Obs - Medical Conditions During Pregnancy

Question 1

features of VZV?

Answer 1

fever
itch
malaise
lesions on MM
macules -> fluid filled vesicles -> scab

Question 2

Tx for pregnant women who have VZV?

Answer 2

VZIg + aciclovir given to babies if infected at birth

VZIg given in early pregnancy

Question 3

complications of VZV?

Answer 3

pneumonia
hepatitis
encephalitis
meningitis
shingles

Question 4

if exposed to VZV <20wks, what can baby get?

Answer 4

fetal varicella syndrome

skin scarring
neuro probs
hypoplastic limbs
eye defects

Question 5

when can pregnant women with VZV be given acyclovir?

Answer 5

if rash has developed within 24wks and >20wks

Question 6

what is done if a pregnant women thinks she has been in contact with someone with VZV?

Answer 6

> 15 mins contact
IgG checked
VZIG as prophylaxis

Question 7

features of zika?

Answer 7

asymptomatic
fever
rash
athralgia
guillan barre

Question 8

how is zika transmitted?

Answer 8

mosquitoes

Question 9

what can zika virus do to babies?

Answer 9

brain abnormalities
eye abnormalities
microcephaly
miscarriage

Question 10

what is CMV?

Answer 10

infection that has lifelong latency and can reactivate

Question 11

features of CMV?

Answer 11

fever
lymphadenopathy
fatigue
aching muscles

Question 12

what can CMV do to the fetus?

Answer 12

neuro abnormalities
microcephaly
IUGR
learning difficulties
blindness

Question 13

Ix for CMV and results?

Answer 13

FBC (high WCC)

CMV IgM

Question 14

features of covid?

Answer 14

fever
dry cough
SOB
loss of taste/smell
fatigue

Question 15

Ix for covid?

Answer 15

swab and PCR
ABG
FBC, U+Es, LFTs, coag, CRP
BM
CXR

Question 16

Tx for covid?

Answer 16

symptomatic
oxygen
steroids
CPAP

Question 17

what is GBS?

Answer 17

gram positive (purple) streptococci

Question 18

features of GBS in babies?

Answer 18

noisy breathing 
sleepy
not feeding well
temperature
blotchy skin

Question 19

prophylaxis for GBS during birth?

Answer 19

IV benzylpenicillin

Question 20

what are risk factors for GBS?

Answer 20

prematurity
Hx
premature membrane rupture (>24hrs)
high temperature during labour

Question 21

what is the risk if mum gets parovirus B19?

Answer 21

anaemia
heart failure
hydrops fealis

Question 22

what is rubella?

Answer 22

german measles

Question 23

features of rubella?

Answer 23

maculopapular rash (hands then spreads)
fever
malaise

Question 24

risks to fetus if mum gets rubella?

Answer 24

miscarriage (1st trim)

Question 25

features of congenital rubella syndrome?

Answer 25

SN hearing loss
congenital heart disease
cataracts

Question 26

should those with HIV breastfeed?

Answer 26

no (unless undetectable viral load)

Question 27

when does thyroid disease worsen during pregnancy?

Answer 27

first trimester

Question 28

what is given from 36wks to those taking carbemazepine/phenytoin?

Answer 28

Vit K

Question 29

how much and for how long should folic acid be taken?

Answer 29

5mg
12wks before
throughout if epileptic

Question 30

when does cholestastis often happen during pregnancy?

Answer 30

second trimester

Question 31

how does cholestasis present?

Answer 31

itch on palms and soles

Question 32

Tx for cholestasis?

Answer 32

urseodeoxycholic acid
LFTs checked
Vit K pre/post birth

Question 33

what is acute fatty liver of pregnancy? features?

Answer 33

fat deposition after 30wks

abdo pain
headache
jaundice
N+V

Question 34

Ix for acute fatty liver of pregnancy?

Answer 34

LFTs
U+E
BM (low)
coag

Question 35

Tx for acute fatty liver of pregnancy?

Answer 35

EMERGENCY
stabilise
liver/renal failure risk
delivery baby

Question 36

if a pregnant women has 2++ at screening, what is the Tx?

Answer 36

nitrofurantoin

3rd trim - trimethoprim

Question 37

Tx for pyelonephritis during pregnancy?

Answer 37

co amox

Question 38

what is prurigo? features? Tx?

Answer 38

itch >35wks

papules on abdomen and legs

resolves after birth

Question 39

affected rates of

AD
Xlinked rec
AR?

Answer 39

AD = 50%
X linked = mother 50% carrier daughter, 50% sons

AR = 25% affected, 50% carrier