Endocrinology in Pregnancy

Question 1

what hormone does the corpus luteum produce?

Answer 1

progesterone

Question 2

what hormone does a pregnancy test pick up?

Answer 2

HCG

Question 3

what hormones does the placenta produce?

Answer 3

lactogen, progesterone, oestrogen

Question 4

on what day is the LH spike?

Answer 4

day 14

Question 5

what week does foetal organogenesis begin?

Answer 5

5 weeks

Question 6

CNS problems are how many times more common in diabetic mothers?

Answer 6

5 times more common

Question 7

Caudal regression syndrome is how many times more common in diabetic mothers?

Answer 7

200x

Question 8

Why is pre-pregnancy counseling important?

Answer 8

limits risk of congenital malformation

Question 9

why do diabetic mothers need more eye checks?

Answer 9

rate of retinopathy is accelerated

Question 10

what BP drugs do we avoid in pregnancy and what should they be replaced by?

Answer 10

ACEi and statins.

for BP = Labetalol, Nifedipine and methyl dopa

Question 11

what are the blood sugar limits in pregnancy?

Answer 11

pre meal = 5.5-6

2h post meal= under 7

Question 12

what trimester does GDM present?

Answer 12

first trimester

Question 13

what do we increase thyroxine by in pregnancy?

Answer 13

25mcg

Question 14

what hyperthyroid medication in the first trimester?

Answer 14

Propylthiouracil

Question 15

what hyperthyroid medication in the 2nd/3rd trimester?

Answer 15

Carbimazole

Question 16

what are the dangers of TRAb antibodies?

Answer 16

can cross placenta and cause neonatal transient hyperthyroidism