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