16202895
Descripción
Test por Matthew Coulson, actualizado hace más de 1 año
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Creado por Matthew Coulson
hace alrededor de 6 años
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Pregunta 1
Pregunta
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]
Respuesta
-
Decreases
-
Increases
-
Increases
-
Decreases
-
Increases
-
Decreases
-
Increases
-
Decreases
Pregunta 2
Pregunta
Prevalence of heart disease in pregnancy is rising due to which two main reasons?
Respuesta
-
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
Pregunta 3
Pregunta
Palpitations are a common finding in pregnant women and are not normally considered to be pathological
Respuesta
- True
- False
Pregunta 4
Pregunta
Hypertension is a common finding in pregnant women and are not normally considered to be pathological
Respuesta
- True
- False
Pregunta 5
Pregunta
If a woman's aortic root is wider than 45mm then she is at a high risk of aortic [blank_start]dissection[blank_end]
Respuesta
-
dissection
Pregunta 6
Pregunta
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?
Respuesta
-
ECG
-
Echocardiography
-
Thyroid Function Test
-
Full Blood Count
-
24 hour ECG
Pregunta 7
Pregunta
Palpitations in pregnancy are usually exacerbated by [blank_start]rest[blank_end] and relieved by [blank_start]exercise[blank_end]
Respuesta
-
exercise
-
rest
-
rest
-
exercise
Pregunta 8
Pregunta
NYHA Functional Classification is used to classify symptoms of chest pain and/or breathlessness. Which classes of the NYHA are considered abnormal in pregnancy?
Respuesta
-
I
-
II
-
III
-
IV
Pregunta 9
Pregunta
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
Respuesta
-
increases
-
decreases
-
decreases
-
increases
-
increases
-
decreases
-
alkaline
-
acidic
Pregunta 10
Pregunta
Breathlessness is an uncommon symptom in pregnancy and should be considered pathological until proven otherwise.
Respuesta
- True
- False
Pregunta 11
Pregunta
Breathlessness in pregnancy is typically [blank_start]relieved[blank_end] by exertion
Respuesta
-
relieved
-
exacerbated
Pregunta 12
Pregunta
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]
Respuesta
-
puerperium
Pregunta 13
Pregunta
If a woman is on long term oral steroids for Asthma, during labour she should be given which medication?
Respuesta
-
Beclometasone Inhaler
-
IV Hydrocortisone
-
IV Fludrocortisone
-
Oral Prednisolone
Pregunta 14
Pregunta
Asthmatic women should not discontinue their inhalers during pregnancy as inhaled b2-agonists do not impair uterine activity or delay onset of labour
Respuesta
- True
- False
Pregunta 15
Pregunta
What is the most common direct cause of maternal death in pregnancy?
Respuesta
-
Venous Thromboembolism
-
Diabetes
-
Hypertension
-
Asthma
Pregunta 16
Pregunta
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
Respuesta
-
LMWH
-
Heparin
-
Warfarin
-
6
-
2
-
12
Pregunta 17
Pregunta
At which point are women most vulnerable to VTE?
Respuesta
-
Pregnancy
-
Labour
-
Puerperium
Pregunta 18
Pregunta
Which LMWH medication is given to women in Tayside as VTE prophylaxis?
[blank_start]Dalteparin[blank_end]
Respuesta
-
Dalteparin
Pregunta 19
Pregunta
The dose of Dalteparin given is dependent on the weight of the woman
Respuesta
- True
- False
Pregunta 20
Pregunta
Which investigation is used first line to diagnose DVT in pregnant women?
Respuesta
-
Duplex Ultrasound
-
Venous Doppler Scan
-
Arterial Doppler Scan
-
MRI venography
Pregunta 21
Pregunta
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?
Respuesta
-
Duplex Ultrasound
-
MRI Venography
-
Venous Doppler Scan
-
Arterial Doppler Scan
-
CT Leg
Pregunta 22
Pregunta
If DVT/PE is suspected in a pregnant woman, D-dimers should be assessed thoroughly and urgently.
Respuesta
- True
- False
Pregunta 23
Pregunta
Which two investigations are commonplace in the diagnosis of Pulmonary Embolism?
Respuesta
-
CT Pulmonary Angiogram
-
Ventilation Perfusion (VQ) Scan
-
Chest X-ray
-
MRI Chest
-
CT Chest
-
D-dimers
Pregunta 24
Pregunta
[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
Respuesta
-
CTPA
-
V/Q Scan
Pregunta 25
Pregunta
Warfarin is safe in pregnancy.
Respuesta
- True
- False
Pregunta 26
Pregunta
Women are able to breastfeed on which of the following anti-coagulant medications?
Respuesta
-
Warfarin
-
Dalteparin
-
Both
Pregunta 27
Pregunta
Recurrent miscarriages and early onset pre-eclampsia are signs of [blank_start]antiphospholipid[blank_end] syndrome
Respuesta
-
antiphospholipid
Pregunta 28
Pregunta
How is Antiphospholipid Syndrome typically managed?
Respuesta
-
LMWH
-
LMWH + Low Dose Aspirin
-
Low Dose Aspirin
-
Warfarin
-
Warfarin + LMWH
-
Warfarin + Low Dose Aspirin
Pregunta 29
Pregunta
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?
Respuesta
-
Sodium Valproate
-
Lamotrigine
-
Clobazam
-
Carbamazepine
-
Phenytoin
Pregunta 30
Pregunta
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]
Respuesta
-
Folic acid
Pregunta 31
Pregunta
Most women with epilepsy tend to have normal vaginal births
Respuesta
- True
- False
Pregunta 32
Pregunta
Which very serious condition involving hypertension and proteinuria is also known to cause seizures in pregnant women?
[blank_start]Eclampsia[blank_end]
Respuesta
-
Eclampsia
Pregunta 33
Pregunta
Which class of drugs are usually utilised to stop seizures during childbirth?
Respuesta
-
Benzodiazepines
-
Anticonvulsants
-
Steroids
-
Anaesthetics
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