MEDICAL DISORDER APRIL 2023

1.       Which of the following is TRUE regarding pre eclampsia?

• A.  Evidence

  of

  IUGR

• B. 24 hours urine protein >200mg/litre

• C. Polyhydramnious

• D. Mostly diagnosed in 1^st trimester

2.       Below are the complications of diabetes in pregnancy EXCEPT

• A.       Increased risk of congenital abnormalities

• B.   Fetal macrosomia

• C.  Transient tachypnea of newborn

• D.      Oligohydramnios

3.       Anemia in pregnancy, all are TRUE EXCEPT

• A.   Symptoms of anemia includes dyspnea, fatigue, palpations, headache, faintness

• B.    In iron deficiency anemia, oral supplement is the only pharmacological therapy

• C.  Complication of severe anemia includes prematurity, PPH and low birth weight

• D.      Blood transfusion is indicated in patients who are unstable hemodynamically due to active bleeding and pregnant lady with Hb < 6g/dL

4.       Most common heart disease which is associated with maximum mortality during pregnancy

• A.  Eisenmanger syndrome

• B.    Mitral stenosis

• C.    Aortic stenosis

• D.      VSD

5.       Complications of hypothyroidism in pregnancy EXCEPT

• A.   Congenital hypothyroidism

• B.  Macrosomic baby

• C.      Stillbirth

• D.  Congenital malformation

6.       Bhcg which rises in pregnancy is closely related structurally to

• A.      T3

• B.      T4

• C.      TSH

• D.     Thyroglobulin

7.       Cardiac output and blood volume is maximum during ____ weeks of pregnancy

• A.      6-10 weeks

• B.      12-14 weeks

• C.      20-24 weeks

• D.      30-32 weeks

 

8.       Choose the laboratory results that is NOT characteristic of iron deficiency anemia:

• A.  Reduced  Transferrin saturation

• B.   Reduced Serum iron level

• C. Reduced

  Total iron binding capacity

• D.    Reduced Serum ferritin level

9.       GDM is diagnosed in the presence of

• A.  Fasting plasma glucose  of 5.6mml/L

  or more

• B. 2 hours post prandial 7.8mmol/L

  or more

• C. Glycosuria 2+ or more

  in two occasions

• D.   Random blood sugar 11mmol/L

  or more

10.      In severe pre eclampsia, pregnant women can develop HELLP syndrome which is life threatening. Which of the following is NOT characteristic findings in HELLP syndrome?

• A.  Elevated potassium

• B.   Elevated

  AST, ALT

• C.   Hemolysis

• D.   Low platelet