Medical Conditoons In Pregnancy

Question 1

3 risk factors for developing GDM?

Answer 1

Obesity, previous history of GDM, strong family history of DM

Question 2

4 maternal complications of GDM?

Answer 2

HTN, preeclampsia, increased risk of c section, risk for diabetes later

Question 3

4 fetal complications because of GDM?

Answer 3

Big baby, hypoglycemia, high bilirubin, birth trauma

Question 4

There is a direct link between birth defects and what?

Answer 4

Increased hemoglobin A1C.

Question 5

What is the goal for fasting and two hour post prandial glucose levels?

Answer 5

Below 95

Below 120

Question 6

How do we make the diagnosis for maternal hyperthyroidism?

Answer 6

Elevated T4 and suppressed TSH

Question 7

4 fetal affects to baby because of mom having hyperthyroidism?

Answer 7

Hypo with a goiter, prematurity, IUGR, and still birth

Question 8

Big time maternal effect of hyperthyroid?

Answer 8

Preeclampsia

Question 9

What corticosteroid do you give in the mix of meds for thyroid storm in pregnancy?

Answer 9

Dexamethasone

Question 10

6 risks that can develop with hypothyroidism?

Answer 10

Abortion, preeclampsia, abruption, low birth weight, stillbirth, lower intelligence

Question 11

How can babies get thyrotoxicosis? What is the main symptom with neonatal hypo?

Answer 11

Thyroid stimulating antibodies crosses placenta

Generalized developmental retardation

Question 12

What is the most common lesion of a pregnant lady with rheumatic heart disease?

Answer 12

Mitral stenosis

Question 13

What is a big time contraindication for pregnancy ladies in the cardiopulmonary system?

Answer 13

Primary pulmonary HTN

Question 14

What cardiac arrhythmia is most common in pregnancy ladies, what is good about it, and which 2 arrhythmias are we more worried about?

Answer 14

Supra ventricular tachycardia

A fib and a flutter

Question 15

What 3 conditions put a lady at risk for developing postpartum cardiomyopathy?

Answer 15

Preeclampsia, HTN, poor nutrition

Question 16

All pregnant cardiac patients should be co managed by who?

Answer 16

Cardiologist

Question 17

What is going on with immune idiopathic thrombocytopenia? What effect can it have on baby?

Answer 17

Immunoglobulins attach to moms platelets

Neonatal thrombocytopenia can occur due to placental transfer of the anti-platelet antibodies

Question 18

5 fetal complications because mom having lupus?

Answer 18

Preterm delivery, fetal growth restrictions, still birth, miscarriage, and neonatal lupus

Question 19

3 complications of getting antiphospholipid syndrome?

Answer 19

Miscarriage, preeclampsia, and fetal growth restriction

Question 20

What type of renal failure are we concerned about that has a worse prognosis in pregnant patients and what is the serum marker for it?

Answer 20

Chronic renal failure

Greater than 1.5 to 2 creatinine

Question 21

Asymptomatic bacteriuria more likely leads to what two conditions in pregnant women and what is the culprit most commonly?

Answer 21

Cystitis and pyelonephritis

E. coli

Question 22

Pyelonephritis can lead to what two conditions in mom?

Answer 22

Preterm labor and RDS

Question 23

How do we define hyperemesis gravidarum incidence?

Answer 23

Persistent NV associated with greater than 5% loss of pregnancy weight, ketonuria, and dehydration

Question 24

What GI disorder is found in over 70% of women?

Answer 24

GERD

Question 25

What GI condition may improve because of pregnancy and what is the main treatment?

Answer 25

Peptic ulcer

Antibiotics to H pylori

Question 26

What is mendelson’s syndrome also known as, why do pregnant women get it, and what condition can it lead to?

Answer 26

Acid aspiration syndrome
Delayed gastric emptying and increased ab pressure
Respiratory distress syndrome

Question 27

What is the concern with Inflammatory bowel disease and pregnancy? What is normal?

Answer 27

Really, everything is normal during pregnancy. Treat the flare ups as normal.
What we are concerned about is if the disease is active during conception, there can be a miscarriage.

Question 28

Pregnant lady itches her belly, but has no tummy rash or pain, elevated bile acids and liver enzymes, what does she have?

Answer 28

Intrahepatic cholestasis of pregnancy.

Question 29

What are two associations with ICP?

Answer 29

Oral contraceptives and multiple births

Question 30

What is a very scary hepatic disorder that pregnant ladies can get? What 4 labs will be elevated?

Answer 30

PT, PTT, bilirubin and liver transaminases