chronic conditions in pregnancy

Question 1

hypothyroidism

Answer 1

need to increase levothyroxine by 25-50mcg

Question 2

antihypertensives not safe in pregnancy

Answer 2

ACEI
ARBS
thiazide diuretics

Question 3

antihypertensives that are safe in pregnancy

Answer 3

labetaol
CCBs
alpha blockers

Question 4

what to women with epilepsy need to take prior to conception

Answer 4

folic acid 5mg daily to reduce risk neural tube defect

Question 5

pregnancy effect on epilepsy

Answer 5

can worsen seizure control

• stress
• lack sleep
• hormonal changes
• alt medication regies

Question 6

epileptic control before conception

Answer 6

ideally epilepsy should be controlled with single anti-epileptic before becoming pregnant

Question 7

anti-epileptics safe to use in pregnancy

Answer 7

levetiracetam
lamotrigine
carbamazepine

Question 8

anti-epileptics to be avoided in pregnancy

Answer 8

sodium valproate - neural tube defects

phenytoin - cleft lip + palate

Question 9

DMARD not safe in pregnancy

Answer 9

methotrexate

• misscarriae
• congenital abnormaliie

Question 10

DMARD - 1st line in pregnancy

Answer 10

hydroxychloroquine

Question 11

rheumatoid arthritis in pregnancy - what can be used in flare ups

Answer 11

steroids