Quiz: Medical disorders

MgSo4 is prescribed in pre-eclampsia. the primary goal of this therapy is

A A. To lower the BP B B. To prevent preterm labor C C. For neuroprotection of the fetus D D. To prevent seizures

Regarding eclamptic treatment the followings are allowed except

A a) Conservative treatment B b) MgSo4 administration C c) Rest in dark quiet room D d) Anti-hypertensive

Which one of the following is NOT associated with increased risk of preeclampsia

A a. A Multiple pregnancy B b. Trophoblastic diseases C c. Obesity D d. Smoking

Immediate appropriate response to an initial eclamptic seizure include all of the following EXCEPT

A a. Ultrasound for fetal growth B b. Maintain adequate oxygenation C c. Administer magnesium sulphate D d. Prevent maternal injury

Which one of the following mothers carries a significant risk of having a baby with Erb's palsy following her vaginal delivery

A a. Pre-eclamptic mother with growth restricted fetus. B b. Cardiac mother with a preterm delivery C c. Diabetic mother with uncontrolled blood sugar. D d. Epileptic mother suffering folic acid deficiency due to her

In severe preeclampsia all of the following are true except

A a) bl.pr is more than 160110mmHg B b) appearance of symptoms C c) I.U.F.D may be present D d) fits must be treated by mgs04

Regarding sever pre-eclampsia the followings are true except

A a) Mgso4 is contraindicated B b) Hemoconcentration is present C c) IUGR or IUFD may be present D d) Diuretics is contraindicated

NON of the following would be indications that the patients receiving to MgSO4 and needs her Infusion dose lowered EXCEPT

A a) Hyperreflexia B b) Disappearance of patellar reflexes C c) Respiratory depression D d) Somnolence.

Maternal complications of DM during pregnancy include the following except

A A. Fetal Macrosomia B B. Pre-eclampsia C C. Polyhydramnios D D. pyelonephritis

All of the following are causes of generalized fetal macrosomia except

A a) D.M B b) maternal obesity C c) hydrops fetalis D d) hydrocephalus

The pathognomonic fetal malformation associated with D.M

A a) Neural tube defect. B b) Congenital heart disease C c) Sacral agenesis. D d) None of the above.

Intrauterine fetal death in pregnancy in pregnant diabetes is due to

A a) ketosis. B b) congenital fetal malformation. C c) maternal hyperglycemia. D d) any of the above.

the main cause of neonatal death in pregnant diabetics is

A a) prematurity. B b) congenital anomaly C c) respiratory distress syndrome D d) hypoglycemia.

The most common type of cardiac diseases during pregnancy in Egypt is

A a) Congenital heart disease B b) rheumatic heart disease C c) ischemic heart disease D d) cardiomyopathic heart disease

The maternal cardiac output in normal pregnancy

A A. Increases up to 45% in the period 32-34 weeks. B B. Increases up to 20% in the period 34-36 weeks. C C. Does not change all-over pregnancy. D D. Decreases by 10% in the period from 28-32 weeks

Which one of the following is the first line treatment in the management of hyperemesis gravidarum

A a. Glucocorticoids B b. Enteral nutrition C c. H2 blockers D d. Intravenous hydration

Chronic hypertension during pregnancy may be complicated by all of the following except

A a. Superimposed PET. B b. Abruptio placenta C c. Preterm labor D d. Placenta previa

As regard heart diseases with pregnancy all are false exept

A a) The proper time of hospitalization at 37 weeks. B b) CS is the rule C c) Treatment of associseted anemia and infection are not mandatory D d) ergometrin is contraindicated immediately post partum for prevention of PPH

Hyperemesis gravdarum is seen with increased frequency in all of the following except

A a. vesicular mole B b. Missed abortion C c. Twins D d. Primigravida

Which one of the following is the first line treatment in the management of hyperemesis gravidarum

A a. Glucocorticoids B b. Enteral nutrition C c. H2 blockers D d. Intravenous hydration

The following is a cause for hyper emesis gravidarum

A a) twins pregnancy B b) vesicular mole C c) acute polyhydramnios D d) all of the above

The routine management of hyper emesis gravidarum include all of the following except

A a) hospitalization and isolation B b) anti-emetics C c) anti-histaminic D d) anti-convulsant.

in case of puerperal pyrexia the following diagnosis should be considered until proved otherwise

A a) mastitis B b) U.T.I C c) G.I.T infection D d) puerperal sepsis

Hematological findings in Iron deficiency anaemia

A a) The mean corpuscular volume and mean corpuscula Hb are low. B b) Microcytic hyperchromic. C c) Macrocytic hypochromic. D d) Reticulocytic count is a characteristic feature.

Causes of hypofibrinogenemia in obstetrics incudal the following except

A a. Neglected missed abortion B B b. Rh isoimmunization reaction C c. Severe preeclampsia D d. Amniotic fluid embolism

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