Infections and infestations in pregnancy

Question 1

Which trimester is increased parasitemia more common

Answer 1

3rd trimester

Question 2

Drug of choice for uncomplicated malaria in 1st trimester

Answer 2

Quinine 10mg/kg bw

Clindamycin

Question 3

Drug of choice for uncomplicated malaria in 2nd and 3rd trimester

Answer 3

Quinine

ACT

Question 4

Dose of SP

Answer 4

3 tabs

each 500/25 mg

Question 5

Contraindications of SP

Answer 5

Folic acid 5mg
txt with Co-trimoxazole(within 4 wks)
Pregnancy less than 13 wks or greater than 36 wks
G6PD deficiency

Question 6

True bacteruria

Answer 6

Defined as more than 100 000 bacteria of the same species per milliliter or urine present in two consecutive specimens

Question 7

Asymptomatic (Covert) bacteriuria

Answer 7

Presence of true bacteriuria without subjective evidence of UTI such as dysuria, urgency and frequency.

Question 8

At which weeks of pregnancy is bacteriruia said to be highest

Answer 8

9th and 16th week

Question 9

Relapse

Answer 9

Recurrence of bacteriuria caused by the same organism usually within 6 weeks of initial infection

Question 10

Re-infection

Answer 10

Recurrence of bacteriuria involving a different strain of bacteria after successful eradication of the initial infection

Question 11

Common organism implicated in urethritis

Answer 11

Chlamydia

Question 12

Drug of choice in cystitis with mucopurulent cervicitis

Answer 12

Azithromycin

Question 13

Drug of choice in urethritis

Answer 13

erythromycin

Question 14

Common hookworm species in Ghana

Answer 14

N. americanus

Question 15

Recommendations in txt of Hookworm and Ascaris

Answer 15

Give mebendazole 2 doses in the 2nd and 3rd trimesters

Question 16

Stages or types of syphillis

Answer 16

Primary - Painless ulcer or chancre at site of inoculation. Common site is cervix

Secondary - Hematogenous spread hence viral syndrome presentation

Tertiary - Neurovascular manifestations

Latent syphilis - Historical or serological evidence for syphilis but no clinical manifestations.

Question 17

Treatment of syphilis

Answer 17

Benzathine penicillin

Erythromycin if allergic to penicillin