Selected Medical Complications Or Conditions In Pregnancy

Question 1

What is the preferred modality for evaluation of appendicitis in pregnancy?

Answer 1

MRI

Question 2

Until approximately when should hyperemesis gravidarum be expected?

Answer 2

16 weeks AOG

Question 3

What is the best predictor of pregnancy seizure frequency?

Answer 3

Amount of seizures in year prior to pregnancy

Question 4

Which anti-epileptic drug has the lowest risk of neurodevelopmental effects?

Answer 4

Lamotrigine

Question 5

Smoking <1 pack / day increases the risk for sudden infant death in what percentage?

Answer 5

20%

Question 6

Emergent management for catastrophic antiphospholopid antibody syndrome? (3)

Answer 6

1. Full anticoagulation
2. High dose corticosteroid
3. Plasma exchange and or IV IG Therapy

Question 7

Emergent management for catastrophic antiphospholopid antibody syndrome? (3)

Answer 7

1. Full anticoagulation
2. High dose corticosteroid
3. Plasma exchange and or IV IG Therapy

Question 8

Risk factors of migraine in pregnancy? (4)

Answer 8

1. Asthma
2. Anxiety
3. Depression
4. Pain disorders

Question 9

Second most prevalent and the most serious neurological condition in pregnant women?

Answer 9

Epilepsy

Headache is the most prevalent.

Question 10

Second most prevalent and the most serious neurological condition in pregnant women?

Answer 10

Epilepsy

Headache is the most prevalent.

Question 11

Hormone that has anti-epileptic effect?

Answer 11

Progesterone

Question 12

Anti-epileptic drugs associated with low head circumference? (2)

Answer 12

Carbamazepine
Trimethadione

Question 13

Treatment of choice for acute appendicitis in pregnancy?

Answer 13

Immediate surgical exploration

Question 14

Characteristic of acute appendicitis in pregnancy? (2)

Answer 14

1. Appendix moves upward and outward toward the flank by the enlarging uterus ( not RLQ pain)
2. May be confused with preterm labor and renal colic.

Question 15

Adverse effects of renal stones in pregnancy outcome? (3)

Answer 15

1. Acute pyelonephritis
2. Frequent urinary infection
3. Acute renal colic

Question 16

Common postpartum problem associated with epileptic women?

Answer 16

Depression

Question 17

Seizure medications that should be watched out for in a breastfeeding woman?

Answer 17

1. Phenobarbital
2. Primidone
3. Benzodiazepines

Question 18

What to give to neonate if the mother is taking seizure medications that would activate / enhance activity of liver enzymes?

Answer 18

Vitamin K

Question 19

Characteristics of epilepsy drug therapy during pregnancy? (3)

Answer 19

1. Nausea and vomiting lead to skipping dose.
2. Sub-therapeutic levels of anticonvulsant increases seizure rates.
3. Expanded intravascular volume lowers drug serum levels.

Question 20

Which drug can be given to pregnant women for acute seizures?

Answer 20

Magnesium sulfate

Question 21

Which hormone is believed to cause increased frequency of seizures during pregnancy because of its effect on the metabolism of anti epileptic drugs?

Answer 21

Estrogen

Question 22

What is the key difference between seizure and vasovagal events?

Answer 22

Presence of postictal period in seizure

Question 23

Procedure of choice for removal of stones in pregnant patients?

Answer 23

Lithotripsy

Question 24

The following are indications for stone removal during pregnancy?

Answer 24

Intractable pain

Question 25

Drug taken during pregnancy that increases the risk of cleft lip?

Answer 25

Topiramate

Question 26

What is the most common form of rheumatic valvular heart disease in women?

Answer 26

Mitral Stenosis

Question 27

Which anti-epileptic drug is metabolized to phenobarbital?

Answer 27

Primidone

Question 28

What drug is given to pregnant women with hyperthyroidism?

Answer 28

Propylthiouracil

Question 29

Laboratory tests indicated for history of heavy prolonged bleeding after dental extraction or epistaxis? (4)

Answer 29

1. Factor 8 2. CBC with PC 3. PT/ PTT 4. vWF antigen