U2 Ob - Et 17 Medical & Surgical Complications Of Pregnancy

10 Questions | By Obgynume | Last updated: Mar 7, 2013 | Total Attempts: 59

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1.

A 27yo G1P1 comes to you for preconception counseling whose prior pregnancy was complicated by a neural tube defect. You inform her that increasing her folate intake is the most effective way for neural tube defects to be prevented. How much folate should she consume each day?
- A.
  
  0.1mg
- B.
  
  0.4mg
- C.
  
  1.0mg
- D.
  
  4.0mg
2.

A 32yo G2P1001 is newly diagnosed with gestational diabetes. Which of the following has the largest effect on blood glucose levels in this patient:
- A.
  
  Human chorionic gonadotropin
- B.
  
  Insulinase
- C.
  
  Human placental lactogen
- D.
  
  Progesterone
3.

A previously healthy 26yo G3P2002 just failed her Glucose Tolerance Test. Which of the following complications will her newborn infant be at an increased risk for:
- A.
  
  Congenital heart defects
- B.
  
  Stillbirth
- C.
  
  Hyperglycemia
- D.
  
  Renal agenesis
- E.
  
  All of the above
4.

A 31yo G1 presents to your office after a positive pregnancy test. She has a Hemoglobin A1c of 10.0. You counsel her on the importance of proper glycemic control. Which of the following is NOT recommended for proper evaluation and management of this patient during pregnancy:
- A.
  
  Daily monitoring of blood sugar
- B.
  
  Increased insulin doses throughout pregnancy
- C.
  
  26wk Glucose Tolerance Test
- D.
  
  Urine dipstick test
- E.
  
  Monthly Hemoglobin A1c tests
5.

A 28yo G2P1001 at 15wks comes to you saying she has not been feeling normal lately. After taking a thorough h&p you find she says she has not been able to sleep well and has been unexpectedly losing weight. She also reports feeling hot all the time and sweats throughout the day. On physical exam she is noted to have a BP of 145/90 and her pulse is 98. She also has a slight tremor in her hands. Which of the following is the likely cause of her symptoms:
- A.
  
  Generalized anxiety disorder
- B.
  
  Hyperthyroidism
- C.
  
  Gestational Diabetes
- D.
  
  Previously undiagnosed asthma
- E.
  
  Normal effects of pregnancy
6.

On a new patient’s first Ob visit she is found to be in great health with no complaints and is very excited about being pregnant. The only thing that is found in your workup is a small amount of bacteriuria. What is the most appropriate course of action?
- A.
  
  Trimethoprim-sulfamethoxazole 160/800 BID x 7days
- B.
  
  No treatment necessary for asymptomatic bacteriuria.
- C.
  
  Nitrofurantoin 100mg BID x 5days
- D.
  
  Ciprofloxacin 500mg BID x 7days
7.

A 30yo G1 with no previous health care comes to your office after finding she is pregnant. After labs are drawn you see that her creatinine is 1.9. Which of the following is this patient most likely at an increased risk of developing:
- A.
  
  Gestational diabetes
- B.
  
  Fetal heart defects
- C.
  
  Pre-eclampsia
- D.
  
  Recurrent upper respiratory infections
8.

A 40yo woman with two children in high school comes to your office for lower abdominal pain. Her last menstrual period was three months ago and to her surprise she is found to be 15 weeks pregnant. Two years ago she suffered a cardiac event and has since been on Aspirin, Propranolol, Atorvastatin, and Losartan. Which of the following is a possible complication to the fetus from this treatment regimen:
- A.
  
  Cleft palate
- B.
  
  Clear cell carcinoma
- C.
  
  Gastroschisis
- D.
  
  Renal failure
- E.
  
  Masculinization
9.

As an intern you are the only doctor in the room because your upper level had to leave to do a stat c-section. Your patient is a 24yo G3P2103 with a history of severe asthma who just had a spontaneous vaginal delivery after a protracted labor. You are having a difficult time stopping the bleeding and are contemplating which medication to use. Which of the following should be avoided in this patient:
- A.
  
  Methergine
- B.
  
  Hemabate
- C.
  
  Pitocin
- D.
  
  Cytotec
10.

A 25yo G1 is who is known to have sickle cell trait. She is worried that she is going to have a difficult pregnancy because of her carrier state. Which of the following is she at an increased risk for during pregnancy:
- A.
  
  Urinary tract infections
- B.
  
  Fetal IUGR
- C.
  
  Pre-eclampsia
- D.
  
  Gestational diabetes