Maternal Medicine

Question 1

How many times greater is the risk of fetal malformations when a patient is on anti-TBF drugs?

Answer 1

Similar to general population

Question 2

What proportion of patients with MG have a) remission, b) same, c) worsening of symptoms during pregnancy?

Answer 2

a) 30%
b) 30%
c) 40%

Question 3

What is the risk of PET for previous
a) PET, b) with birth 28-34/40,
c) with birth 34-37/40

Answer 3

a) 16%
b) 33%
c) 23%

Question 4

What proportion of women with asthma have a) worsening, b) improving, c) same symptoms in pregnancy?

Answer 4

All 33%

Question 5

What special measures need to be taken for flight in pregnancy with BMI >35?

Answer 5

LMWH

Question 6

What special measures need to be taken for flight with twin pregnancy?

Answer 6

Don’t fly beyond 32/40
TEDS if > 4 hours

Question 7

What is the most common benign liver tumour?

Answer 7

Hepatic haemangioma

Question 8

What are the risks of vertical transmission of parvovirus, a) < 15/40, b) 15-20/40, c) at term

Answer 8

a) 15%
b) 25%
c) 70%

Question 9

What are the contraindications to cabergoline?

Answer 9

1. Pre-eclampsia
2. Cardiac valvulopathy
3. Hx of pericardial fibrotic disorders
4. Hx of pulmonary fibrotic disorders
5. Hx of retroperitoneal fibrotic disorders
6. Hx of puerperal psychosis
7. Hypersensitivity to ergot alkaloids

Question 10

What is an acceptable value of factors VIII & IX pre-procedure?

Answer 10

0.5

Question 11

When is red cell exchange transfusion indicated

Answer 11

After RBC transfusion of >1 unit

Question 12

What dose of anti-D is needed if D +ve platelets (up to 5 units) are given to D -ve women?

Answer 12

250 units

Question 13

How does vasa praevia typically present?

Answer 13

Fresh PV bleeding at the time of ROM with fetal decelerations

Question 14

What are the recurrence rates of placental abruption?

Answer 14

After 1, 4.4%
After 2, 29-25%

Question 15

What is the biggest risk factor for developing hepatic adenoma?

Answer 15

COCP

Question 16

How often should anti-F be given with recurrent PV bleeding?

Answer 16

6-weekly intervals

Question 17

What is the incidence of focal nodular hyperplasia?

Answer 17

3%

Question 18

What proportion of successful IVF results in twin pregnancy?

Answer 18

24%

Question 19

What proportion of twin pregnancies deliver before 37/40?

Answer 19

50%

Question 20

How does the perinatal mortality of twins compare to singletons?

Answer 20

3x greater

Question 21

What is the incidence of hypertensive disorder in pregnancy?

Answer 21

8-10%

Question 22

What proportion of patients with acute fatty liver of pregnancy require renal replacement?

Answer 22

3.5%

Question 23

What is the risk of malignant transformation of hepatic adenomas?

Answer 23

5%

Question 24

What proportion of patients with acute fatty liver of pregnancy develop renal impairment?

Answer 24

14%