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Question 1 of 24
1. Question
1.What is the most common association with heart disease in pregnancy?
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Question 2 of 24
2. Question
2.A 22-year-old primiparous woman presents for her first prenatal evaluation. On physical examination you hear a grade 3/6 holosystolic murmur. Which is the most common CHD in pregnancy that would cause that type of murmur?
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Question 3 of 24
3. Question
3.You are seeing for the first prenatal visit a 19-year-old woman with an artificial porcine valve placed 6 months ago for CHD. She is 10 weeks pregnant, tired, and does not sleep particularly well. The fetus is size-date appropriate. Of the following choices, which is the best first step in management?
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Question 4 of 24
4. Question
4. A 16-year-old woman with CHD is referred at 8 weeks’ gestation by her cardiologist. She has peripheral cyanosis, a hematocrit of 65%, and is 95 lb and 5 ft. 4 in tall. You counsel her that the most likely fetal outcome is which of the following?
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Question 5 of 24
5. Question
5.Patient on magnesium sulphate develop loss of tendon reflexes, most appropriate management?
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Question 6 of 24
6. Question
6.First effect of magnesium sulfate toxicity
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Question 7 of 24
7. Question
7. At which level magnesium sulphate toxicity
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Question 8 of 24
8. Question
8.Patient on magnesium sulphate with slurring of speech level
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Question 9 of 24
9. Question
9. A pregnant Females health deterioted in last trimester in which she had shortness of breath and her brother also died in childhood due to heart related problem what is diagnosis-
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Question 10 of 24
10. Question
10.Mitral stenosis with regurgitate during delivery risk of?
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Question 11 of 24
11. Question
11.Deteriorating cardiac disease in pregnancy most common is?
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Question 12 of 24
12. Question
12.A 24 years old PG with H/o MS presented with labour pains at term, what is the preferred mode of Anesthesia during labour?
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Question 13 of 24
13. Question
13.A 26 years old PG at 35 weeks of gestation with H/O Prosthetic mitral valve placement 2years back. What would be mode of delivery ?
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Question 14 of 24
14. Question
14.29 year old primi attends antenatal clinic at 32 weeks gestation.She is fit & well with no comorbidities.She had a vasovagal fainting episode & an ECG done at that time was normal.Which of the following features would have prompted suspicion of an underlying abnormality?
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Question 15 of 24
15. Question
15.34 year old Pakistani woman in her 3rd pregnancy attends antenatal clinic at 36 weeks for a birth plan.She tells you she is on a beta blocker as she suffred from rheumatic heart disease as a child.Which of the following therapies should she avoid in the 2nd stage of labour?
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Question 16 of 24
16. Question
16. 26 year old is seen in the combined obstetric cardiology clinic at 14 weeks gestation.She has a history of Tetralogy of Fallots that was repaired in childhood.What is the main cardiac issue that she potentially faces in pregnancy?
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Question 17 of 24
17. Question
17. 25 year old woman is seen in antenatal clinic at 7 weeks gestation.She is regularly seen in the congenital heart disease clinic because of Eisenmengers syndrome secondary to ventriculoseptal defect.What would be the most appropriate advice in terms of management?
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Question 18 of 24
18. Question
18. You are seeing patients in the maternal medicine clinic.There are 5 women with different cardiac conditions.They are all primis with no other risk factors.Which one would you be most concerned about?
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Question 19 of 24
19. Question
19. A woman presents to antenatal clinic with palpitations.She describes these as episodes of a fast heartbeat which last about 5-10 mins & occur roughly once a week.They can come on suddenly at any time.She feels anxious when they come.She has no cardiac concerns ,but her father has had a heart attack at age of 55.
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Question 20 of 24
20. Question
20.In pregnant patients presenting with signs & symptoms of acute myocardial infarction what is the investigation of choice to confirm or refute a diagnosis of acute myocardial infarction?
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Question 21 of 24
21. Question
21. Mrs Marie 40 years old had an AMI at 36 weeks of pregnancy,which was managed successfully.She went on to complete 39 weeks & had a successful vaginal delivery.Which of the following drugs can be used safely to prevent postpartum hemorrhage?
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Question 22 of 24
22. Question
22.Following are the changes seen in the ECG of a healthy pregnant woman.Which change is not a normal physiological change & can be seen in the ECG of a pregnant woman presenting with acute myocardial infarction?
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Question 23 of 24
23. Question
23. Medical management is an important component in treatment of AMI & prevention of further coronary artery events.Which one of the drugs listed below is not safe for use during medical management of AMI in pregnancy?
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Question 24 of 24
24. Question
24. The incidence of myocardial infarction is increasing in the UK in pregnant women.This can be explained by a change in the demographics including all of the following factors except
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