Infectious Disease In Preg

Question 1

Perinatal infections?

Answer 1

Herpes simplex

Question 2

Postpartum infection

Answer 2

Pertussis

Question 3

Vertical transmission

Answer 3

In utero

In Breast milk: HIV

Question 4

Incubation of varcella

Answer 4

2 weeks

Question 5

Complications of varicella?

Answer 5

Pneumonitis In adults

SEcondary bacterial infection

Question 6

When is maternal death most common in varicella?

Answer 6

3rd trimester

Question 7

Congenital varicella syndrome?

Answer 7

Shingles in utero
Short limbs
Microcephalic
Scarring
Mental retardation
GIT, GU abnormalities

Question 8

Wen give prophylactic VZIG?

Answer 8

-Post exposure (

Question 9

Can give varicella vaccine in preg?

Answer 9

Nope - live vaccine

Question 10

CMV in fetus?

Answer 10

Microcephalic

IUGR

Question 11

CMV serology probs?

Answer 11

IgM is detectable for months
Deactivation will detect IgM

Need to do avidity testing or past serum

Question 12

Baby asymptomatic at birth for CMV how detect?

Answer 12

Audiometry
Visual
Pneumonitis
Microcephalic

Question 13

Rx of CMV?

Answer 13

Gancyclovir

Question 14

Influenza and preg deaths mainly from?

Answer 14

Premature birth

Early and late fetal death

Question 15

Most probs happen when with influenza?

Answer 15

3rd trimester

Question 16

Group B strep

Answer 16

Purple G-neg in chains like a ‘rockstar’

Question 17

GBS infection how?

Answer 17

1. Ascending infection

2. At delivery

Question 18

Early onset GBS when? Presents?

Answer 18

1-2 days after birth

Pneumonia, less common meningitis

Question 19

Late onset GBS?

Answer 19

meningitis more likely

Question 20

Abx for GBS?

Answer 20

• 4 hours prior to delivery
• BenPen
• Ampicilin

-Clindamycin/vancomycin if allergy

Question 21

Prophylaxis for GBS how good?

Answer 21

80%

Question 22

Primary casuse of EOS?

Answer 22

GBS

Question 23

When screen for GBS?

Answer 23

Screen at 35-37 weeks

Question 24

When does vertical transmission happen in Hep B?

Answer 24

During labour and birth

E antigen +ve = 90%
E antigen -ve =

Question 25

When give HBIG to baby?

Answer 25

Within 12 hours

Question 26

Hep C vertical transmission%?

Answer 26

5% if higher viral load

Co-infected with HIV = 45%

Question 27

Hep C Rx for preg?

Answer 27

Contraindicated

Question 28

Can breast feed with Hep C?

Answer 28

Nope

Question 29

When check Hep C in baby?

Answer 29

12-18 months

Question 30

Parvovirus when infectious?

Answer 30

Before the rash

Question 31

Parvoviruses can get what in utero?

Answer 31

Red cell aphasia if have thalassemia

Fetal Hydrops - Anaemia, cardiac failure, oedema

Question 32

Parvovirus investigation?

Answer 32

SErology

Question 33

If positive Parvovirus in mom, then what?

Answer 33

U/S every week for 12 weeks

Question 34

Rubella rash lasts?

Answer 34

2 and 3 days

Question 35

Rubella presents?

Answer 35

Lymphadenopathy: occipital node chains (95%)

Arthritis large joints

Question 36

Rubella in >12 weeks

Answer 36

Retinopathy and deafness only

Question 37

When rubella most damaging in utero?

Answer 37

1st trimester

Question 38

Fetal rubella detection?

Answer 38

Amniotic fluid

Cord blood