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MRCOG part 2 > Aspirin and scan indicators > Flashcards

Aspirin and scan indicators Flashcards

1
Q

HTN in previous pregnancy

A

High risk aspirin

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2
Q

Chronic kidney disease

A

High risk aspirin
Major risk factor SGA

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3
Q

Autoimmune disease
Examples

A

High risk aspirin
SLE, APS

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4
Q

T1 or T2 diabetes

A

High risk aspirin

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5
Q

Chronic hypertension

A

High risk aspirin
Major risk factor SGA

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6
Q

Nulliparity

A

Moderate risk aspirin
Minor risk factor SGA

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7
Q

40 years or older

A

Moderate risk aspirin
Major risk factor SGA

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8
Q

Pregnancy interval >10 years

A

Moderate risk aspirin

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9
Q

BMI 35 or more

A

Moderate risk aspirin
Major risk factor SGA

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10
Q

FHx PET

A

Moderate risk aspirin

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11
Q

Multiple pregnancy

A

Moderate risk aspirin

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12
Q

Maternal age 35-40

A

Minor risk factor SGA

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13
Q

IVF pregnancy

A

Minor risk factor SGA

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14
Q

BMI <20

A

Minor risk factor SGA

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15
Q

BMI 25-34.9

A

Minor risk factor SGA

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16
Q

Smoker 1-10 cigs/day

A

Minor risk factor SGA

17
Q

Low fruit intake pre-pregnancy

A

Minor risk factor SGA

18
Q

Previous PET

A

Minor risk factor SGA

19
Q

Pregnancy interval <6 months

A

Minor risk factor SGA

20
Q

Pregnancy interval 60 months or more

A

Minor risk factor SGA

21
Q

Smoker >10/day

A

Major risk factor SGA

22
Q

Maternal/paternal SGA

A

Major risk factor SGA

23
Q

Cocaine

A

Major risk factor SGA

24
Q

Daily vigorous exercise

A

Major risk factor SGA

25
Previous SGA baby
Major risk factor SGA
26
Previous stillbrith
Major risk factor SGA
27
Diabetes with vascular disease
Major risk factor SGA
28
Low PAPP-A
Take aspirin Major risk factor SGA
29
Heavy PVB
Major risk factor SGA
30
Schedule for scanning
3x minor risk factors --> uterine artery doppler 20-24weeks - if normal --> assess fetal size and UA doppler T3 - if abnormal --> serial scans from 26-28/40 1x major risk factor --> serial scans
31
Fetal echogenic bowel
Major risk factor SGA

MRCOG part 2 (9 decks)

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