EBCOG -PART 1 – ANTENATAL CARE

1. With regards to pregnancy-induced hypertension (PIH) and pre-eclampsia/ eclampsia during pregnancy:

A The incidence of PIH is 14% in primigravidas

B The incidence of PIH is approximately 6% in multigravidas

C The incidence of PIH is increased with twin pregnancy

D The risk of hypertensive disorder in a subsequent pregnancy is 33%

E The risk of developing chronic hypertension is on average 23%

2. With regards to pre-eclampsia/eclampsia and recurrence of pre-eclampsia in subsequent pregnancies:

A The incidence of pre-eclampsia in women carrying twins is approximately 25%

B The incidence of recurrence of eclampsia is approximately 10%

C Multiparous women with no history of previous pre-eclampsia have a 1% risk of developing pre-eclampsia in subsequent pregnancies

D Multiparous women who had previous pre-eclampsia in one pregnancy, have a 15% risk of developing pre-eclampsia in subsequent pregnancies

E Multiparous women who had previous pre-eclampsia in their previous two pregnancies, have a 30% risk of developing pre-eclampsia in subsequent pregnancies

3. With regards to pre-eclampsia and recurrence of pre-eclampsia in subsequent pregnancies:

A The overall recurrence rate of pre-eclampsia in subsequent pregnancies is around 18%

B For women who had pre-eclampsia in their first pregnancy, the risk of developing pre-eclampsia is approximately 15% in their second pregnancy

C For women who had pre-eclampsia in their previous two pregnancies, the risk of developing pre-eclampsia is 32% in subsequent pregnancies

D The rate of recurrence of pre-eclampsia is approximately 10% if a primigravida had pre-eclampsia at term in a previous pregnancy

E The recurrence of pre-eclampsia is almost 40% if a woman had pre-eclampsia in a previous pregnancy before 30 weeks of gestation

4. With regards to eclampsia during pregnancy:

A The incidence of eclampsia is 1 in 10,000 pregnancies

B The incidence of recurrent eclampsia is approximately 10%

C Eclampsia carries a risk of 2% maternal mortality

D The risk of neonatal death is 34 in 1000 live births

E Thirty-eight per cent of eclampsia cases occur before hypertension and proteinuria are documented

5. With regards to haemolysis, elevated liver entymes and low platelets (HELLP) syndrome:

A The incidence of HELLP is 2% of those with pre-eclampsia/eclampsia

B The rate of recurrent HELLP syndrome in subsequent pregnancies is 4%

C HELLP syndrome is associated with 2–4% maternal mortality

D Women who had HELLP syndrome in a previous pregnancy have a 55% risk of developing pre-eclampsia in subsequent pregnancies

E Burr cells and polychromasia on peripheral smear are indicative of haemolysis

6. With regards to thrombotic thrombocytopenic purpura (TTP) during pregnancy:

A It is characterised by aplastic anaemia

B It may present with seizures

C It may present with fever

D The peripheral blood smear shows fragmented red blood cells

E The peripheral blood smear shows reticulocytosis

7. With regards to haemolytic uremic syndrome (HUS) during pregnancy:

A Renal failure is less severe in HUS than TTP

B Thrombocytopenia and bleeding are more marked in HUS compared to TTP

C HUS is associated with neurological symptoms but is less severe than TTP

D HUS is characterised by microangiopathic haemolytic anaemia

E A history of viral infection usually precedes the HUS disease

8. With regards to acute fatty liver of pregnancy (AFLP):

A It is a fatal disease if not timely treated

B It may progress to fulminant hepatic failure rapidly

C Serum antithrombin III levels are increased

D Blood glucose levels are very high

E It may present with disseminated intravascular coagulation

9. Complications of HELLP syndrome are:

A Acute renal failure

B Hepatic rupture

C Massive hepatic necrosis

D Subcapsular liver haematoma

E Placental abruption

10. With regards to herpes simplex virus (HSV):

A Caesarean section should be considered if the primary herpes infection occurs within 6 weeks of delivery

B Caesarean section is recommended if recurrent herpes occurs within 6 weeks of delivery

C Herpes infection in the neonates is usually caused by primary herpes infection in the mother

D Caesarean section should be undertaken in women with active genital herpes presenting 4 hours following rupture of membranes

E In women developing primary genital herpes during pregnancy, oral acyclovir can be used for treatment during pregnancy