Pregunta 1
Pregunta
Hypertension pre 20 weeks of gestation = [blank_start]chronic hypertension[blank_end]
Hypertension after 20 weeks:
1. BP above 140/90 = [blank_start]gestational hypertension[blank_end]
2. BP above 140/90, proteinuria and oedema = [blank_start]preeclampsia[blank_end]
3. Preeclampsia with seizure = [blank_start]eclampsia[blank_end]
Respuesta
-
gestational hypertension
-
chronic hypertension
-
preeclampsia
-
eclampsia
Pregunta 2
Pregunta
Which of these is not a risk factor for gestational HTN?
Respuesta
-
Change in partner
-
Pre-existing diabetes
-
BMI >35
-
Multiple pregnancy
-
BMI <20
Pregunta 3
Pregunta
Select the three first line anti-hypertensives for gestational HTN.
Respuesta
-
Labetalol
-
Cilazapril
-
Quinapril
-
Nifedipine
-
Methyldopa
Pregunta 4
Pregunta
A severe feature of preeclampsia is visual disturbances.
Pregunta 5
Pregunta
HELLP syndrome: A variant of severe pre-eclampsia. Elements include: H[blank_start]aemolysis[blank_end],
E[blank_start]levated[blank_end] L[blank_start]iver[blank_end] enzymes and
Low P[blank_start]latelet[blank_end] count.
In a woman with pre-eclampsia, the presence of any of the following is an indicator of HELLP:
• Maternal platelet count of [blank_start]less than 100[blank_end] x 10^9/L
• Elevated [blank_start]transaminases[blank_end] (twice normal concentration)
• Haemolytic [blank_start]anaemia[blank_end]
Respuesta
-
aemolysis
-
levated
-
iver
-
latelet
-
less than 100
-
transaminases
-
anaemia
Pregunta 6
Pregunta
Magnesium sulphate is an anticonvulsant used to prevent progression of preeclampsia to eclampsia.
It does not [blank_start]stop[blank_end] seizures but reduces [blank_start]risk[blank_end] of a further seizure.
Toxicity signs:
• Loss of patellar [blank_start]reflexes[blank_end]
• [blank_start]Respiratory[blank_end] paralysis
• Heart block
• Collapse of [blank_start]circulatory[blank_end] system
• Death
Antidote = calcium gluconate (10ml of 10% sln over 10 minutes)
Respuesta
-
stop
-
risk
-
reflexes
-
circulatory
-
Respiratory
Pregunta 7
Pregunta
Preeclampsia/eclampsia risks:
In the baby -
• Can decrease the supply of [blank_start]food and oxygen[blank_end] to the baby, this can result in reduced fetal growth
• Preterm birth
• Stillbirth, if placental [blank_start]abruption[blank_end] (separation of the placenta from the uterine wall), leads to heavy bleeding in the mother
• Infant death
In the Mum -
• Stroke
• Seizure
• Pulmonary [blank_start]odema[blank_end]
• Heart [blank_start]failure[blank_end]
• Reversible [blank_start]blindness[blank_end]
• Bleeding from the liver
• Post-partum haemorrhage
Respuesta
-
food and oxygen
-
abruption
-
odema
-
failure
-
blindness
Pregunta 8
Pregunta
The only cute for eclampsia is delivery.
Pregunta 9
Pregunta
• Women at high risk of developing pre-eclampsia are recommended to
commence taking ________ and ______ before 16 weeks’ gestation
Respuesta
-
low dose aspirin and calcium
-
low dose aspirin and magnesium sulphate
-
acute antihypertensive and calcium
-
acute antihypertensive and magnesium sulphate
Pregunta 10
Pregunta
Risks for gestational diabetes: Close family [blank_start]history[blank_end] of type 2 diabetes, overweight, over [blank_start]30[blank_end], if previous baby had [blank_start]defect[blank_end] or was large, previous stillbirth or miscarriage
Mechanism: placenta makes certain hormones that cause [blank_start]insulin resistance[blank_end]. Mother needs to make [blank_start]x3[blank_end] more insulin, sometimes can't be done.
Symptoms: usually none, may be [blank_start]thirsty[blank_end] or tired, picked up during [blank_start]screening[blank_end] (antenatal blood tests include HbA1c) around [blank_start]20 - 24[blank_end] weeks
Risks if untreated: needing C section, increased chance of HTN and [blank_start]UTIs[blank_end], fat baby, shoulder [blank_start]dislocation[blank_end] of baby during birth, [blank_start]hypoglycaemic[blank_end] baby after birth,
Respuesta
-
history
-
30
-
defect
-
insulin resistance
-
x3
-
thirsty
-
screening
-
20 - 24
-
UTIs
-
dislocation
-
hypoglycaemic
Pregunta 11
Pregunta
Pregnant women should aim to do at least 150 minutes of moderate intensity physical activity spread throughout the week, for example, 30 minutes most days a week.
Pregunta 12
Pregunta
Insulin aspart, lispro, glulisine are first line for gestational diabetes.
Pregunta 13
Pregunta
Choose the incorrect statement
Respuesta
-
At three months postpartum and annually thereafter, all women with gestational diabetes should have an HbA1c.
-
A woman who has had gestational diabetes has an increased risk (50-60%) of developing type 2 diabetes in the future.
-
Discourage breastfeeding to reduce neonatal hypoglycemia, childhood obesity & diabetes, AND maternal risk of diabetes & hypertension.