EBCOG P1 – 3 month May 2022 – Maternal Medicine Part 2 – autoimmune rhEumatic disorders and infections in pregnancy – Day 3 EMQ

A. chloroquine and inpatient care
B. oral aciclovir
C. neonatal hepatitis B vaccine
D. HAART therapy (Highly active anti retroviral therapy)
E. interferons/lamivudine
F. neonatal observation
G. combined active and passive immunization
H . chloroquine prophylaxis
I. zoster immunoglobulin and vaccination
J. neonatal varicella globulin
K. inpatient care and quinine
L. neonatal azathioprine therapy
M . pyrimethamine and sulphadoxine
N . intrapartum antibiotic prophylaxis
O . varicella zoster immunoglobulin
For each description below, choose the single most appropriate answer from the above list of options. Each option may be used once, more than once, or not at all.
1) A 26-year-old lady attends the antenatal clinic at 18 weeks of gestation following her booking results, which have shown her to be positive for hepatitis B. Antigen analysis demonstrates that she is hepatitis surface antigen positive, hepatitis e antigen negative and anti-Hbe reactive. Her liver function tests are as follows:bilirubin 10 mg/dl, aspartate aminotransferase 36 IU, alanine aminotransferase 40 IU and alkaline phosphatase 600 IU.
What is the most appropriate intervention to prevent vertical transmission?

2) A 23-year-old woman in her first pregnancy attends the GP’s surgery with a contact history of chickenpox. Her 8-year-old son developed a rash the previous day. She is now 28 weeks pregnant. Her booking bloods show absent exposure/immunity.

3 )A 34-year-old woman had a normal vaginal delivery at 36 weeks’ gestation. She developed chickenpox on the second postnatal day. The baby is found to be healthy without any obvious lesions. The blood test shows mild thrombocytopenia with a normal haemoglobin level

4) A 30-year-old woman in her fourth pregnancy is admitted in labour at 37 weeks’ gestation. She gives history of sharp radiating pain in the left shoulder and arm with pins and needles. She develops vesicular rashes along the areas of dermatomes C6 and C8 on the second postnatal day.

A.Malaria
B. Cytomegalovirus (CMV)
C. Zika Virus
D. Rubella
E. Chicken Pox
F. Toxoplasmosis
G.Parvovirus
For each description below, choose the single most appropriate answer from the above list of options. Each option may be used once, more than once, or not at all.

5) It is transmitted predominantly by an infected female Aedes mosquito

6. It  results from the bite of a female Anopheles mosquito.

7.Spiramycin is given to the mother to try to prevent MTCT;.

8. it is a group of togavirus , infection before 13  weeks results in almost all fetuses being affected

9) The gold standard for diagnosis is a blood film - a thick film

10. It is also called Erythema infectosium /fifth disease.