EBCOG PART 1 – PUERPERIUM

1. Haemolytic disease of the new born (erythroblastosis fetalis):

A Is characterised by the presence of erythroblasts in the cord blood

B Is associated with a positive direct Coombs test in the cord blood

C Is characterised by the presence of jaundice at birth

D Is associated with a prolonged prothrombin time

E Is associated with persistence of the placental syncytio trophoblast

2. With regards to fetal circulation before birth:

A Blood returning through the umbilical vein from placenta is well oxygenated

B The ductus venosus connects the umbilical vein to the inferior vena cava

C The ductus arteriosus connects the pulmonary trunk to the aorta

D Most of the blood which enters the right atrium is directed through the foramen ovale into the left atrium

E Most of the blood which enters the right ventricle is pumped into the pulmonary trunk to the lungs for reoxygenation

3. With regards to infant mortality:

A Perinatal death is defined as sum of stillbirths and neonatal deaths within the

first 28 days of life

B The infant mortality rate: number of deaths per year, babies aged less than

1 year in 1000 live births, including neonatal deaths

C Early neonatal death: death of a live born infant at less than 7 completed days from the time of birth

D Neonatal death: death rate between days 0 and 28 of life in 1000 live births

E In England and Wales, stillbirth is defined as the death of a fetus after the 24th week of gestation with no sign of life at birth

4. Cephalohaematoma:

A Is swelling above the periosteum of skull bones

B Usually crosses the suture lines

C Is associated with jaundice

D Usually resolves within 1 week

E Always appears on the same day following delivery

5. Peripartum cardiomyopathy:

A Is a rare condition

B Carries a 10% maternal mortality

C Is more common in nulliparous women

D Is associated with increased maternal age

E Is associated with twin pregnancy

6. With regards to neonatal thyrotoxicosis:

A Postnatal growth rate is decreased

B The condition is usually self-limiting

C A history of Graves disease in the mother is common

D Intellectual impairment is common if timely treatment is not initiated

E Results from Guthrie card screening will usually be uninformative

7. With regards to early congenital syphilis in the neonate:

A Most infants with early congenital syphilis are asymptomatic at birth

B Neonates with early congenital syphilis characteristically present with feeding problems

C If early congenital syphilis is untreated, late congenital syphilis will develop

D The symptoms for early congenital syphilis usually develop after 20 days following birth

E Untreated maternal syphilis results in symptomatic congenital syphilis in around 50% of the neonates

8. Regarding chlamydia infection in the newborn:

A It is caused by Chlamydia trachomatis, an obligate intracellular organism

B The prevalence in pregnant women is 0.5%

C Almost half of neonates born vaginally are colonised with chlamydia in the presence of maternal infection

D Ninety per cent of exposed neonates will develop conjunctivitis in the first 1–2 weeks, in the presence of maternal infection

E One per cent of exposed neonates may develop pneumonia in the first 8 weeks

9. With regards to postpartum blues:

A About 10% of women will experience postpartum blues

B Most women will need drug therapy

C Women usually present in the third week following delivery

D It is usually associated with an organic condition

E Most women will need admission for treatment

10. The following are risk factors for developing haemorrhagic disease of the

New born:

A Premature delivery

B Maternal diabetes

C Obstetric cholestasis during pregnancy

D Maternal heart disease

E Fetal sickle cell trait