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WorksheetsThe Mx of NVP in Pregnancy & HG
Total questions: 10
Worksheet time: 10mins
At what gestation do the symptoms of NVP typically peak?
4 Weeks
7 weeks
9 weeks
12 weeks
15 weeks
In women with hyperemesis gravidarum (HG), abnormal thyroid function tests are
Raised thyroid antibodies
Low free thyroxine levels
Elevated thyroid stimulating hormone (TSH)
Biochemical hypothyroidism
Raised free thyroxine levels with or without suppressed TSH
For refractory cases of nausea and vomiting of pregnancy or those with a history of previous admissions, which investigations is not necessary?
Thyroid function tests
Calcium and phosphate levels
Liver function tests
Amylase levels
Serum magnesium and zinc
A 21year old, primigravida 9 weeks pregnant is currently admitted for nausea and vomitting.
What antiemetics should be prescribed to her ?
Prochlorperazine
Metocloperamide
Prednisolone
Veloxin ( Meclozine + Pyridoxine )
Why should dextrose containing solutions be avoided in thiamine deficient states during pregnancy?
They can cause allergic reactions
They can precipitate Wernicke encephalopathy
They may lead to excessive weight gain
They increase the risk of gestational diabetes
They interfere with iron absorption
In what case graduated compression stockings be used in pregnant women with HG?
Always
Only if they have high blood pressure
In labour
When LMWH is contraindicated
What is the recommended thiamine supplementation dose for pregnant women with NVP in pregnancy?
100mg orally three times daily or intravenous as part of vitamin b complex like Pabrinex
200mg orally three times daily or intravenous as part of vitamin b complex like Pabrinex
150mg orally three times daily or intravenous as part of vitamin b complex like Pabrinex
50mg orally three times daily or intravenous as part of vitamin b complex like Pabrinex
Which abnormality of acid base balance is most commonly seen in women with NVP?
Metabolic acidosis
Metabolic acidosis with respiratory compensation
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
LFT may be deranged in 40% of women with hyperemesis gravidarum. Which component of LFTs is most frequently abnormal?
Alanine transaminase (ALT)
Bile acids
Bilirubin
Alkaline phosphatase
What is the most appropriate solution for intravenous rehydration in women with NVP?
5% dextrose
Hartmann’s solution
Human albumin solution 4%
Normal Saline 0.9%
Normal Saline 0.9% with potassium chloride
