Antenatal & Postnatal Analgesia

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Question 1 of 4

1. Question
1. All are true regarding analgesics in obstetrics except
- A. Organizations have advised that codeine is contraindicated in women who are breastfeeding owing to the increased risks to the infant.
- B. Paracetamol taken orally, it can produce an analgesic effect within 40 minutes
- C. With respect to codeine, all Caucasians are classifies as ultra rapid metabolizes
- D. Recently, tramadol was reclassified as a Schedule 3 Controlled Drug
- E. The regular use of any opioid beyond 3 days should be under close medical supervision.
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Question 2 of 4

2. Question
2. Ibuprofen can be used as analgesic in
- A. Woman with Preeclampsia and HELLP syndrome
- B. Postnatal woman delivered 6hrs back , who had severe atonic PPH needing massive blood transfusion.
- C. Asthmatic on inhalers
- D. 32 week woman with symphysis pubis disfunction
- E. 28 week pregnancy with Dental caries
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Question 3 of 4

3. Question
3. All are true regarding ultra rapid metabolizes of codeine except
- A. Ultra rapid metabolisers are extremely sensitive to the analgesic properties and adverse effects of codeine.
- B. The ultrarapid metaboliser phenotype is due to duplications of the CYP2D6 gene.
- C. The prevalence varies by ethnic origin& Caucasians 3.6–6.5%. are ultra rapid metabolizes
- D. Ultrarapid metabolisers who take codeine can have up to 50% higher plasma concentrations of its active metabolite morphine than extensive metabolisers, with
- E. There is no risk of serious toxicity at therapeutic doses of codeine in them.
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Question 4 of 4

4. Question
4. The use of NSAID after 30 weeks can cause all of the following except
- A. They can lead to neonatal pulmonary hypertension
- B. Premature closure of the ductus arteriosus.
- C. Reduce fetal renal blood flow and thus urine production
- D. Leading to a reduced amniotic fluid volume
- E. Causes polyhydramnios
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Antenatal & Postnatal Analgesia

Antenatal & Postnatal Analgesia

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