Obstetric And Perinatal Infections
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- 1.The leading cause of maternal mortality in endemic areas of the southwest US and Latin America is due to what fungal infection?
- A.
Candidiasis
- B.
Malaria
- C.
Poliomyelitis
- D.
Coccidioidomycosis
- 2.Once a fetus is infected, it more more susceptible to infection due to its poor immunity and lack of synthesis of what antibody?
- A.
IgA
- B.
IgD
- C.
IgG
- D.
IgM
- 3.Molecules that can cause cellular defects in growth, i.e. induce fetal malformations, are known as
- A.
Secretagogues
- B.
Teratogens
- C.
Hematotrophic
- D.
Cytopathogenic
- 4.A distinguishing factor between viral teratogens (rubella) and other teratogens (drugs, radiation) would be that
- A.
Only viral teratogens cause retarded fetal growth
- B.
Fetal death is only a possibility with other teratogens, not viral
- C.
Maternal effects are only seen with viral teratogens
- D.
Genetic factors are not present with viral teratogens
- 5.Primary infection of the mother, rather than re-activation, tends to have a worse fetal consequence.
- A.
True
- B.
False
- 6.A fetus is particularly susceptible to rubella infection when maternal infection occurs during what stage of pregnancy?
- A.
1st trimester
- B.
2nd trimester
- C.
3rd trimester
- D.
Susceptibility unknown
- 7.Congenital rubella is associated with the development of what clinical condition in 80% of those infants infected?
- A.
Blindness
- B.
Deafness
- C.
Obesity
- D.
Diabetes mellitus
- 8.What antibody, produced by the fetus, can be detected in the cord blood of an infant infected with the rubella virus?
- A.
IgA
- B.
IgD
- C.
IgG
- D.
IgM
- 9.Congenital rubella is completely preventable by
- A.
Isolation
- B.
Vaccination
- C.
Having a superb immune system
- 10.A primary CMV infection occurring during the first trimester is associated with sensorineural hearing loss, more specifically associated with what cranial nerve?
- A.
CN IV
- B.
CN V
- C.
CN VI
- D.
CN VIII
- 11.95% of infants infected with congenital CMV infection are symptomatic at birth.
- A.
True
- B.
False
- 12.Clinical features such as hepatosplenomegaly, skin and mucosal lesions, and a saddle-shaped nose are associated with what congenital infection?
- A.
Congenital rubella
- B.
Congenital CMV
- C.
Congenital syphilis
- D.
Congenital HIV
- 13.Congenital HIV is most likely transmitted to the fetus during what stage or pregnancy?
- A.
First 3 months
- B.
Late pregnancy or during delivery
- C.
No known susceptibility during any stage
- 14.Congenital HIV infections can be controlled or prevented by
- A.
Offering antiviral drugs during pregnancy
- B.
Having an elective cesarean section
- C.
Avoid breast feeding
- D.
All of the above
- 15.Which of the following must be present In order to positively diagnosis an infant with congenital HIV?
- A.
Anti-HIV
- B.
HIV antigen
- C.
Both Anti-HIV and antigen
- D.
Maternal IgG-Ab
- 16.Listeria monocytogenes is classified as a
- A.
Fungus
- B.
Gram negative rod
- C.
Gram positive cocci
- D.
Gram positive rod
- 17.Due to the risk of development of congenital malformations, it is suggested that during pregnancy, women should not consume raw or undercooked meat because
- A.
Listeria is heat resistant
- B.
Listeria can grow at regular refrigeration temperatures
- C.
It will give you morning sickness
- D.
The consumption of excess mercury can be fatal
- 18.Listeriosis has the potential to cause bacteremia in pregnancy women, which is why treatment with ampicillin may need to be combined with what other medication in order to achieve a bactericidal effect?
- A.
Cephalosporin
- B.
Doxycycline
- C.
Gentamicin
- D.
Interferons
- 19.Chorioamnionitis and maternal fever can be the result of bacterial infections caused by colonized flora in the vagina and rectum, such as
- A.
Group A hemolytic streptococci
- B.
Group B hemolytic streptococci
- C.
Candida
- D.
Staph auerus
- 20.
![This is an example of what type of infection that usually causes inflammation and edema of the eye and is more severe? - ProProfs]( "This is an example of what type of infection that usually causes inflammation and edema of the eye and is more severe?")
This is an example of what type of infection that usually causes inflammation and edema of the eye and is more severe?- A.
Congenital HSV
- B.
Gonococcal ophthalmia neonatorum
- C.
Chlamydia infection
- D.
Staphylococcal infection
- 21.
![This condition presents clinically with large areas of epidermal loss where bullae have burst due to epidermolytic toxins. - ProProfs]( "This condition presents clinically with large areas of epidermal loss where bullae have burst due to epidermolytic toxins.")
This condition presents clinically with large areas of epidermal loss where bullae have burst due to epidermolytic toxins.- A.
Congenital HSV
- B.
Gonococcal ophthalmia neonatorum
- C.
Staphylococcal scaled skin syndrome
- D.
Congenital syphilis
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