Pregnancy + Infections

Question 1

Treatment for UTI in pregnant woman

Answer 1

nitrofurantoin

Question 2

How mant cfu on UA to be considered asymptomatic bacturia

Answer 2

> 10^5

Question 3

maternal fever, uterine tenderness, inc WBSs, inc fetal HR

Answer 3

chorioamnionitis

Question 4

MC bugs to cause chorioamnionitis

Answer 4

E coli and GBS

Question 5

Management of chorioamnionitis

Answer 5

amniocentesis + Cx of amniotic fluid –> Tx with IV abx + delivery

Question 6

thin homogenous vaginal discharge + fishy
odor; complications include preterm
delivery, PPROM, and puerperal infx

Dx made by? Tx?

Answer 6

BV = clue cells on wet prep, give metronidazole

Question 7

baby with “blueberry muffin” rash, hepatosplenomegaly,
jaundice, thrombocytopenia,
periventricular calcifications

Answer 7

CMV inclusion dz; no treatment exists

Question 8

HBsAg + mom, what is ppx for baby

Answer 8

HBIG and HBV at birth

Question 9

complication of maternal Parvo B19 inf

Answer 9

hydrops fetalis

if suspected, Dx parvo IgM → Tx serial U/S + fetal transfusion w/ signs of hydrops

Question 10

cataracts + PDA + deafness

Answer 10

congenital rubella

Question 11

early vs late congenital syphillis

Answer 11

Early congenital syphilis: rash, snuffles,
hepatosplenomegaly, jaundice, LN-opathy

Late congenital syphilis: CN VIII deafness,
saber shins, mulberry molar, Hutchinson’s
teeth, saddle nose

Question 12

fever, seizure,
chorioretinitis, microcephaly, jaundice,
head CT shows ring-enhancing lesions

Answer 12

congenital toxoplasmosis

Question 13

conjunctivitis,

ophthalmia, otitis externa, pneumonia

Answer 13

neonatal G/C inf

Tx: ceftriaxone + azithromycin

Question 14

treatment for varicella inf in preg

Answer 14

VZIG for mom and fetus