Medical Disorders With Pregnancy 1

Question 1

HB level for anemia in 1st and 3rd trimester

Answer 1

<11g/dL

Question 2

HB threshold for anemia in 2nd trimester

Answer 2

<10.5g/dL

Question 3

What’s the most common type of anemia in pregnancy

Answer 3

Iron deficiency anemia

Question 4

Most sensitive test for IDA?

Answer 4

Serum Ferritin

Question 5

The NICE guidelines tell us to screen for anemia when?

Answer 5

At booking and at 28 weeks

Question 6

First line treatment of IDA in pregnancy?

Answer 6

65mg daily Ferrous sulfate

Question 7

2nd line IDA treatment in pregnancy?

Answer 7

Parental iron

Question 8

When do we give parenteral iron in IDA

Answer 8

Intolerance to oral iron, or severe anemia (Less than 8g/dL)

Question 9

Last line treatment for IDA in pregnancy?

Answer 9

Blood transfusion if HB<7g/dL.
If near delivery week
If acute blood loss

Question 10

Sickle cell disease is most common in individuals of which background

Answer 10

Middle eastern, Mediterranean, so on

Question 11

Antenatal management of SCD

Answer 11

Folic acc supp, penicillin V to prevent infections, hydration and analgesia and blood transfusions

Question 12

Postpartum care for SCD?

Answer 12

LMWH for 6 weeks post partum

Question 13

Thrombocytopenia is a platelet count of less than…

Answer 13

<150 x 10 to the power of 9/L

Question 14

After anemia what’s the 2nd most common hematological disorder of pregnancy?

Answer 14

Thrombocytopenia

Question 15

The commonest thrombocytopenia (70-80%) is?

Answer 15

Gestational Thrombocytopenia

Question 16

Gestational Thrombocytopenia happens when

Answer 16

2-3rd trimester and resolves post partum

Question 17

ITP (Immune thrombocytopenic purpura) 3-4% of cases is what?

Answer 17

The autoimmune disorder that has destruction of platelets via the antibodies

Question 18

Explain what antibodies do in ITP

Answer 18

The IgG target the platelets.

Question 19

Give an idea of the platelet count in ITP

Answer 19

<50 x 10 to the power of 9

Question 20

Clinical risk/implication of ITP?

Answer 20

Maternal bleeding and neonatal thrombocytopenia

Question 22

Managementof gestational thrombocytopenia

Answer 22

Nothing specific, just monitoring

Question 23

Management of ITP?

Answer 23

Corticosteroid as firstline, and IVIG for severe bleeding or ITP

Question 24

Platelet transfusions are reserved for what scenario of ITP

Answer 24

Severe bleeding or before delivery IF platelet count is less than 50

Question 25

We avoid fetal scalp electrodes or vacuum extraction in ITP because?

Answer 25

Risk of neonatal thrombocytopenia

Question 26

We avoid spinal/epidural analgesia if platelet count is… in ITP delivery

Answer 26

Less than 80

Question 27

First line therapy for theombophilia

Answer 27

LMWH

Question 28

First line therapy for APS

Answer 28

Low dose aspirin

Question 29

Post partum management for thrombophilia?

Answer 29

Anticoagulation for 6 weeks

Question 30

DVT is more prevalent in which leg?

Answer 30

The left leg

Question 31

Recommended initial test for suspected DVT in pregnant women?

Answer 31

Compression venous color doppler ultrasound

Question 32

What can scan do we do PE in pregnant women?

Answer 32

V/Q scannng because it has lower radiation exposure

Question 33

VTE prevention in pregnancy

Answer 33

Thromboprophylaxis

Question 34

Treatment of VTE

Answer 34

LMWH, but UFH is ordered in cases of high bleeding risk or hypotension due to PE