4 Normal Pregnancy

Question 1

Pregnancy signs related to uterus or mother’s feelings

Answer 1

Probable Signs

Question 2

Safe(S) vs Unsafe (U)

Hep A/B
Influenza
Pneumococcus
Meningococcus
MMR
Polio
Varicella

Answer 2

Safe: Flu, Hepa A/B, Pneumo/Meningococcus, Typhoid

Unsafe: MMR, Polio, Yellow Virus, Chicken pox

Question 3

Normal pregnancy Hgb range

Answer 3

10-12 g/dl

Question 4

Most reliable predictor of True Anemia

Answer 4

MCV
⬇️ (80) IDA or Thalassemia
⬆️ (100) Folate

Question 5

Normal leukocytic and thrombocyte count

Answer 5

Upto 16k/mm3

*pre pregnancy

Question 6

Isoimmunization (indirect Coomb’s) findings

Answer 6

(+) atypical RBC antibodies

Question 7

Screening and definitive test for Syphilis

Answer 7

VDRL/RPR

microhemmaglutination assay (MHA) or fluorescent treponema antibody absorption (FTA)

Question 8

Gold standard among urine exam procedures among pregnant

Answer 8

Urine Culture

Question 9

T/F: Anti TB drugs are contraindicated in pregnancy

Answer 9

False

Question 10

ELISA is a screening test for presence of detectable HIV AB. A _______ month lag exist bw HIV infection and a positive test.

Answer 10

3 month lag

Question 11

A patient has a positive WB test. When should tx begin?

Answer 11

As early as 14 weeks

Question 12

Normal AFP peak levels (maternal, fetus)

Answer 12

Fetal serum, Amniotic fluid peak at 12w

Maternal serum peaks at 30w

Question 13

A positive ⬆️ value of MS-AFP (>2.5 MoM)

Answer 13

1) Dating Error
2) NTD (abN AF-AFP)
3) IUGR, stillbirth and pre eclampsia (N AF-AFP)

Question 14

A positive ⬇️ value (<0.85 MoM)

Answer 14

1. Dating Error

2. Trisomy errors

Question 15

Other markers that ⬆️ sensitivity of MS AFP in Screening Down Syndrome

Answer 15

hCG
Estriol
Inhibin A

Question 16

⬇️ MS AFP and estriol

⬆️ hCG and inhibin A

Answer 16

Trisomy 21

Question 17

MS AFP, estriol, hCG and inhibin A are all ⬇️

Answer 17

Trisomy 18

Question 18

MS AFP screening is done within

Answer 18

15-20 weeks

Question 19

Screening test for glucose intolerance in pregnancy

Answer 19

1h 50g OGTT

Question 20

Definitive test

Answer 20

3h 100g OGTT

Question 21

FBS > 125 mg/dl

Answer 21

Overt Diabetes

Question 22

if FBS < 126 mg/dl

Answer 22

Proceed with 100g glucose load then glucose lvl measurements at 1, 2, 3h.

N values 1sth - <180, 2ndh - <155, 3rdh - <140

Question 23

If one of the values in 3h 100g OGTT is abN

Answer 23

Impaired Glucose Tolerance

Question 24

Diabestic testing at

Answer 24

24-28 weeks AOG

Question 25

Bleeding gums with clinical swelling

Answer 25

EPULIS

Question 26

Excessive shedding of hair 1-5mos of pregnancy

Answer 26

Telogen effluvium

Question 27

Other causes of Ms AFP

Answer 27

Twin pregnancy
Placental bleeding
Fetal renal dse
Sacrococcygeal teratoma