Medical Disorders With Pregnancy 3

Question 1

What is the most common cause of jaundice in pregnancy

Answer 1

Acute viral hepatitis

Question 2

HBV is vertically transmitted, hence what should we give neonates?

Answer 2

HBV immunoglobulin and vaccine within 24 hours of birth.

Question 3

The 2nd and last vertically transmitted hepatitis type is?

Answer 3

HCV

Question 4

how do we detect HCV?

Answer 4

anti-HCV antibodies

Question 5

What is acute fatty liver of pregnancy? (AFLP)

Answer 5

Usually occurs in 3rd trimester, a rare life threatening complication of pregnancy.

Question 6

The initial manifestations of AFLP always include one thing predominantly

Answer 6

Malaise (general illness)

Question 8

AFLP diagnosis?

Answer 8

Liver biopsy, but a medical diagnosis is sufficient

Question 9

AFLP immediate management

Answer 9

Ensure timely C-section. Delivery is the ONLY treatment

Question 10

Cholestatsis clinical signs

Answer 10

Severe pruritis of the trunks and limbs (itching). Increased serum total bile acid

Question 11

Explain Intrahepatic Cholestasis to begin with

Answer 11

The flow of bile in liver is stopped.

Question 12

Management for ICP? Regarding the fetus

Answer 12

Counseling the mother regarding fetal risks, giving Vit K to reduce bleeding risk, and early delivery. By 37-38 weeks.

Question 13

Therapy for maternal symptom relief in case of ICP is…?

Answer 13

Prescribing UDCA.

Question 14

Bacterial pneumonia first line treatment

Answer 14

Penicillin or cephalosporins. Both antibiotics ofc

Question 15

If atypical organisms are suspected in bacterial pneumonia?

Answer 15

Erythromycin

Question 16

Ok apart from first line treatment, what’s the general management of Bacterial pneumonia?

Answer 16

Oral Amoxicillin and clarithromycin

Question 17

For severe hoospital acquired pneumonia?

Answer 17

IV Cefuroxime and clarithromycin

Question 18

Which Hepatitis virus has the highest risk of vertical transmission, should the mother be infected in the 3rd trimester

Answer 18

HEV

Question 19

Which antibiotic should be avoided After 20 weeks of gestation due to fetal tooth discoloration?

Answer 19

Tetracycline

Question 20

What do we use to induce labor in Asthmatic women

Answer 20

Prostaglandin E2

Question 21

What do we use to induce labor in extreme circumstances in asthmatic women, as it may induce an acute asthma attack?

Answer 21

Prostaglandin F2a

Question 22

During labor, we prefer regional or general anesthesia?

Answer 22

Regional, as to reduce risk of bronchospasm

Question 23

Oral corticosteroids can only be used in which trimester?

Answer 23

First one only

Question 24

Less than 1% of Theophylline is excreted into breast milk, true or false?

Answer 24

True

Question 25

Why is a patient with poorly controlled asthma at highest risk for Fetal Growth Restriction?

Answer 25

The chronic hypoxia would impair fetal growth

Question 26

AFLP patient typically presents with…?

Answer 26

Hypoglycemia + hyperuricemia

Question 27

Which vaccine is recommended in pregnancy to prevent pneumonia

Answer 27

Influenza