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(98 cards)

1
Q

Range of wt gain
Net wt gain
Recommended wt gain

A

11- 12. S kg
6-6.5 kg
12-5-18kg(thin) & <7kg (obese)

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2
Q

Extra calorie in TZ & T3
Extra calorie in lactation

A

+ 350kcal /day
+600kcall day

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3
Q

I -Ant of water retained in pregn.
2-due to

A

+6.5 L
Estrogen

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4
Q

Total Na
Total K
Total ca
Na conc
K conc
ca conc

A

++
++
less
less
less
less

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5
Q

Insulin resistance due to
max rise

A

HPL
Estrogen, Progesterone, cortisol
24- 28 Wks
Insulin secretion increases but there is insulin resistance

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6
Q

glucose transport across placenta by.

A

GLUT1 & GLUT-3

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7
Q

glycosuria
Lacturia
Proteinuria

A

Normal
Normal
Abnormal

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8
Q

Skin changes in pregn.

A

Linea nigra
Striae gravidarum
Chloasma gravidarum
Spider nevi
palmar erythema

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9
Q

Skin changes dueto
Basal body temp dueto
Breast increase due to

A

Estrogen
progesterone
Estrogen Progesterone Insulin PRL

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10
Q

Colustrum - upto

A

3 month

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11
Q

Colustrum lacks

A

K, Fat, carbS, vit D ,vit K

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12
Q

prolactin max at
pre paregn. level
pregn. level

A

labor
< 15 ng/ml
150 ng/ml

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13
Q

Estrogen effect on prolactin
Dopamine effect on prdacting.

A

Estrogen increases amt but decreases activity
Dopamine is PlH Prolactin inhibiting hormone

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14
Q

Change in vagina is K.A.

A

chadwick/ Jacqueimer sign

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15
Q

Inhabitant bacteria invagina

A

Dodelain bacilli (lactobacillus)
+
show
=
Protection against infection

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16
Q

m.C. vaginitis in pregn.
m.C.C UTI in pregn

A

Candidiasis.( survive in acidic media)
E. coli

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17
Q

Uterus wt,volume,length, shape

A

1.1 kg, 5 L, 35 cm. ,globular shape
mainly hypertrophy

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18
Q

Braxton Hicks contraction is seen in

A

in T2

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19
Q

Spleen enlarges in pregn.by
pituitary
kidney
thyroid
liver

A

50%
125%
Icm
Increases
remains same

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20
Q

THI → TH2. is absent in

A

PlH

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21
Q

Fibrinogen
Fibrin stabilizing Factor

A

increases
decreases.

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22
Q

BT, CT,Anti Thrombin Time

A

Unchanged

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23
Q

Transverse diameter increases
diaphragm pushed up by
circumference increases by
Subcostal angle

A

2 cm
4 cm
6 cm
103 degree

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24
Q

Resp. parameters
Increase
unchanged
decrease

A

IC TV MoVie
IRV ,EC ( IRV, RR, VC, EC)
Others

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25
Blood O2 level Blood co2 level Blood pH
increases decreases same
26
vomitting due to morning sickness and hyperemesis gravidarum common in
HCG T1
27
In morning sickness suggest to have bisscuit/ water before?
Have biscuit before
28
morning sickness mx
Dorylamine + Pyridoxine or Hyoscine
29
Hyperemesis gravidarum DX
>5% wt loss vitals unstable Ketosis
30
more vomitting in male/ female child ?
Female child due to estrogen
31
m. C electrolyte abnormality in hyperemesis gravidarum ?
Hypokalaemia
32
M. C enzyme def in hyperemesis gravidarum?
vit k and thiamine leads to Wernickes encephalopathy
33
m.C.metabolic AbN .in hyperemesis gravidarum?
metabolic alkalosis
34
Scoring of hyperemesis gravidarum?
Rhode, PUQE
35
mxof hyperemesis gravidarum
Promethazine,Prochloperazine,metochloperamide
36
Hydroureter move on right/left?
Right due to dextraration ofuterus
37
M.C. organ involved in PlH? M. Characteristic H PE finding in PlH?
kidney Glomerulo endothelions
38
UTI leads to
PTL, pyelonephritis
39
Serum Urea serum creatinine ,serum Uric increase/decrease in pregn.?
Decrease
40
DOCfor UTI in pregn?
Nitrofurantoin
41
The only hormone to decrease in pregn? The hormone which remains unchanged?
DHEA- S ,FSH,LH,TSH ADH
42
Sheehan syndrome is necrosis of ant /post pitvitary?
Ant.
43
M.C.C of post parturm thyroiditis?
Anti microsomal Ab
44
Parameters which increase in physiological Anemia of pregn? Parameter which increases in pathological anemia Of pregp ?
Transferrin,TIBC RDW
45
Total amt of Fe in pregn?
1 gram or 4-6 mg lday
46
IFA tab Fe time? Folic acid time? Folic acid dose?
60 mg Fe + 500 Ug Folic acid 180 before to 180 after Fe I month before to 3months after Folic acid P/ O 3month before to 3 month after Folic acid T/t prophylaxis - 0.4 mgl day h/ O NTD or valproate - 4mg lday megaloblaine anemia - lmg lday
47
Pathological anemia level? severe very severe
< II gm Idl <7 gm I dl < 4 gm 1 dl
48
MCHC,S.Fe in IDA?
< 30,< 30
49
Prolactin max at? IDA testing at or GDM testing at? Insulin resistance max at? TIFFA / Anomaly scan at?
labor 1st antenatal visit + 24-28 wK 24-28 wK 18-20 wK
50
Best mx Of IDA?
Fe tab 1 tab for prophylaxis 2 tab for T / t I tab for maintainence
51
Hb increases after? at rate of? Retic count increases after?
20 days 0-7 gm/dI/ wK 10 days
52
Best Ix for IDA? Earliest to rise after TH Of IDA?
Ferritin Reticulocyte count
53
Parenteral Fe indication? Blood transfusion indication?
severe anemia and< 34Wk very severe anemia ,>34wk, I hemorrhage, CHF
54
m.c used Parenteral Fe? Best Parenteral Fe? Dose of parenteral Fe?
Fe sucrose Fe carbonymaltose 2.4 X wt x Hbdeficit. +500 mg
55
x mI Fe sucrose = x mg Fe = x ml NS
1 20 20
56
m.C.c. of megaloblaine anemia in pregn?
Folic acid def
57
Dimorphic anemia
IDA +folic acid def anemia
58
M.C. C of anemia in pregn 2 nd m.c.C of anemia in pregn.?
IDA ACD
59
DM FBS ,RBS, HBAIC ?
126 ,200 , 6:5
60
Overt Dm GDM
TI T2 T3 T3 > T2
61
DIPSI GDM Ix
2 hr OGTT 75gm 140,200
62
M.C. cardiac anomaly? M. specific cardiac anomaly? m.C. cardiac finding? m. specific anomaly?
VSD TGA HOCM caudal regression syndrome / sacral agenesis
63
Best test to predict congenital anomaly? Best test to DX congenital anomaly?
HBAIC TIFFA / Anomaly scan / level 2 usg
64
Fe testing,GDM Testing,Anomaly scan is done in which pregn females?
All
65
Macrosonia more common in male/female child?
male child
66
Best Ix for growth of fetus / macroromia?
Adominal circumference >35 Cm
67
Macrosomia wt criteria indication Of C-section in macrosomia?
4kg 4.S kg in DMpregn S kg in non- DM pregn
68
Shoulder dystocia time? Sign? MX
morethan 1 min after delivery of head Turtle sign HEL PERR zivanelli
69
sholder dystocia vs pseudo shoulder dystocia
after full cervical dilatation vs cervical dilation is incomplete
70
m.C fetal complication of Shoulder dystocia? mC maternal complication of shoulder dystocia? mic nerve ingreed during Mc Robert manouvore?
Erbs paralyses/Brachial plexus injury PPH Iateral cutaneous nerve of thigh
71
Best Ix to testlung maturity in DM mother?
PhosphatidyI chOline
72
hyperviscocity syndrome has?
polycythaemia + hyperbilirubinemia
73
mc fracture / dislocation in DM mother child? mc fractvre in traumatic vaginal delivery?
Clavicle Humerus
74
GDM increases chances of DM by? so Test at?
50% 6 wK after delivery
75
DM levels GDM levels GDM T/t goals
12S. ,200,6.5 14O,200,120(pp) 95, 6, 14O & 120
76
DM drugs safe in pregnancy?
Metformin,gliburide
77
delivery time in Dm mother?
39Wk - 40wK
78
Insulin given?
mixtard insulin or regular insulin+ NPH insulin
79
insulin requirement Increases/ decreases aspregn. progresses?
Increases
80
Criteria for HTN in pregn?
BP more than 140/90 mm Hg on 2 occassions atleast 4hrs apart
81
PoG cut off for Chronic (HTN in pregn and PlH?
20 WKS
82
Insulin comes back to N affer delivery in GDM? BP comes backto N after delivery in PlH?
6 wKs 12Wks
83
gestational H TN Vs Preeclampsia?
pehas Proteinuria and End Organ Damage Severe pE BP morethan 160/110 and End organ damage
84
Eclampsia is?
Severe PE+ GTCS
85
severe PE can lead to??
Eclampsia and HELLP syndrome( 15%of Hellp have N BP so not included in diagnosis criteria)
86
Keith Wagner classification is for?
HT N retinopathy
87
Keith Wagner classification is for?
HT N retinopathy
88
To prevent eclampsia in SeVerePE or impending eclampsia pt? To p / o convulsions in PlH? To T / t convulsions in PlH? To P / O PlH with risk factor females ?
mgso4 mgso4 mgso4 Aspirin
89
morning sickness in HEllp syndrome in
T1 T3
90
morning sickness in HEllp syndrome in
T1 T3
91
Tenesse criteria is for?
HELLP syndrome LDH more than 600 IU SGOT SGPT > 70 Iu/l Platelet less than 1 lakh
92
Tenesse criteria is for?
HELLP syndrome LDH more than 600 IU SGOT SGPT > 70 Iu/l Platelet less than 1 lakh
93
PE /HELLP more common in priem;/multigravidea?
pE priemi HELLP multi
94
Salt restriction diet and anticoagulant heparinand combination of heparin and aspirinand ca supplementation and smoking effect on Pl H?
No effect,no effect,benifits,benifit,benifit
95
m.C Teet to predict PE?
UAE uterine Artery Doppler
96
Pathology ofPE
Incomplete Trophoblast invasion
97
Diuretics in PIH?
CI
98
IUGR+ Oligonydramnios IUGR+ Polyhydramnios
PlH trisomy 18