passmed

Question 1

what is hyperemesis gravidarum?

Answer 1

sickness ++ during pregnancy due to increased hcg levels

Question 2

what is associated with a decreased risk of hyperemesis

Answer 2

smoking

Question 3

what can you give first line for hyperemesis?

Answer 3

an anti histamine (promethazine)

Question 4

complications of hyperemesis?

Answer 4

wernickes encephalopathy

mallory weiss tear

Question 5

what complication of chicken pox do you worry about?

Answer 5

pneumonitis

Question 6

if mother gets chicken pox, what can happen to baby?

Answer 6

fetal varicella syndrome

Question 7

if there is doubt as to whether the mother has had chicken pox, what should be done?

Answer 7

bloods should be checked for varicella antibodies

Question 8

if pregnant women not immune to varicella, what should she be given?

Answer 8

zoster imunoglobulin

Question 9

which drugs are contraindicated when breast feeding?

Answer 9

ciprofloxacin, tetracyclines, aspirin, SUs, amiodarone, methotrexate

Question 10

first line for anti sickness in pregnancy?

Answer 10

anti histmamine (promethazine)

Question 11

breast feeding advantages?

Answer 11

bonding
increased involution of uterus
protection against breast and ovarian cancer
cheap
contraceptive effect (although unreliable)
reduced incidence of sudden infant death syndrome

Question 12

is breast feeding a reliable form of contraception ?

Answer 12

no

Question 13

what type of infections are reduced from breast feeding?

Answer 13

ear, chest and GI

Question 14

breast feeding - immunological?

Answer 14

IgA (protects mucosal surfaces), lysozyme (bacteriolytic enzyme) and lactoferrin (ensures rapid absorption of iron so not available to bacteria)

Question 15

disadvantages of breast feeding?

Answer 15

transmission of infection (women with HIV should be advised to bottle feed)
prolonged breast feeding may lead to vitamin D deficiency
breast milk jaundice
transmission of drugs

Question 16

can hep b be transferred by breast feeding?

Answer 16

hepaatitis B - no

Question 17

what is treatment if mother has hep B

Answer 17

give baby the hep b vaccine and immunoglobulin

Question 18

hyperemsis gravidarum diagnositc creiteria ?

Answer 18

5% pre pregnancy weight loss, dehydration and electrolyte imbalance

Question 19

postnatal blues time frame?

Answer 19

event by 3rd day, peak by 5th day, subside by 10th day

Question 20

what is puerperal pyrexia?

Answer 20

defined as a fever of over 38 degrees in the first 14 days following delivery

Question 21

what is use of an SSRI in late pregnancy associated with ?

Answer 21

withdrawal symptoms

Question 22

breech presentations - if less than 36 weeks management

Answer 22

leave, most foetus will turn spontaneously

Question 23

if still breech at 36 weeks?

Answer 23

external cephalic version

Question 24

main cause of itch without a rash in the third trimester of pregnancy?

Answer 24

obstetric cholestasis

Question 25

management of obstetric cholestasis?

Answer 25

admit to hospital

ursodeoxycholic acid and sedating antihistamines

Question 26

what is a complete hydatidiform mole?

Answer 26

empty egg is fertilised by a single sperm

Question 27

bleeding, exaggerated symptoms of pregnancy, uterus large for dates, very high levels of hcg?

Answer 27

hydatidiform mole

Question 28

what may also be seen with hydatidiform mole?

Answer 28

hypertension or hyperthyroid

Question 29

first line for anti sickness in pregnancy?

Answer 29

anti histmamine (promethazine)

Question 30

breast feeding advantages?

Answer 30

bonding
increased involution of uterus
protection against breast and ovarian cancer
cheap
contraceptive effect (although unreliable)
reduced incidence of sudden infant death syndrome

Question 31

is breast feeding a reliable form of contraception ?

Answer 31

no

Question 32

what type of infections are reduced from breast feeding?

Answer 32

ear, chest and GI

Question 33

breast feeding - immunological?

Answer 33

IgA (protects mucosal surfaces), lysozyme (bacteriolytic enzyme) and lactoferrin (ensures rapid absorption of iron so not available to bacteria)

Question 34

disadvantages of breast feeding?

Answer 34

transmission of infection (women with HIV should be advised to bottle feed)
prolonged breast feeding may lead to vitamin D deficiency
breast milk jaundice
transmission of drugs

Question 35

can hep b be transferred by breast feeding?

Answer 35

hepaatitis B - no

Question 36

what is treatment if mother has hep B

Answer 36

give baby the hep b vaccine and immunoglobulin

Question 37

hyperemsis gravidarum diagnositc creiteria ?

Answer 37

5% pre pregnancy weight loss, dehydration and electrolyte imbalance

Question 38

postnatal blues time frame?

Answer 38

event by 3rd day, peak by 5th day, subside by 10th day

Question 39

what is puerperal pyrexia?

Answer 39

defined as a fever of over 38 degrees in the first 14 days following delivery

Question 40

what is use of an SSRI in late pregnancy associated with ?

Answer 40

withdrawal symptoms

Question 41

breech presentations - if less than 36 weeks management

Answer 41

leave, most foetus will turn spontaneously

Question 42

if still breech at 36 weeks?

Answer 42

external cephalic version

Question 43

main cause of itch without a rash in the third trimester of pregnancy?

Answer 43

obstetric cholestasis

Question 44

management of obstetric cholestasis?

Answer 44

admit to hospital

ursodeoxycholic acid and sedating antihistamines

Question 45

what is a complete hydatidiform mole?

Answer 45

empty egg is fertilised by a single sperm

Question 46

bleeding, exaggerated symptoms of pregnancy, uterus large for dates, very high levels of hcg?

Answer 46

hydatidiform mole

Question 47

what may also be seen with hydatidiform mole?

Answer 47

hypertension or hyperthyroid