta 23
Pregunta
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]
Respuesta
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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)
Pregunta 24
Pregunta
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
Respuesta
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Lambda
Pregunta 25
Pregunta
In multiple pregnancy, hCG levels are [blank_start]higher[blank_end] than in a usual pregnancy
Respuesta
-
higher
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lower
Pregunta 26
Pregunta
Severe nausea and vomiting in pregnancy (which can be exacerbated by multiple pregnancy) is known as [blank_start]hyperemesis gravidarum[blank_end]
Respuesta
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hyperemesis gravidarum
Pregunta 27
Pregunta
Which supplement which is not generally required in normally pregnancy is a necessity in multiple pregnancy patients?
Respuesta
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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
Pregunta 28
Pregunta
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.
Respuesta
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aspirin
Pregunta 29
Pregunta
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.
Respuesta
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aspirin
Pregunta 30
Pregunta
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
Respuesta
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Folic Acid
Pregunta 31
Pregunta
What is twin-twin transfusion syndrome?
Respuesta
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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)
Pregunta 32
Pregunta
Which type of drugs are given during preterm labour to promote pulmonary surfactant production?
[blank_start]Steroids[blank_end]
Respuesta
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Steroids
Pregunta 33
Pregunta
What is the target HbA1c in pregnant women?
Respuesta
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< 48 mmol/mol
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< 53 mmol/mol
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< 58 mmol/mol
Pregunta 34
Pregunta
Pregnancy should be avoided is the HbA1c is above [blank_start]86 mmol/mol[blank_end]
Respuesta
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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
Pregunta 35
Pregunta
Patients with known diabetes should be started on a high dose of which supplement 3 months prior to pregnancy?
Respuesta
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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
Pregunta 36
Pregunta
In diabetic patients, high dose Folic Acid (5mg) should be started 3 months prior to conception and continued at a high dose until ...
Respuesta
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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
Pregunta 37
Pregunta
Diabetic patients are also given low dose [blank_start]aspirin[blank_end] in order to protect against the potential development of pre-eclampsia
Respuesta
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aspirin
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