EBCOG Part 1-Maternal Medicine-Day 1(EMQ)

A.Carbamazepine

B.Sodium valproate

C.Phenytoin

D.Alcohol

E.levatricetam

F.Warfarin

G.topiramate

H.all of the above .

1.The following images show various drugs causing different facial features and anomalies .Choose the appropriate drug causing this anomaly

2.

3.  

4.  

5.

antiepileptic drugs most associated with the fetal anomaly shown above

a.Carbamazepine

b.Eslicarbazepine

c.Gabapentin

d.Lamotrigine

e.Levetriracetam

f.Oxcarbazepine

g.Phenobarbital

h.Phenytoin

i.Pregabalin

j.Primidone

k.Sodium valproate

l.Tiagabine

m.Topiramate

n.Vigabatrin

6.Woman taking anti-epileptic medication attends for a routine fetal anomaly scan at 20 weeks of gestation.The fetus is found to have a spina bifida & a cleft lip.Which medication is she most likely to be taking?

7. A pregnant woman attends antenatal clinic & is taking a single anti-epileptic drug.She has been informed that the drug she is taking has 2 main advantages-carries lowest risk of congenital malformations & does not increase risk of hemolytic disease of the newborn.Which drug is she most likely to be taking?

8.A woman with epilepsy has a seizure in labour.Benzodiazepines are administered ,but the seizures continue.Which second line therapy should now be administered?