Week 7 practice questions pt 1 Flashcards
Slides 1-87 (44 cards)
Which of the following is characterized by cleft lip, polydactyly, microcephaly, microphthalmia, and omphalocele?
a) Edward’s Syndrome (Trisomy 18)
b) Patau Syndrome (Trisomy 13)
c) Turner Syndrome (45, X)
d) Down Syndrome (Trisomy 21)
e) Turner Syndrome (45, X)
f) Klinefelter Syndrome (47, XXY)
g) Deletion 5p (Cri du chat Syndrome)
b) Patau Syndrome (Trisomy 13)
Which of the following may cause microcephaly? Select all that apply.
a) Edward’s Syndrome (Trisomy 18)
b) Patau Syndrome (Trisomy 13)
c) Turner Syndrome (45, X)
d) Down Syndrome (Trisomy 21)
e) Turner Syndrome (45, X)
f) Klinefelter Syndrome (47, XXY)
g) Deletion 5p (Cri du chat Syndrome)
a) Edward’s Syndrome (Trisomy 18)
b) Patau Syndrome (Trisomy 13)
g) Deletion 5p (Cri du chat Syndrome)
Hyperechogenic bowel, meconium peritonitis, bowel dilation, absent gallbladder, are all prenatal symptoms of what?
Cystic fibrosis
“Cell-free DNA” (cfDNA) is an example of what kind of testing?
a) NIPT testing
b) PAPP-A
c) Ultrasound Screening
d) Fetal cord blood testing
a) NIPT testing
Which of the following does cfDNA test for? Select all that apply
a) Trisomy 21
b) Trisomy 18
c) Trisomy 16
d) Trisomy 13
e) Fetal Sex
f) Sex chromosome aneuploidy
a) Trisomy 21
b) Trisomy 18
d) Trisomy 13
e) Fetal Sex
f) Sex chromosome aneuploidy
High beta HCG may indicate what?
Trisomy 21
A woman has a husband with spina bifida, but no history of NTD herself. What amount of folic acid should she take?
4mg
How are multiples usually diagnosed?
a) Amniocentesis
b) Ultrasound
c) Serum hCG
d) Urine hCG
b) Ultrasound
The powerpoint said multiples increase maternal risk of ______________ postpartum
a) Depression
b) Mastitis
c) DVT
d) Hemorrhage
d) Hemorrhage
Define hydrops fetalis
a) Infant brain damage resulting from high levels of bilirubin in blood
b) Infant brain damage resulting from high levels of urea in blood
c) The development of fluid in at least 2 extravascular compartments
d) The development of fluid in the brain
c) The development of fluid in at least 2 extravascular compartments
Transcranial dopplers look at peak velocity of flow through the _____________ artery
a) Middle cerebral
b) Anterior cerebral
c) Vertebral
d) Umbilical
a) Middle cerebral
Which of the following is the predominant finding in gestational HTN/ preeclampsia?
a) Maternal vasospasm
b) Fetal vasospasm
c) Fetal death
d) Maternal seizures
a) Maternal vasospasm
Which of the following should be done when evaluating a pregnant patient with hypertension? Select all that apply
a) Ultrasound
b) Ultrasound with doppler
c) Stress test +/- Biophysical profile (BPP)
d) Nonstress test +/- Biophysical profile (BPP)
a) Ultrasound
c) Stress test +/- Biophysical profile (BPP)
Which are considered first line for chronic HTN in pregnancy? Select all that apply
a) Lisinopril
b) Nifedipine
c) Diltiazem
d) Amlodipine
e) Losartan
b) Nifedipine
d) Amlodipine
Which of the following patients is pregnancy NOT recommended for? Select all that apply:
a) Pulmonary HTN
b) Chronic HTN
c) Tetralogy of Fallot
d) Eisenmenger syndrome
e) Marfan syndrome with aortic root dilation
f) Dilated cardiomyopathy
g) Hypertrophic cardiomyopathy
a) Pulmonary HTN
c) Tetralogy of Fallot
d) Eisenmenger syndrome
e) Marfan syndrome with aortic root dilation
f) Dilated cardiomyopathy
What amount of glycosuria in pregnancy is considered to be normal?
a) 300mg/day
b) 400mg/day
c) 500mg/day
d) 600mg/day
e) 700mg/day
a) 300mg/day
Which of the following were NOT mentioned as a complication of DM in pregnancy? Select all that apply
a) Congenital anomalies
b) Spontaneous abortion and stillbirth
c) Macrosomia
d) Microsomia
e) Hypoglycemia
f) Hyperglycemia
b) Spontaneous abortion and stillbirth
d) Microsomia
f) Hyperglycemia
Jenna, 26 weeks pregnant, does her 1 hour glucose tolerance test (50g drink). Her glucose result is 150. What should you do next?
a) Nothing; her result was negative for GDM
b) 3-hour glucose tolerance test (100g drink)
c) 2-hour glucose tolerance test (75g drink)
d) Repeat 1 hour glucose tolerance test (50g drink)
b) 3-hour glucose tolerance test (100g drink)
K has been diagnosed with GDM. It has been controlled with medication. What should you tell her to expect regarding her delivery?
Spontaneous delivery start of 39 to end of 39 (before week 40)
Pregnancy is generally a _____________ state
a) Hypothyroid
b) Euthyroid
c) Hyperthyroid
d) Hypotrophic
b) Euthyroid
If a pt has Hasimoto’s or hypothyroidism and is pregnant, what do you do?
a) Increase their methimazole by 25-30%
b) Decrease their methimazole by 25-30%
c) Increase their Levothyroxine (Synthroid) dose by 25-30%
d) Decrease their Levothyroxine (Synthroid) dose by 25-30%
c) Increase their Levothyroxine (Synthroid) dose by 25-30%
When should patients avoid methimazole?
a) During the 1st trimester
b) During the 2nd trimester
c) During the 3rd trimester
d) Postpartum
a) During the 1st trimester
What is the first line treatment for nausea in pregnancy?
a) Doxylamine (Diclegis)
b) Zofran (Ondansetron)
c) Promethazine (Phenergan)
d) Vit B6 (pyridoxine)
e) Vit B 12 (cyanocobalamin)
d) Vit B6 (pyridoxine)
When does nausea and vomiting peak in pregnancy?
a) Weeks 4-6
b) Weeks 7-12
c) Weeks 14-18
d) Weeks 20-24
b) Weeks 7-12