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TC Oral boards > Misc Antepartum > Flashcards

Misc Antepartum Flashcards

1
Q

Risks of advanced maternal age

A 
SAB
ectopic
Chromosome abn
Congenital anomalies
STILLBIRTH
GDM
PREE
AFE
CD
PPH
MORTALITY
THROMBOSIS
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2
Q

Causes of polyhydramnios

Delivery timing

A 
Idiopathic
Maternal diabetes
Fetal anomalies that interfere with swallowing
Fetal neuromuscular disorders
Barter syndrome
Aneuploidy
Twin twin transfusion syndrome
Fetal anemia due to isoimmunization

Linked to macrosomia and increased risk stillbirth

37-39w depending on severity

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3
Q

Risks of sickle cell disease in pregnancy

A

SAB
IUGR
PTB
stillbirth

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4
Q

Potential causes of sickle cell pain crisis

A

Infection, hypoxia, cold, dehydration, anemia

Consider early delivery for relief of maternal symptoms and third trimester

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5
Q

Indications for blood transfusion for sickle cell patients

A 
Acute stroke
Acute chest syndrome
Multi organ failure
Acute symptomatic anemia
Preeclampsia that does not improve with delivery
Impending cesarean delivery
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6
Q

Goal of transfusion and sickle cell patients

A

Hb 10-12 g/dL

Hb A 70%

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7
Q

How do you confirm dating?

A

39w from +UPT

+FHT BY Doppler for 30w

US in 1st tri that confirms 39w

Us in 2nd tri/hx c/w 39w

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8
Q

Antibodies associated with hemolytic disease of the fetus and newborn

A 
Anti D
Kell
Duffy
Rh c, RhE
ABO
MSN

Critical titre is 16

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9
Q

What are the general symptoms of fatty liver of pregnancy

A

Low glucose
Liver dysfunction
Prolonged PTT
Maternal and fetal mortality

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10
Q

Fetal hydantoin syndrome

A

IUGR
microcephaly
Mental retardation
Phalangeal hypoplasia

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11
Q

Physiologic changes in cardiovascular system during pregnancy

A

Increase cardiac output 40%
Increase heart rate 15 to 20 bpm
Dextrorotation

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12
Q

Physiologic changes in the pulmonary system during pregnancy

A

Increased respiratory rate and tand minute ventilation

Decreased functional residual capacity
Decreased arterial PCO2
Decreased bicarbonate (40 mmHg indicates respiratory failure, normal is 20 mmol/L
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13
Q

DDX for thrombocytopenia

A 
GESTATIONAL
ITP
TTP
HELLP
HUS
DIC
ACUTE FATTY LIVER
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14
Q

Acute chest syndrome

A

Pulmonary infiltrate
Fever
Hypoxemia
Acidosis

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15
Q

Contraindications to breast-feeding

A

HIV
HSV ON BREAST
SUBSTANCE ABUSE
UNTREATED TB OR VARICELLA

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TC Oral boards (38 decks)

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