Hyperemesis gravidarum GTG

1. You are asked to review as an emergency to see a 22 year-old primigravid woman having inpatient management of hyperemesis gravidarum. You arrive and see she is having an oculogyric crisis. The midwife tells you she recently had a dose of IV metoclopramide. All the treatment options are appropriate except

2. The diagnosis of Hyperemesis gravidarum is done with al, features except

3. 22 year old women present to the A&E with episodes of nausea and vomiting, she is unable to tolerate oral fluids, she is dehydrated. All of the following metabolic disturbances can be seen except

4. 22 year old women present to the A&E with episodes of nausea and vomiting, she is unable to tolerate oral fluids. She is dehydrated. Ketonura 1+. Which is the common metabolic abnormality you can see

5. A 34 year-old woman is admitted with recurrent hyperemesis. She is into her 8 weeks pregnancy. Her thyroid function tests are abnormal with a raised Free T3&T4 and low TSH. Select the most likely cause of her deranged thyroid function:

6. The following are risk factors for Hyperemesis except

7. Incidence of raised LFts in women with Hyperemesis Gravidarum?

8. Side effects of metoclopramide (extrapyramidal, tardive dyskinesia) can be reduced by having

9. Which of the following is the most important side effect of ondansetron?

10. 33-year-old woman, gravida 3, para 2, comes to the emergency department complaining of excessive vomiting for the last three days. She is otherwise asymptomatic with a normal past medical history. She is admitted and her thyroid function tests showed a low thyroid stimulating hormone (TSH) level with raised free thyroxine (T4). What is the most important feature to differentiate transient hyperthyroidism of hyperemesis gravidarum (THHG) from hyperthyroidism?

11. 20 years old primigravida presented with continued nausea and vomiting associated with ketonuria and/or weight loss (greater than 5% of body weight), despite oral antiemetics Appropriate management

12. NVP affects how many percentage of pregnant woman?

13. Which of the following lab value is not consistent with diagnosis of hyperemesis gravidarum?

14. What proportion of pregnant woman in paid employment require time off work d/t nausea and vomiting of pregnancy?