Keppler - 7

Question 1

tx considerations for hypothyroidism in pregnant pt

Answer 1

more frequent monitoring of TSH

dose adjustment

Question 2

risk of hyperthyroidism in pregnancy

Answer 2

thyroid storm

Question 3

management consideration of TSH in pregnancy

Answer 3

stricter control → ~2.5 or less

Question 4

hyperthyroidism med generally avoided in first trimester

Answer 4

methimazole

Question 5

hyperthyroidism med used in first trimester

Answer 5

PTU

Question 6

what is the rule of thirds in AI dz in pregnancy

Answer 6

⅓ improve

⅓ unchanged

⅓ worsen

Question 7

AI dz w. much higher risk of complication in pregnancy

Answer 7

lupus

Question 8

2 cardiac physiologic factors that increase in pregnancy

Answer 8

blood volume

cardiac output

Question 9

cardiac factor that decreases in pregnancy

Answer 9

peripheral resistance

Question 10

recs for patients w. stage 3 or 4 heart dz in relation to pregnancy

Answer 10

don’t get pregnant

if you do, terminate pregnancy

Question 11

what stages of CKD have high risk for needing dialysis in pregnancy

Answer 11

3-5

Question 12

incompatible RBC or Rh types between mother and fetus

Answer 12

alloimmunization

Question 13

risks of alloimunization

Answer 13

fetal anemia

death dt RBC destruction

Question 14

mc cause of fetal anemia/hydrops

Answer 14

Rh-D alloimmunization

Question 15

prevention of alloimunization

Answer 15

Rho(D) immune globulin

Question 16

where does D antigen come from

Answer 16

FOC

Question 17

med given to prevent Rh-D alloimmunization

Answer 17

Rhogam

Question 18

who gets screened for Rh-D alloimmunization

Answer 18

everyone

Question 19

management of Rh-D alloimmunization

Answer 19

screen dad

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