Obstetrics Quiz: Contraception & Pre-eclampsia

Injectable Progesterone Contraception

• Injectable progesterone contraception is not recommended for lactating mothers
• Possible side effects include irregular uterine bleeding and amenorrhea
• Injectable progesterone contraception does carry risk of venous thrombosis

Pre-eclampsia Risk Factors

• Obesity is a risk factor for pre-eclampsia
• Vesicular mole is a risk factor for pre-eclampsia
• Multiple pregnancy is a risk factor for pre-eclampsia
• All of the above conditions are risk factors

Severe Pre-eclampsia Symptoms

• Polyuria is NOT a symptom of severe pre-eclampsia
• Headache is a symptom of severe pre-eclampsia
• Epigastric pain is a symptom of severe pre-eclampsia
• Blurring of vision is a symptom of severe pre-eclampsia

Pre-eclampsia Complications

• HELLP syndrome is a complication of pre-eclampsia
• Acute renal failure is a complication of pre-eclampsia
• Pulmonary edema is a complication of pre-eclampsia
• All of the above are complications of pre-eclampsia

Pre-eclampsia Severity Criteria

• Proteinuria of 500 mg/day is NOT a criterion of pre-eclampsia severity
• Presence of symptoms is a criterion of pre-eclampsia severity
• HELLP syndrome is a criterion of pre-eclampsia severity
• Blood pressure of 170/110 is a criterion of pre-eclampsia severity

Placental Abruption Diagnosis

• Laparoscopy is NOT a method used to diagnose placental abruption
• Ultrasonography is a method used to diagnose placental abruption
• Clinical examination is a method used to diagnose placental abruption
• Non-stress test is NOT a method used to diagnose placental abruption

Oral Contraceptives and their effects

• Oral contraceptives are associated with inhibition of ovulation
• Oral contraceptives are NOT associated with weight loss, menorrhagia, or increase tubal peristalsis

Conditions Associated with High Frequency of Pre-eclampsia

• Vesicular mole is NOT associated with high frequency of preeclampsia
• Twins are associated with high frequency of preeclampsia
• Placenta previa is associated with high frequency of preeclampsia
• Positive family history is associated with high frequency of preeclampsia

Fetal Complications of Pre-eclampsia

• Fetal complications include retarded growth, intrauterine death, and prematurity
• All of the above are complications

Chronic Hypertension During Pregnancy

• Hypertension that begins after 20 weeks of gestation is NOT chronic hypertension during pregnancy
• Hypertension that persists more than 12 weeks postpartum is chronic hypertension
• Hypertension with proteinuria before 20 weeks of gestation is chronic hypertension
• Hypertension with proteinuria that persists after delivery is chronic hypertension

Absolute Contraindications to Combined Oral Contraceptives

• History of previous thrombosis is an absolute contraindication
• History of cholecystectomy is NOT an absolute contraindication
• History of fibroids is NOT an absolute contraindication
• History of Cesarean section is NOT an absolute contraindication

Good Antenatal Care and its benefits

• Good antenatal care may reduce the incidence of prematurity, stillbirth, and maternal death
• All of the above are benefits

Oral Contraceptives and their usage

• Inhibition of ovulation is the main mechanism of oral contraceptives
• Oral contraceptives can be used safely in patients without DVT
• Oral contraceptives can be utilized to regulate the menstrual cycle
• Oral contraceptives should be avoided in patients with migraine headaches

Severe Hemorrhage with Placenta Previa

• Ultrasound is the first step in diagnosing severe hemorrhage with placenta previa
• Anti-shock measures should be administered immediately
• Cesarean section is the immediate treatment option
• Vaginal delivery is NOT appropriate

Antenatal Booking Investigations

• Complete blood count should be obtained during antenatal visits
• Blood sugar should be measured
• Hepatic screening is NOT a routine investigation
• Thyroid function is NOT a routine investigation

Antepartum Hemorrhage Causes

• Placenta previa is a cause of antepartum hemorrhage
• Cervical cancer is NOT a direct cause of antepartum hemorrhage
• Abruption placenta is a cause of antepartum hemorrhage
• Ectopic pregnancy is NOT a direct cause of antepartum hemorrhage

Placenta Previa Characteristics

• Placenta previa is common during first pregnancies
• Abnormal position is a potential result of placenta previa
• Recurrent painful bleeding is NOT a characteristic of placenta previa
• Vaginal examination is crucial to rule out local causes

Most Effective Contraceptive Methods

• Oral contraceptive pills are NOT the most effective contraceptive method
• Oral contraceptive pills are NOT an effective method
• Intrauterine devices are a very effective method

Natural Contraceptive Methods

• Breast feeding is a natural method of contraception
• Combined oral contraceptives are NOT typical natural methods of contraception

Antenatal Visit Procedures

• Measuring blood pressure, asking about medical history, and measuring body weight should be done during antenatal visits
• X-rays are NOT a typical part of an antenatal visit.

Common Pregnancy Problems Worldwide

• Pre-eclampsia is the most common problem during pregnancy globally.
• Diabetes, heart disease, urinary tract infections, and iron-deficiency anemia are other potential problems but less commonplace.

Test your knowledge on injectable progesterone contraception and the risk factors, symptoms, and complications associated with pre-eclampsia. This quiz covers essential topics for obstetrics students and healthcare professionals. Gain insights into maternal health and the implications of various conditions.