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6 Cards in this Set

  • Front
  • Back

Give two reasons why pregnant women are at risk of oesophagitis

• Increased progesterone leads to loss of tone of LOS, which can easily lead to backflow of acid.


• Increased gastrin levels leads to increased acid production.

Why are women at an increased risk of DVT during pregnancy?

Due to increased production of fibrinogen and clotting factors which leads to a hypercoagulable state.

Why might a pregnant lady complain of swollen ankles? Explain the physiology.

Due to increased release of fluid from capillaries as a result of reduced oncotic pressure due to reduction in albumin.

A woman is being investigated for gallstones during the third trimester of her pregnancy. Which liver marker will not be helpful in deciding her diagnosis and why?

ALP because this is usually raised in pregnancy

When assessing the thyroid function in pregnant women, why would you only use the free T3 and T4 levels (and not total T3 and T4)?

Because thyroid binding globulin levels are increased during pregnancy (due to effect of oestrogen). So total T3 and T4 levels would also be increased so are not a reliable indicator of thyroid status. The free T3 and T4 levels remain unaffected so can be used.

Give two changes that occur to the constituents of blood during pregnancy.

• haemoglobin levels reduced due to haemodilution


• Red blood cells increase in size


• Haematocrit levels are reduced


• Reticulocyte levels are increased?