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Obstetrics > Obstetrics 1 > Flashcards

Obstetrics 1 Flashcards

1
Q

Good gestational diabetes

A

Shoulder dystocia
Pre eclampsia
Macrosomia

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2
Q

Who gets LDSC?

A

IBD patients

HIV with high viral load

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3
Q

Cyclosporin in preg

A

growth restriction risk

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4
Q

What happens to lamotragine in preg?

A

Increase clearance

so need to increase 2-3 times to keep therapeutic

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5
Q

If on an enzyme inducing antiepileptic at delivery?

A

Give kid vitamin K

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6
Q

Migraine women have increase risk SAH when?

A

Post partum not during labour

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7
Q

What should you do with a hemiplegic migraine who gets pregnant?

A

Aspirin

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8
Q

What IBD drugs are ok in preg?

A

Mesalazine, sulfasalazine, steroids

If flare- AZA

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9
Q

Respiratory normal changes in pregnancy?

A

pH goes up to 7.45 from 7.4; PaCO2 goes down to about 30
RR increases
Tidal vol increases
Alveolar ventilation increases

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10
Q

What happens to asthma in preg?

A

third worsen
third improve
third same

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11
Q

Good puffer in preg?

A

Budesonide

Note that if stable on symbicort and seretide- just keep them on it!

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12
Q

VTE- higher risk pre or post partum?

A

Post partum

Increased risk stable across all trimesters

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13
Q

Higher proportion of what type of DVT compared with non pregnant?

A

Iliofemoral

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14
Q

Neg DVT scan but clinical suspicion>

A

Repeat doppler in one week
MRDI (MR direct thrombus imaging)
Venography- but HIGHEST radiation

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15
Q

Major benefit of VQ in preg?

A

reduced breast cancer risk compared CTPA

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16
Q

If do VQ but non diagnostic scan, then what?

A

CTPA

17
Q

Thrombocytopaenia over what level for spinal?

A

80

over 50 for instrumental delivery

18
Q

Gestational thrombocytopaenia - what levels

A

90% are still over 100
can drop to 70

MUST have normal counts in T1 and T2 and normalise post partum
Often recurs with preg
NO increase risk low plt in baby

Note ITP DOES cause low plt in baby and possibly bleeding

19
Q

TSH upper limits for trimesters?

A

T1 2.5
T2 3.0
T3 3.5

20
Q

What deformity does carbimazole give baby?

A

choanal atresia

21
Q

Does it help to deliver early in pregnancy if TTP HUS?

A

No

Obstetrics (10 decks)

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