WorksheetsCardiovascular diseases in pregnancy
Total questions: 10
Worksheet time: 5mins
All are true regarding physiological changes in cardiovascular system in pregnancy except ?
Mean arterial pressure does not change
cardiac output increases by 40%
Uterine blood flow increases
Pulmonary vascular resistance decreases
Which of the following is true regarding antepartum and intrapartum care of women with cardiovascular disorders ?
Spinal blockade is the recommended anaesthetic
Vaginal delivery is preferred
Induction of labor at 37 weeks is preferred
Invasive monitoring with pulmonary artery catheter is required
Which of the following is true regarding danger period of cardiac decompensation in pregnancy ?
Immediate postpartum is danger period as cardiac output increases by almost 80%
Pregnancy induced hypervolemia and maximum cardiac output make a pregnant women with heart disease more prone to complications at 28-32 weeks
Peripheral vasodilation at 6-8 weeks can also lead to cardiac decompensation
All of the above
A G1 with Severe mitral stenosis presents with acute dyspnea at 32 weeks in triage . Her blood pressure is 120/84 mm Hg , PR is 90 bpm and SpO2 on room air is 88%. She’s more comfortable in sitting position . What is the most probable diagnosis ?
Congestive heart failure
pulmonary edema
pulmonary embolism
None of the above
Absolute indications of Caesarean section in a patient with cardiac disease are all except
Acute intractable heart failure
Eisenmenger syndrome
Aortic aneurysm
None of these
All are true regarding peripartum cardiomyopathy except
It can occur anytime between the final month of pregnancy and 5 months postpartum
There is absence of identifiable cause of heart failure
Non ischaemic cardiomyopathy
Clinical symptoms are different from congestive heart failure
A woman with Aortic stenosis presents in active labor . Which of the following strategies are advisable ?
Cut short second stage
Generous fluid administration
Epidural analgesia
All of the above
All are true for management of cardiac arrest in pregnancy except ?
CPR with 30 degrees left lateral tilt
Manual left uterine displacement in supine position during CPR
Defibrillation is not recommended
Early intubation
Which of the following is not an indication of infective endocarditis prophylaxis ?
VSD repaired with a synthetic patch without residual defect
A patient with eisenmenger syndrome due to an atrial septal defect
Patient with prosthetic mitral valve
History of prior endocarditis
As per WHO , In which of the following conditions is pregnancy contraindicated ?
Cyanotic heart disease
Heart transplantation
Pulmonary artery hypertension
Ventricular dysfunction with left ventricular ejection fraction 35-%
