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MRCOG Part 2 > Numbers 6 > Flashcards

Numbers 6 Flashcards

1
Q

Prevalence epilepsy in pregnancy

A

0.5-1%

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2
Q

% seizure free in pregnancy

A

74-92%

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3
Q

Risk of SGA/FGR increases by how much with AEDs

A

3.5x higher

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4
Q

Contraception safe with AEDs

A

Copper, LNG-IUS, MPA injections

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5
Q

Lamotrigine can reduce oestrogen containing contraception levels by

A

25-70%

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6
Q

% headaches that are primary

A

10%

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7
Q

% headache after accidental dural puncture

A

70-80%

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8
Q

Cure rate of blood patch for epidural headache

A

60-90%

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9
Q

Migraine increases risks by:
PET
MI
Stroke

A

2 fold
4 fold
17 fold

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10
Q

Incidence of cerebral venous thrombosis

A

1:2500-10,000

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11
Q

Incidence Idiopathic intracranial hypertension

A

1: 100,000
19: 100,00 obese

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12
Q

Baseline HR and BP in SCI

A

40-50bpm

BP 80/50mmHg

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13
Q

% worsening spasticity in SCI

A

12%

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14
Q

Level SCI contractions felt

A

T10

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15
Q

Level SCI cervical dilatation felt

A

T11-12

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16
Q

Level SCI feel perineal/vaginal sensation

A

L2-L4

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17
Q

% haemorrhagic strokes in pregnancy

A

40-50%

ICH

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18
Q

% abnormal thymus in MG

A

15%

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19
Q

% Neonatal MG

A

9-20%

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20
Q

% women with carpal tunnel syndrome

A

25%

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21
Q

UK vertical transmission rate of HIV

A
  1. 2%

0. 8% if ARV

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22
Q

UK incidence HIV

A

2:1000

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23
Q

Risk HIV transmission if HIV on HAART

A

<2%

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24
Q

% pregnant women immune to to parvovirus

A

50%

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25
Q

Hep B incidence UK

A

1:1000

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26
Q

Hep C transmission to babe

A

1:20 births

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27
Q

Maternal mortality of Eisenmenger

A

20-40%

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28
Q

Risk of rupture if aortic root >4cm

A

10%

1% if <4cm

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29
Q

IHD accounts for how many cardiac deaths?

A

1/3

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30
Q

% peripartum cardiomyopathy associated with HTN

A

25%

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31
Q

% MI immediately postpartum

A

50%

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32
Q

% POTs who feel better during pregnancy

A

60%

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33
Q

% POTs who are worse during pregnancy

A

20-30%

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34
Q

% severe vomiting and hyperemesis in 1st trimester POTs

A

50-60%

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35
Q

left anterior descending coronary artery accounts for % of coronary artery dissection

A

80%

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36
Q

Mortality of coronary artery dissection

A

30-40%

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37
Q

How long to delay delivery by if MI

A

2-3 weeks

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38
Q

PEFR in acute severe asthma

A

33-50%

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39
Q

% varicella pneumonia affects pregnant women

A

10%

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40
Q

ARDS mortality

A

25%

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41
Q

% who deteriorate with severe asthma

A

60%

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42
Q

% asymptomatic bacteriuria develops urinary sepsis if untreated

A

40%

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43
Q

% urinary sepsis that have relapse bacteriuria

A

30%

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44
Q

% of pyelonephritis that have bacteraemia

A

15-20%

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45
Q

% pyelonephritis recurrence

A

20%

46
Q

% good outcome in mild/mod renal disease (creat <250)

A

90-96%

47
Q

% good outcome in severe renal disease (creat >250)

A

51%

48
Q

% pregnancies going beyond 1st trimester in renal allografts

A

70%

49
Q

% postpartum pemphigoid flare

A

75%

50
Q

% acute fatty liver recurrence

A

25%

51
Q

% hypogonadotrophic hypogonadism in beta thalassaemia

A

66%

52
Q

Incidence vasa praevia in IVF

A

1: 300
1: 6000 BG

53
Q

Placenta praevia rate increases in IVF by…

A

3 fold

54
Q

% twins delivered <28/40 if CL at 20/40 is 22mm

A

25%

55
Q

POTs has persistent increase in HR by

A

30bpm

56
Q

Risk of cleft clip with high dose steroids in first trimester

A

0.3%

57
Q

Incidence of acute fatty liver of pregnancy

A

1:7000-15,000

58
Q

AFLP recurrence

A

25%

59
Q

HELLP recurrence

A

19-27%

60
Q

Hepatic adenoma - lifetime risk of haemorrhage

A

27%

50% mortality

61
Q

Hepatic adenoma - lifetime risk of rupture

A

17%

62
Q

CLD and splenic artery aneurysm rupture rate

A

20%
70% in 3rd trimester
70% mortality rate

63
Q

Liver transplant live birth rate

A

77-91%

Wait 1 year before conception

64
Q

% liver transplant graft loss in first 2 years after pregnancy

A

11%

65
Q

How many women with gallstones in pregnancy develop acute cholecystitis?

A

33%

66
Q

Incidence SLE

A

1:1000

67
Q

Risk early onset PET in lupus + eGFR <90, raised BP and proteinuria at booking

A

28%

vs 16% just SLE

68
Q

Lupus nephritis and risk of PTB

A

30-40%

69
Q

Lupus nephritis and risk of FGR/SGA

A

16%

70
Q

Incidence of lupus flares in pregnancy

A

13-65%

71
Q

% SSA/Ro and SSB/la antibodies in Sjogren’s

A

70-80%

72
Q

% rash in neonatal lupus

A

10-25%

73
Q

Congenital heart block in lupus

A

2%

74
Q

Congenital heart block in lupus + previous affected child

A

16-18%

75
Q

Incidence RA

A

1:2000

76
Q

Incidence PGP

A

16-25%

1:36-300

77
Q

Recurrence PGP

A

65-85%

78
Q

% psychiatric disease in pregnancy

and how many severely affected?

A

20%

3-5% severely affected

79
Q

PN blues

A

50-80%

80
Q

PND

A

13%

50% develop antenatally

81
Q

Antenatal depression

A

11%

82
Q

Depression relapse

A

40%

83
Q

% women who have depression up to 1 yr postnatally

A

30%

84
Q

Severe PND

A

3%

85
Q

Risk of PND if major depression Hx and FHx

A

42% (15% without FHx)

86
Q

Recurrence PND

A

1:2-3 pregnancies

87
Q

% of bipolar that have postpartum pyschosis

A

20-30%

88
Q

Postpartum pyschosis

A

1-2:1000

89
Q

Risk of suicide in postpartum pyschosis

A

2:100

90
Q

% bipolar that have PP psychosis if previous psychosis

A

50%

91
Q

% bipolar that have PP psychosis if FHx

A

74%

92
Q

% women with postpartum psychosis who have delusional ideas about babe

A

74%

93
Q

Number of women who died by suicide and had previous psychiatric history

A

2/3

94
Q

Number of women who died by suicide and had previous bipolar disorder or psychosis

A

1/3

95
Q

% women with eating disorders who have difficulties bonding with babe

A

90%

96
Q

% women who conceive after myomectomy assuming no other fertility factors

A

67%

97
Q

Risk of uterine rupture during pregnancy after laparoscopic myomectomy

A

1.2-6.8%

98
Q

% ectopic beats and non-sustained arrythmia in palpitations in pregnancy

A

50%

99
Q

Incidence of shoulder dystocia

A

0.5-0.7%

100
Q

Incidence of PPH with shoulder dystocia

A

11%

101
Q

Incidence of 3rd/4th degree tear with shoulder dystocia

A

3.8%

102
Q

Incidence of brachial plexus injury with shoulder dystocia

A

2.3-16%

103
Q

Recurrence shoulder dystocia

A

1-25%

104
Q

All fours position success for shoulder dystocia

A

80%

105
Q

Incidence of cord prolapse

A

0.1-0.6%

106
Q

Incidence of cord prolapse in breech

A

1%

107
Q

Delayed cord clamping gives how much extra blood to babe?

A

80-100ml

108
Q

% of abruptions in low risk pregnancies

A

70%

109
Q

Recurrence with 1 previous abruption

A

4%

110
Q

Placenta praevia OR with 1 previous CS

A

2.2

111
Q

Placenta praevia OR with 2 previous CS

A

4.1

112
Q

Placenta praevia OR with 3 previous CS

A

22.4

MRCOG Part 2 (7 decks)

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