Week 7 practice questions pt 2 Flashcards
Beyond slide 87 (37 cards)
Which of the following can be used for severe hyperemesis gravidarum?
a) Corticosteroids
b) Hydrocodone
c) PPIs
d) H2 receptor antagonists
a) Corticosteroids
3rd trimester mom presents with pruritus, particularly on her hands and feet. What are you most concerned about?
a) Hyperemesis gravidarum (HG)
b) Acute Fatty Liver
c) Intrahepatic Cholestasis of Pregnancy (ICP)
d) Peptic Ulcer Disease
c) Intrahepatic Cholestasis of Pregnancy (ICP)
What should you treat with ursodeoxycholic acid and deliver at 37 weeks for?
a) Hyperemesis Gravidarum (HG)
b) Acute Fatty Liver
c) Intrahepatic Cholestasis of Pregnancy (ICP)
d) Peptic Ulcer Disease
e) Asthma
c) Intrahepatic Cholestasis of Pregnancy (ICP)
What is the most common cause of acute liver failure in pregnancy (typically presents in 3rd trimester)?
a) Alcoholic liver disease
b) Acute Fatty Liver
c) Cirrhosis of the liver
d) Intrahepatic Cholestasis of Pregnancy (ICP)
b) Acute Fatty Liver
CO2 from insufflation can cross into placenta during which procedure?
a) Endoscopy
b) TVUS
c) Laparotomy
d) Laparoscopy
d) Laparoscopy
When during pregnancy should you remove ovarian tumors (if needed)?
a) 1st trimester
b) 2nd trimester or later
c) 2nd trimester or earlier
d) 3rd trimester
e) You can never remove ovarian tumors in pregnancy
b) 2nd trimester or later
Which of the following is NOT a part of the triad of toxoplasmosis?
a) Chorioretinitis
b) Hydrocephalus
c) Microcephaly
d) Intracranial calcifications
c) Microcephaly
Your patient is 15 weeks pregnant and is IgG+ and IgM+ for toxoplasmosis, what should you do?
a) Nothing; she’s immune
b) Spiramycin
c) Spiramycin + Pyrimethamine-Sulfadiazine
d) Spiramycin + Pyrimethamine-Sulfadiazine + folic acid
d) Spiramycin + Pyrimethamine-Sulfadiazine + folic acid
Your pregnant patient has chronic Hep B and has a high viral load. What do you do?
a) Tenofovir
b) Azithromycin
c) IV acyclovir
d) PO acyclovir
a) Tenofovir
Which of the following is contraindicated with breastfeeding when the mother has cracked or bleeding nipples?
a) Hep A
b) Hep B
c) Hep C
d) Hep D
e) Hep E
c) Hep C
Your pregnant patient has active TB. Which of the following will you give them? Select all that apply.
a) Rifampin
b) Isoniazid
c) Pyrazinamide
d) Ethambutol
a) Rifampin
b) Isoniazid
d) Ethambutol
Which of the following is contraindicated in pregnancy?
a) Podophyllin
b) Podophyllotoxin
c) Interferon
d) FU (5-fluorouracil)
e) Topical imiquimod
a) Podophyllin
b) Podophyllotoxin
c) Interferon
d) FU (5-fluorouracil)
Which of the following is a symptom of Parvovirus (B19) (Fifth Disease) in the mother?
a) Asymmetrical arthritis in large joints
b) Asymmetrical arthritis in small joints
c) Symmetrical arthritis in large joints
d) Symmetrical arthritis in small joints
d) Symmetrical arthritis in small joints
How do you diagnose Zika?
a) Amniocentesis
b) PCR
c) Serum
d) Ultrasound
b) PCR
When should you screen for group B strep?:
15-17 weeks
22-24 weeks
26-28 weeks
32-34 weeks
35-37 weeks
35-37 weeks
T/F: Bismuth, Metronidazole, levofloxacin are all appropriate in pregnancy
False (contraindicated)
T/F: Acute pancreatitis is less common in pregnancy and has a much higher mortality rate
True
T/F: Bowel obstruction is less common in pregnancy
False; more common
T/F: Adnexal torsion is less common in pregnancy
False; more common
T/F: Routine screening for toxoplasmosis is NOT recommended in the U.S.
True
Define ICP
Cholestasis without inflammation
What are the cutoff levels for the 3 hour glucose test?
1hr <180mg/dL, 2hr <155, 3hr <140
How would you treat a pregnant woman who has daily asthma symptoms, nighttime awakenings more than once a week, and some limitation with normal activity? Her peak flow was 79%.
a) Albuterol PRN
b) Low-dose ICS
c) Low dose ICS + salmeterol OR medium dose ICS
d) High dose ICS + salmeterol + oral corticosteroid if needed
c) Low dose ICS + salmeterol OR medium dose ICS
What are the 3 preferred treatments for UTIs in pregnancy?
Fosfomycin
Cefpodoxime
Augmentin
