Pregnancy

Question 1

Hard and painful uterus with PV bleeding in 3rd trimester with dark red blood

Answer 1

Placenta abruption

Question 2

multipara late in 3rd trimester (> 34 weeks) with painless bright red bleeding

Answer 2

Placenta previa

Question 3

Preeclampsia always occurs > ____ weeks

Answer 3

20 weeks

Question 4

Name 3 characteristics of preeclampsia

Answer 4

edema of face/hands
Weight gain of > 2-4 lbs per week
BP > 140/90
Urine protein +1
Headache/visual disturbance

Question 5

HELLP define
What is this condition associated with?

Answer 5

Hemolysis
Elevated liver enzymes
Low platelets

Preeclampsia

Question 6

If protein present in u dip on pregnant woman > 20 weeks, what is the next diagnostic test?

Answer 6

24 hour urine protein and creatinine

Question 7

T/F. MCV is the best way to identify if IDA in pregnancy as HCT and HGB decrease throughout pregnancy

Answer 7

True

Question 8

All of the following are increased in pregnancy, except:
ESR
TSH
WBC
ALK phos

Answer 8

TSH - unchanged in pregnancy

Question 9

Serum alpha fetoprotein is produced in the maternal and fetal ____

Answer 9

liver

Question 10

Identify if high/low AFP in Downs and NTD

Answer 10

Downs - low AFP
NTD - high AFP

Question 11

Chorionic villus sampling can be completed at ___ to ___ weeks VERSUS amniocentesis that can be performed at __ to __ weeks

Answer 11

10-12 weeks (CVS)
5-18 weeks (amnio)

Question 12

Do not use doubling of HCG after what week?

Answer 12

12 weeks (only relevant in first trimester)

Question 13

When to swab for GBS in pregnancy?

Answer 13

35-37 weeks

Question 14

What 2 medications can be used for HTN in pregnancy?

Answer 14

CCB
Labetalol

Question 15

All of the following have what in common?
TMP/SMX
ACE
Fluoroquinolones
Tetracyclines
NSAIDs
Sulfa drugs

Answer 15

Not safe to use in pregnancy

Question 16

After live vaccine, advise females to not get pregnant within ____ weeks for ____ or ____ months for _______ and _____

Answer 16

After live vaccine, advise females to not get pregnant within 4 weeks for MMR or 3 months for varicella and shingles

Question 17

Normal weight gain in pregnancy is

Answer 17

25-35 lbs

Question 18

At what week is the uterine fundus at the umbilicus?
At this week FHT can be auscultated using

Answer 18

20 weeks
Stethoscope

Question 19

Size discrepancy of fetus that is abnormal is > ___ cm

Answer 19

> 2 cm

Question 20

Nageles rule

Answer 20

EDD = LMP + 9 months + 7 days

Question 21

If a woman is diagnosed w/ diabetes in the first trimester she has gestational diabetes. True or false?

Answer 21

False, she has DM II

Question 22

OGTT abnormal fasting result

Answer 22

> 95

Question 23

OGTT abnormal 1 hour result

Answer 23

180

Question 24

OGTT abnormal 2 hour result

Answer 24

> 153-155

Question 25

How to treat pregnant woman w/ UTI if < 38 weeks

Answer 25

Nitro x 5-7 days (increased risk of hyperbilirubinemia late in pregnancy)

Question 26

A Urine micro of > 10,000 in symptomatic pregnant woman is considered a UTI. T/F?

Answer 26

True

Question 27

Threatened abortion, cervix open or closed?

Answer 27

Cervic closed

Question 28

Inevitable abortion, cervix open or closed?

Answer 28

Open

Question 29

intravaginal ultrasound is contraindicated in placenta previa. T/F?

Answer 29

True ONLY abdominal US