Physiology of pregnancy Flashcards

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1
Q

The following hemodynamic changes are characteristic in pregnancy, except:
A) increase in cardiac output
B) decrease in blood pressure in the first half of pregnancy
C) increase in heart rate
D) increase in venous pressure in the lower limbs
E) increase in central venous pressure

A

E) increase in central venous pressure

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2
Q

CTG alteration in vena cava inferior syndrome:
A) persistent tachycardia
B) acceleration
C) the fetal heart rate is unchanged
D) the fetal heart rate decelerates
E) reduced oscillation

A

D) the fetal heart rate decelerates

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3
Q

Physiological changes in pregnancy, except:
A) the pH and composition of the saliva changes
B) stomach and intestinal motility increase
C) pyelectasia, especially on the right side
D) serum levels of T3, T4 increase but TSH level is unchanged
E) the ligaments are loosened

A

B) stomach and intestinal motility increase

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4
Q

Vena cava inferior syndrome features:
A) headache
B) maternal blood pressure decreases
C) phosphene
D) vena cava inferior thrombosis and increased maternal blood pressure

A

B) maternal blood pressure decreases

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5
Q

The following changes are characteristic in pregnancy, except:
A) acromegaloid symptoms
B) hyperpigmentation
C) increased lumbar lordosis
D) general vessel dilation
E) decrease in cardiac output

A

E) decrease in cardiac output

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6
Q

The carbohydrate metabolism in pregnancy is characterized by:
A) higher fasting blood sugar levels
B) increased insulin resistance
C) lower fasting blood glucose levels
D) reduced insulin resistance
E) increased glucose absorption

A

B) increased insulin resistance

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7
Q

Required daily calcium intake in pregnancy:
A) 800 mg
B) 500-1000 mg
C) 1200 mg
D) 2000 mg
E) 3 g

A

C) 1200 mg

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8
Q

Daily iron requirements in pregnancy (based on RDA recommendations):
A) 30 mg
B) 100 mg
C) 5-10 mg
D) 300 mg
E) 500 mg

A

A) 30 mg

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9
Q

Which skin condition is characteristic for pregnancy?
A) depigmentation
B) erythema nodosum
C) lichenificatio
D) increased pigmentation

A

D) increased pigmentation

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10
Q

Protein content of urine collected in 24 hours in normal pregnancy:
A) is abnormal only if it exceeds 500 mg / l
B) is acceptable only if less than 300 mg / l
C) not abnormal up to 1000 mg / l
D) is acceptable only under 150 mg / l

A

B) is acceptable only if less than 300 mg / l

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11
Q

Causes of physiological glucosuria in pregnancy:
1) increased mobilization of carbonhydrate storages
2) increased GFR
3) reduced insulin resistance
4) filtered glucose can not be reabsorbed in tubules
5) glucose excretion increases in tubules

A) 1st, 2 and 3rd answers are correct
B) 1st, 3rd and 4th answers are correct
C) 1st, 4th and 5th answers are correct
D) 1st, 3rd and 5th answers are correct
E) 2nd and 4th answers are correct
F) 2nd, 3rd and 4th answers are correct

A

E) 2nd and 4th answers are correct

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12
Q

During pregnancy, the following characteristic physiological changes occur in the kidneys and the urinary tract:
1) the ureter tone decreases
2) the peristalsis of the ureter increases
3) pyelectasia
4) the GFR increases
5) the kidney’s ability to dilute the urine is significantly reduced

A) 1st, 2nd, 4th and 5th answers are correct
B) all of the answers are correct
C) 2nd and 4th answers are correct
D) 1st, 3rd and 4th answers are correct
E) 2nd, 4th and 5th answers are correct

A

D) 1st, 3rd and 4th answers are correct

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13
Q

Cardiovascular changes in pregnancy:
1) increased heart rate
2) increased systolic volume
3) increase in blood pressure in the second half of pregnancy
4) increased cardiac output
5) increased venous pressure in the lower limbs

A) 1st, 2nd, 4th and 5th answers are correct
B) all of the answers are correct
C) 2nd, 3rd and 4th answers are correct
D) 3rd, 4th and 5th answers are correct
E) 4th and 5th answers are correct

A

B) all of the answers are correct

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14
Q

Characteristic for vena cava inferior syndrome:
1) decrease in maternal blood pressure
2) acceleration of fetal heart rate
3) faintness of the pregnant woman
4) occurs when the pregnant lays on the back
5) increased maternal blood pressure

A) 1st, 2nd and 3rd answers are correct
B) 1st, 3rd and 4th answers are correct
C) 2nd, 3rd and 4th answers are correct
D) 2nd, 4th and 5th answers are correct
E) 3rd, 4th and 5th answers are correct

A

B) 1st, 3rd and 4th answers are correct

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15
Q

Select the direction in which physiological parameters change during pregnancy:
A) increases
B) decreases
C) unchanged
D) increases in the first half of pregnancy
E) decreases in the first half and increases in the second half of pregnancy

OBG - 7.19 - heart rate
OBG - 7.20 - systolic blood pressure
OBG - 7.21 - insulin resistance
OBG - 7.22 - diastolic blood pressure
OBG - 7.23 - GFR
OBG - 7.24 - risk of thrombosis

A

19- A
20- E
21- A
22- E
23- A
24- A

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16
Q

Choose the direction in which each laboratory parameter changes in normal pregnancy:
A) increases
B) decreases
C) unchanged

OBG - 7.25 - hemoglobin level
OBG - 7.26 - white blood cell count
OBG - 7.27 - erythrocyte sedimentation rate
OBG - 7.28 - serum iron levels
OBG - 7.29 - clotting time

A

25- B
26- A
27- A
28- B
29- C

17
Q

In healthy pregnancies, elevated white blood cell counts are often observed because the lifetime of white blood cells increase in pregnancy.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

C) the statement is true, but the explanation is false;

18
Q

The occurrence of glycosuria is always abnormal in pregnancy because the higher amount of glucose eliminated due to the increased GFR cannot be reabsorbed in the tubules.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

D) the statement is false, but the explanation itself is true

19
Q

Maternal blood pressure increases in the first half of pregnancy because the cardiac output is increased by nearly 20% at the end of the first trimester related to the pre-pregnancy value.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

D) the statement is false, but the explanation itself is true

20
Q

The circadian rhythm of blood pressure often changes in pregnancy because when the pregnant woman lays back the uterus compresses the vena cava inferior and prevent the flow in the pelvic veins.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

D) the statement is false, but the explanation itself is true

21
Q

The risk of thrombosis is increased in pregnancy because the coagulation time is elongated.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

C) the statement is true, but the explanation is false;

22
Q

Pyelectasia of the right kidney is common in pregnancy because the uterus leans to the right and compresses the ureter.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

A) both the statement and the explanation are true and a causal relationship exists between them;

23
Q

The metabolism increases in pregnancy because reduced insulin resistance characterizes pregnancy.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

C) the statement is true, but the explanation is false;

24
Q

Many pregnant women complain of heartburn because in pregnancy gastric tone reduction leads to gastric acid regurgitation in the lower esophagus and causes chemical oesophagitis.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

A) both the statement and the explanation are true and a causal relationship exists between them;

25
Q

The metabolism increases in pregnancy because the thyroid function is increased and also the oxygen demand of the maternal and fetal tissues is elevated.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

A) both the statement and the explanation are true and a causal relationship exists between them;