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Question 1 of 18
1. Question
1. 38 yrs old primi with chronic renal failure comes to the preconception clinic as she wishes to have a baby.She had a renal transplant 3 yrs ago & her recent Se.Creatinine is 130 with GFR of 45.She is currently on prednisolone,mycophenolate,ACE inhibitors & aspirin.You have advised her to stop mycophenolate & to start another immunosuppressant.Which one of the immunosuppressant drugs would be contraindicated in pregnancy?
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Question 2 of 18
2. Question
2. 25 yrs old primi at 30 weeks gestation was brought in to the obstetric day assessment unit with abdominal & back pain,vomiting & feeling unwell.Her observations –temp:38.2,pulse:110 bpm,BP:100/60,RR:18/min & O2 sat on air 98%.On exam,there is suprapubic & right flank tenderness.Urine dipstick-nitrates positive.Fetal movements were good & CTG was normal.You admitted her & started broad spectrum IV antibiotics for acute pyelonephritis after doing the septic screen.What is the chance of recurrence of pyelonephritis during pregnancy?
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Question 3 of 18
3. Question
3.A 35 year old primi with chronic renal failure had a successful renal transplant surgery recently.She wishes to have children in the future & her GP has referred her to the preconception clinic.What is the recommended time interval for conception after an allograft transplant?
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Question 4 of 18
4. Question
4.What is the most common cause of acute kidney injury in pregnancy?
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Question 5 of 18
5. Question
5. 33 yrs old Barbara ,G3P2A0 with chronic kidney disease presents to the preconceptional clinic.She wants to know what is her chance of having a successful outcome in this pregnancy.She is in fairly good health at present.Her BP is well controlled & her recent investigations show that her Se.Creatinine is 130.What will you tell her about her chances of having a successful obstetric outcome?
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Question 6 of 18
6. Question
6. A 30 yrs old primi is seen in the antenatal clinic.She is 24 weeks pregnant & has a history of recurrent UTI outside of pregnancy.She has been treated 3 times for UTI so far in this pregnancy.Renal usg & RFTs are normal.A recent MSU shows growth of Enterococcus with significant CFU.The organisms are sensitive to co-amoxiclav,nitrofurantoin & trimethoprim & resistant to cefalexin & cipro.She is allergic to nitrofurantoin.What is the most appropriate antimicrobial regimen to prescribe?
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Question 7 of 18
7. Question
7. You are seeing a 28 year old woman in the preconceptional clinic with CKD stage 3 & recurrent UTIs.She is a non-smoker with BMI of 23 & is planning her first pregnancy.Her HT is controlled with ramipril.She takes nitrofurantoin 100 mg daily .Her investigations are as follows- urinalysis proteinuria 3+,Se.Create-150 & eGFR is 38.her protein creat ratio is 350mg/mmol.What will you counsel regarding change of medications at this stage?
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Question 8 of 18
8. Question
8. A 33 year old woman with 34 weeks pregnancy was admitted to labour suite with a BP of 170/115 mmHg.Her urine dipstick showed 1+ proteinuria.What is the quickest & most convenient method to quantify her proteinuria?
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Question 9 of 18
9. Question
9. Which of the following statements regarding physiological BP changes in pregnancy is incorrect?
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Question 10 of 18
10. Question
10. A 35 year old primi with 33 weeks pregnancy .She has a history of headache & blurring of vision for 1 day.Her BP is 180/110 mmHg.Urinalysis shows protein 3+.One week prior,her BP was 120/70 mmHg & she had no proteinuria.Of the options listed below ,select the most appropriate initial drug to administer.
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Question 11 of 18
11. Question
11. A 30 year G3P2 with 26 weeks pregnancy.Her BP is 155/105 mmHg.At booking her BP was 150/100 mmHg.Urinalysis shows protein 1+,spot urinary protein:creatinine ratio is 35 mg/mmol& 24 hr urine collection shows protein 0.35 g.Which one of the following is considered the most likely diagnosis?
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Question 12 of 18
12. Question
12. In cases of pheochromocytoma in pregnancy,which of the following is true?
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Question 13 of 18
13. Question
13. A low risk primi at 34 weeks pregnancy is referred via midwife .Her BP is 140/90 mmHg & urine protein is trace.Her booking BMI was 29.A fetal growth scan done showed AC on the 5th centile & a normal AFI & umbilical artery doppler.What is the most appropriate step at this point in her mgt?
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Question 14 of 18
14. Question
14. A 45 year old woman is being induced at 36 weeks of pregnancy for pre-eclampsia.The midwife seeks an urgent review as the patient is now complaining of severe headache & epigastric pain.On exam her BP is 140/90 mmHg.Her reflexes are brisk & she has clonus.What is the next most appropriate management step for this woman?
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Question 15 of 18
15. Question
15. Mrs Lucy is a known case of Type 1 diabetes & Hypertension. she is on insulin & captopril.She is taking Folic acid 5 mg & has come to you for pre-conceptual counselling.What advise will you give her ?
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Question 16 of 18
16. Question
16. What is the first drug of choice in pregnant women with chronic hypertension?
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Question 17 of 18
17. Question
17. Mrs Anne 32 weeks pregnant,is 42 years old & has chronic hypertension .She is on aspirin & labetalol 200 mg twice a day.Her blood pressure is controlled at 130/80 mmHg.She wants to know what would be the ideal time after which her delivery can be planned?
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Question 18 of 18
18. Question
18. What are the risk prediction models to help decide about place of care for pre-eclampsia?
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