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WorksheetsMedical Complications of Pregnancy Quiz
Total questions: 100
Worksheet time: 17mins
The most common medical disorder in pregnancy is:
Diabetes
Thyroid disease
Hypertension
Anemia
Which type of diabetes is first diagnosed during pregnancy?
Type 1
Type 2
MODY
Gestational diabetes
A diagnostic 2-hour 75g OGTT for GDM is done at:
10-12 weeks
14-16 weeks
24-28 weeks
34-36 weeks
Eclampsia is defined as:
BP ≥ 160/110 mmHg
Proteinuria ≥ +2
Seizures in preeclampsia
Hemolysis and thrombocytopenia
The first-line antihypertensive in pregnancy is:
Atenolol
Lisinopril
Methyldopa
Losartan
Which antihypertensive is contraindicated in pregnancy?
Labetalol
Nifedipine
Hydralazine
ACE inhibitors
HELLP syndrome includes all EXCEPT:
Hemolysis
Elevated liver enzymes
Low platelet count
Elevated creatinine
Which of the following is a common cause of anemia in pregnancy?
Vitamin B12 deficiency
Aplastic anemia
Iron deficiency
Hemoglobinopathies
Iron requirements during pregnancy increase to approximately:
5 mg/day
10 mg/day
27 mg/day
50 mg/day
The most reliable indicator of iron-deficiency anemia in pregnancy is:
Hemoglobin
Hematocrit
Ferritin
Serum iron
What is the management of mild gestational hypertension?
Emergency delivery
IV labetalol
Expectant management
Betamethasone
Which thyroid function test is falsely low in pregnancy due to increased TBG?
Total T4
Free T4
Total T3
Free T3
Which of the following anticoagulants is considered safe in pregnancy?
Warfarin
Heparin
Rivaroxaban
Dabigatran
A pregnant woman at 20 weeks with proteinuria and hypertension likely has:
Chronic hypertension
Preeclampsia
Gestational hypertension
Eclampsia
Which of the following is a risk factor for preeclampsia?
Multiparity
Age <20
Obesity
Smoking
Which cardiac condition is contraindicated in pregnancy?
Mitral valve prolapse
Atrial septal defect
Eisenmenger syndrome
Patent ductus arteriosus
Pregnant woman with severe headache, visual changes, and elevated BP likely has:
Eclampsia
Migraine
Severe preeclampsia
Stroke
Which seizure medication has the safest profile in pregnancy?
Valproic acid
Phenytoin
Carbamazepine
Lamotrigine
The most common cause of fever in postpartum women is:
Mastitis
Endometritis
UTI
Pneumonia
The leading cause of maternal mortality in developing countries is:
Sepsis
Hemorrhage
Hypertension
Pulmonary embolism
Which insulin type is safest in pregnancy?
Insulin lispro
NPH insulin
Glargine
Detemir
The best diagnostic imaging for suspected PE in pregnancy is:
V/Q scan
Chest X-ray
CT pulmonary angiography
ECG
What is the preferred treatment of asymptomatic bacteriuria in pregnancy?
No treatment
Nitrofurantoin
Ciprofloxacin
Tetracycline
Which hepatitis virus has the highest maternal mortality risk in pregnancy?
Hepatitis B
Hepatitis C
Hepatitis E
Hepatitis A
What is the most common UTI pathogen in pregnancy?
Klebsiella
Enterococcus
Proteus
Escherichia coli
Intrahepatic cholestasis of pregnancy presents with:
Fever
Hypertension
Pruritus without rash
Jaundice with pain
The diagnostic test for gestational diabetes is:
FBS
HbA1c
75g OGTT
50g GCT
What is the treatment for syphilis in pregnancy?
Doxycycline
Erythromycin
Penicillin G
Azithromycin
HIV-positive pregnant woman should receive:
Zidovudine monotherapy
HAART
No treatment
ART only postpartum
Most common symptom of anemia in pregnancy:
Bleeding
Fever
Fatigue
Headache
Which test distinguishes pyelonephritis from cystitis in pregnancy?
Urinalysis
CBC
Urine culture
Flank pain with fever
Antiepileptic drug most associated with fetal anomalies:
Lamotrigine
Levetiracetam
Valproic acid
Gabapentin
The primary concern with maternal lupus in pregnancy is:
Hemorrhage
Neonatal lupus with heart block
Hypertension
Anemia
The main management for mild asthma in pregnancy:
Oral steroids
LABA
Inhaled corticosteroids
Theophylline
Which fetal effect is associated with poorly controlled maternal diabetes?
Oligohydramnios
Microcephaly
Macrosomia
Fetal bradycardia
The physiological cause of increased thromboembolism risk in pregnancy is:
Hemodilution
Decreased protein S
Increased fibrinolysis
Platelet deficiency
What is the treatment of mild hypothyroidism in pregnancy?
No treatment
Levothyroxine
PTU
Methimazole
Fetal effects of maternal hyperthyroidism include:
Hypoglycemia
Goiter
Macrocephaly
Bradycardia
Which antitubercular drug is contraindicated in pregnancy?
Isoniazid
Rifampin
Streptomycin
Pyrazinamide
A mother with thrombophilia and pregnancy loss should be started on:
Heparin and aspirin
Warfarin
Rivaroxaban
Observation
Best predictor of adverse outcomes in preeclampsia:
BP level
Proteinuria
Symptoms (e.g. headache, RUQ pain)
Edema
Which cardiac lesion carries the highest maternal mortality?
Aortic stenosis
Mitral regurgitation
Eisenmenger syndrome
Ventricular septal defect
Fetal complication most associated with maternal lupus:
Cleft lip
Renal agenesis
Congenital heart block
Macrosomia
Management of DKA in pregnancy includes all EXCEPT:
Insulin infusion
Fluids
Bicarbonate routinely
Electrolyte replacement
A pregnant patient with DVT and heparin allergy is best treated with:
Warfarin
Rivaroxaban
Fondaparinux
Aspirin
In maternal hypothyroidism, untreated cases can cause what fetal outcome?
Neonatal hypoglycemia
Congenital hypothyroidism
Fetal tachycardia
Neural tube defect
When should insulin-dependent diabetics be induced if well controlled?
36 weeks
37 weeks
39 weeks
41 weeks
Main difference between chronic HTN and preeclampsia superimposed on chronic HTN:
Edema
Proteinuria after 20 weeks
Baseline BP
Family history
The preferred imaging for suspected appendicitis in pregnancy is:
CT abdomen
X-ray
MRI
Barium enema
Most common complication in pregnant women with SLE:
Seizures
Preterm birth
Postpartum hemorrhage
Diabetes
What is the most appropriate treatment for seizure prophylaxis in severe preeclampsia?
Diazepam
Lorazepam
Magnesium sulfate
Phenytoin
Magnesium sulfate toxicity first manifests as:
Respiratory depression
Cardiac arrest
Absent deep tendon reflexes
Seizures
What is the antidote for magnesium sulfate toxicity?
Naloxone
Calcium gluconate
Atropine
Sodium bicarbonate
Which lab value is most specific for hemolysis in HELLP syndrome?
LDH elevation
Low hematocrit
Decreased platelet count
Increased bilirubin
Which lab value is most specific for hemolysis in HELLP syndrome?
LDH elevation
Low hematocrit
Decreased haptoglobin
Elevated bilirubin
A patient with gestational hypertension at 38 weeks and normal labs should be:
Delivered at 40 weeks
Continued with weekly monitoring
Induced at 38 weeks
Scheduled for cesarean
Which diabetic complication is more likely to worsen during pregnancy?
Retinopathy
Neuropathy
Nephropathy
Hypoglycemia
The most common cardiac lesion associated with maternal death in pregnancy is:
Congenital heart disease
Peripartum cardiomyopathy
Mitral valve prolapse
Atrial fibrillation
In peripartum cardiomyopathy, which medication is avoided in pregnancy?
Beta-blockers
ACE inhibitors
Diuretics
Digoxin
In sickle cell disease, which of the following complications is most feared in pregnancy?
Iron overload
Pulmonary embolism
Vaso-occlusive crisis
Hypoglycemia
A known epileptic on valproate presents early in pregnancy. What is the best next step?
Continue valproate
Stop all antiepileptics
Switch to lamotrigine
Start folic acid only
What is the most accurate way to assess glycemic control in a pregnant diabetic woman?
HbA1c
Self-monitoring blood glucose
Random blood sugar
2-hour postprandial insulin
What is the key mechanism behind preeclampsia?
Autoimmune destruction
Trophoblastic hyperplasia
Abnormal placentation and endothelial dysfunction
Excess aldosterone
The most common cause of maternal death in preeclampsia is:
Hemorrhage
Seizures
Cerebral hemorrhage
Pulmonary edema
What defines gestational hypertension?
Hypertension with proteinuria
Hypertension after 20 weeks without proteinuria
Hypertension before 20 weeks
Chronic hypertension with pregnancy
The minimum proteinuria level to define preeclampsia is:
150 mg/day
200 mg/day
300 mg/day
500 mg/day
In TSH suppression due to hCG, which trimester is most affected?
First trimester
Second trimester
Third trimester
Postpartum
Treatment of intrahepatic cholestasis of pregnancy includes:
Antihistamines
Ursodeoxycholic acid
Vitamin K only
Corticosteroids
A known lupus patient has positive anti-Ro antibodies. The fetus is at risk for:
Neural tube defect
Macroglossia
Congenital heart block
Trisomy 21
In a woman with antiphospholipid syndrome, which finding is diagnostic?
Elevated ESR
Low protein C
Positive lupus anticoagulant
Positive ANA
Postpartum thyroiditis typically presents with:
Bradycardia and fatigue
Hyperthyroid followed by hypothyroid phase
Only hyperthyroidism
Only hypothyroidism
Which antiepileptic drug has the lowest teratogenic risk in pregnancy?
Valproic acid
Lamotrigine
Phenytoin
Carbamazepine
The most common fetal anomaly in diabetic pregnancies is:
Cardiac defects
Spina bifida
Renal agenesis
Hydrocephalus
Maternal PKU not controlled during pregnancy leads to:
Neonatal jaundice
Congenital cataracts
Microcephaly and intellectual disability
Macrosomia
When should low-dose aspirin be started in women at high risk for preeclampsia?
At 8 weeks
At 12-16 weeks
After 28 weeks
After diagnosis
What is the most common cause of maternal mortality in lupus pregnancies?
Renal failure
Infection
Hemorrhage
Seizures
What is the fetal consequence of maternal Graves' disease if untreated?
Congenital hypothyroidism
Fetal thyrotoxicosis
Fetal goiter only
Macrosomia
Which laboratory test confirms DIC in a pregnant woman with placental abruption?
Elevated fibrinogen
Decreased PT
Low platelets and elevated D-dimer
Elevated Hct
Anemia in pregnancy is defined as hemoglobin less than:
11.5 g/dL
11.0 g/dL
10.5 g/dL
10.0 g/dL
Hyperemesis gravidarum is associated with:
Low hCG
High TSH
Elevated hCG
High progesterone
Which antihypertensive is preferred in a hypertensive crisis in pregnancy?
Methyldopa
Amlodipine
IV hydralazine
Losartan
HIV transmission risk is highest during:
First trimester
Second trimester
Labor and delivery
Breastfeeding
What is the drug of choice for toxoplasmosis in pregnancy?
Spiramycin
Pyrimethamine
Azithromycin
TMP-SMX
A pregnant patient with tuberculosis is best treated with:
INH + Rifampin + Ethambutol
INH + Streptomycin
Rifampin + Pyrazinamide
RIF + Amikacin
Which vitamin deficiency may develop in pregnant women on isoniazid?
Vitamin A
Vitamin C
Vitamin B6
Vitamin K
A woman with GDM managed by diet should be induced:
37 weeks
38 weeks
40 weeks
42 weeks
A patient on warfarin becomes pregnant. The next step is:
Continue warfarin
Switch to LMWH
Stop anticoagulation
Switch to aspirin
Euthyroid pregnant woman with a goiter and TPO antibodies is at risk for:
Hypoglycemia
Neonatal sepsis
Postpartum thyroiditis
Diabetes
A woman with mechanical heart valve is pregnant. Best anticoagulant is:
Warfarin throughout
LMWH throughout
Dabigatran
Heparin only before labor
Which of the following is increased in normal pregnancy?
Fibrinolysis
Protein S
Fibrinogen
Platelet count
A pregnant diabetic with macrosomia is best delivered at:
36 weeks
37 weeks
39 weeks
Wait for spontaneous labor
In asymptomatic COVID-19 pregnant patient, management includes:
Immediate delivery
Antivirals
Home isolation and monitoring
Hydroxychloroquine
Which is a known teratogen?
Methyldopa
Labetalol
Warfarin
Insulin
Sickle cell anemia increases risk of:
Eclampsia
Placenta previa
Macrosomia
Gestational diabetes
Proteinuria is best measured by:
Urine dipstick
24-hour urine collection
Spot protein/creatinine ratio
First void sample
Main concern in uncontrolled asthma in pregnancy:
Preterm labor
Fetal growth restriction
Gestational diabetes
Neural tube defects
Methimazole is avoided in first trimester due to:
Renal toxicity
Cardiotoxicity
Risk of aplasia cutis
Risk of macrosomia
The classic sign of pulmonary edema in preeclampsia is:
Chest pain
Dyspnea with crackles
Bradycardia
Wheezing
Which medication can be used for DVT prophylaxis postpartum?
Warfarin
Rivaroxaban
Clopidogrel
Ticagrelor
A pregnant patient with uncontrolled diabetes may have:
Polyhydramnios
Oligohydramnios
Placenta previa
IUFD at term only
