EBCOG Part 1-Maternal Medicine-Day 3(EMQ)

a.Magnesium sulfate infusion

b.No treatment required

c.Start amlodipine

d.Start atenolol

e.Start Bendroflumethiazide

f.Start chlorothiazide

g.Start hydralazine

h.Start labetalol

i.Start lisinopril

j.Start losartan

k.Start low dose aspirin

l.Start LMWH

m.Start Vit C & E

n.stop all antihypertensive medication

o.switch to clopidogrel

p.switch to enalapril

1.39 yr old woman in the postnatal ward awaiting discharge.she had a forceps delivery 2 days ago.She wants to breast feed the baby for 6 mths.She has chronic hypertension  & was taking enalapril prior to pregnancy.Her medicine was changed to methyldopa once pregnancy was confirmed & BP was controlled throughout pregnancy.

2.42 year old woman with chronic HT is seen at booking visit at 12 weeks gestation.She was on losartan & swithched to labetalol once pregnancy test was positive.

3.A primi at 28 weeks gestation in the obstetric day assessment unit,referred by midwife because BP was 150/100 mmHg.She has no proteinuria.

A.Marfan syndrome
B.SLE
C.Ehler Danlos syndrome
D.Psoriatic arthritis
E.Rheumatoid arthritis
F. Pelvic girdle pain

4.condition with a tendency to have less flares in pregnancy.

5.Increased incidence of pre-eclampsia in pregnancy

6. Increased risk of aortic dissection in pregnancy.