3. Maternal Medicine

Question 1

MBRRACE

Answer 1

Mothers and Babies Reducing Risk through Audits and Confidential Enquries

Question 2

SVT treatment in pregnancy

Answer 2

Adenosine 6mg, 12mg

Question 3

Physiological CVS examination in pregnancy

Answer 3

<140/90, sinus tachycardia <110, normal JVP, 3rd heart sound, ejection systolic murmur,

Question 4

D dimers in pregnancy

Answer 4

Increased, so not diagnostic

Question 5

Respiratory Examination in pregnancy

Answer 5

Increased SpO2 and decreased CO2, normal oxygen saturations and RR

Question 6

What is the diagnosis in raised BP, raised urinary protein, and raised Creatinine

Answer 6

Pre-eclampsia

Question 7

Renal Function in pregnancy (physiological)

Answer 7

Proteinura, hydronephrosis, reduced creatinine

Question 8

AKI causes in pregnancy

Answer 8

• Early (hyperemesis, septic miscarriage, acute retention)
• Mid-Late (pre-eclampsia, HELLP, Acute fatty liver)
• Post-Partum (PPH, NSAIDs)