REPRO 5.5

Question 1

risks of alcoholism during pregnancy

Answer 1

miscarriage
FAS
wernickes
karsokoff

Question 2

FAS

Answer 2

smooth philtrum, thin vermillion, small palpable fissures

decrease IQ, neurodevelop delay, epilepsy, hearing, heart and kidney defects

Question 3

wernickes lack of what

Answer 3

B1

Question 4

cocaine/amphetamines/ecstacy risks

death via what

Answer 4

death via arrhythmias/stroke
teratogenic
PET, abruption, withdrawal, IUGR, miscarriage, development delay

Question 5

opiates risks

maternal death

Answer 5

maternal death 1-2%

NAS, IUGR, IUD

Question 6

nicotine risks

Answer 6

miscarriage, abotrtion, IUGR, IUD

Question 7

when can u not breast feed (3)

Answer 7

alcohol >8 units, cocaine, HIV

Question 8

baby blues when

treatment

Answer 8

d3-10

self limiting

Question 9

post natal depression when

Answer 9

2-6 PN

Question 10

post natal depression how many last a year or more
recurrence rate
life tie risk of depression

Answer 10

1/3
25%
70%

Question 11

post natal depression can have an affect on what

Answer 11

bonding with child and child development

Question 12

treatment for post natal depression mild/mod

severe

Answer 12

councelling

pharma/psychotheray

Question 13

venlefaxine

Answer 13

htn

Question 14

SSRIs

Answer 14

caution after 20w - pulmonary htn

Question 15

paroxetine

Answer 15

cardiac abn

Question 16

TCAs and SSRIs

Answer 16

sedation

Question 17

citalopram and fluoexetine

Answer 17

high levels in breast milk

Question 18

all antidepressants

Answer 18

risk of withdrawal or toxicity in neonates - usually self limiting and mild

Question 19

pharma treatment for post natal depression

Answer 19

sertalline and parox - safe for BF

amitrip and nora trip also safe in BF

Question 20

puerperal psychosis when

DDX

Answer 20

2w post fatally

episode of bipolar, unipolar depression, schizophrenia, organic brain dysfunction

Question 21

symptoms of puerperal psychosis

Answer 21

sleep, confusion, irrational ideas, mania, delusions, hallucinations

Question 22

RF for puerperal psychosis

Answer 22

BPD, prev PP, 1st degree relative with history

Question 23

suicide risk
infancide risk
10y recurrent
BPD

Answer 23

5%
4%
80%
25%

Question 24

treatment for puerperal psychosis

Answer 24

admit, anti depressants, mood stabilisers, ECT

Question 25

risk of postnatal episode of BPD with treatment

Answer 25

50%

Question 26

chance of baby getting BPD

Answer 26

1/7

Question 27

valproate

Answer 27

NTD, craniofacial, CDV, IUGR, decreased IQ, clef, CU dx

Question 28

carbamazepine

Answer 28

facial dysmorphism, cardiac, fingernail hyperplasia, NTD, haemorrhagic dx

Question 29

lithium

Answer 29

cardiac anomalies, maternal toxicity, ebsteins, hypotonic, hypoglycaemic, hypothyroid

Question 30

safest drug for BPD

Answer 30

lamotrigene

Question 31

lamotrigene BF

Answer 31

SJS syndrome

Question 32

consider what postnatally for BPD

Answer 32

elective lithium

Question 33

risk of schizophrenia to child

Answer 33

10%

Question 34

clozapine

olanzapine

Answer 34

not safe in BF

extrapyridimal when BF

Question 35

what type of psychotics are safe in schizophrenia whilst pregnancy

Answer 35

typical

Question 36

risks of eating disorders

Answer 36

IUGr, pre, decrease k and na, mat alk, miscarriage

Question 37

avoid benzo’s in anxiety why

Answer 37

cleft lip

NAS