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10 Cards in this Set
- Front
- Back
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For Hyperemesis Gravidarum:
1. What is the prevalence? 2. What are the risk factors (3)? 3. What are the key investigations? 4. What is the first line treatment? |
1. 1% of pregnancies
2. molar pregnancies, first pregnancies, multiple pregnancies 3. Bhcg, ultrasound, CBC, lytes, CUN, Cr, urinalysis, liver enzymes, bilirubin, lipase 4. vitamin B6 and doxylamine (Diclectin), consider hospitalization |
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For Gestational Diabetes:
1. What is the first screening test? 2. What is the second confirmation test? 3. What is the first line treatment? 4. True or false, GDM increases the the risk of congenital abnormalities? |
1. OGC, non-fasted, one hour
2. OGTT, fasted, two hours 3. Diet, exercise, monitor BG 4. FALSE |
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True or false for maternal physiology:
1. Cardiac output and blood volume increase 2. The number of leukocytes decreases 3. Appendicitis presents typically |
1. True
2. False 3. False |
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For placenta previa what are the characteristics of:
1. pain 2. uterine tenderness 3. coagulopathy 4. FHR tracing 5. shock and anemia |
1. none
2. none 3. absent 4. normal 5. correspond to apparent blood loss |
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For abruption what are the characteristics of:
1. pain 2. uterine tenderness 3. coagulopathy 4. FHR tracing 5. shock and anemia |
1. severe
2. present 3. present 4. abnormal or absent 5. out of proportion to apparent blood loss |
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What is the timing for prenatal visits for uncomplicated pregnancies?
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q4-6 weeks until 28 weeks
q2 weeks from 28 to 36 weeks weekly from 36 weeks until delivery |
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What is done at each prenatal visit?
1. History? 2. Physical? 3. Investigations? |
1. movements, bleeding, leaking, pain
2. BP, weight, SFH, Leopold's in T3, Doppler at >12 wks 3. u/a (glucose, ketones, protein) |
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What are the components of the FTS at 11-14 weeks?
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1. NT on US at 11-14 weeks
2. B-hcg 3. PAPP-A Downs = increased NT and B, decreased PAPP-A |
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What are the components of the MSS at 15-18 weeks?
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1. Maternal serum alpha-fetoprotein (MSAFP)
2. β-hCG 3. Unconjugated E (estradiol or uE3) oNT defects = ↑MSAFP (80-90% sensitive) Trisomy21 = ↓MSAFP, ↑β, ↓uE3 (sensitivity 65%) Trisomy18 = ↓MSAFP, ↓β, ↓uE3 (sensitivity 80%) |
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What are the components of the IPS?
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1. NT at 12 weeks, FTS ( B-hcg & PAPP-A) at 11-14
2. MSS (MSAFP, B-hcg, uE3) & inhibinA at 15-18 |
