Pregnancy Hypertension Disorders Quiz

<p>PIH (D)</p> Signup and view all the answers

<p>Liver enzymes raised to their normal value (A)</p> Signup and view all the answers

<p>Presence of seizures (A), End-organ damage (C)</p> Signup and view all the answers

<p>Uncontrolled blood pressure (C)</p> Signup and view all the answers

<p>Eclampsia (C)</p> Signup and view all the answers

<p>Elevated blood pressure without proteinuria (C)</p> Signup and view all the answers

<p>Chronic diabetes management (C)</p> Signup and view all the answers

<p>Severe PE (B), Eclampsia (C)</p> Signup and view all the answers

<p>Fetal distress (C)</p> Signup and view all the answers

<p>Gestational age ≤ 37 weeks (A)</p> Signup and view all the answers

<p>Absent end diastolic flow (C)</p> Signup and view all the answers

<p>Poor Bishop score (C)</p> Signup and view all the answers

<p>Aspirin 50-150 mg/day PO starting early in pregnancy (B)</p> Signup and view all the answers

<p>Obesity (A)</p> Signup and view all the answers

<p>To predict the likelihood of developing high blood pressure (D)</p> Signup and view all the answers

<p>Antioxidants (B), Low-salt diet (D)</p> Signup and view all the answers

<p>Increased risk of HELLP syndrome (B)</p> Signup and view all the answers

<p>Severe pre-eclampsia (B)</p> Signup and view all the answers

<p>HELLP syndrome (D)</p> Signup and view all the answers

<p>Magnesium sulfate (C)</p> Signup and view all the answers

<p>At or below 34 weeks (D)</p> Signup and view all the answers

<p>A combination of vaginal delivery and assisted methods (D)</p> Signup and view all the answers

<p>Sudden onset headache + Visual disturbances + Epigastric pain (C)</p> Signup and view all the answers

<p>Cerebral hypoxia resulting from impaired blood flow (C)</p> Signup and view all the answers

<p>Urine output of 280 ml/24hr and proteinuria of 0.5 gr/24hr (C)</p> Signup and view all the answers

<p>Magnesium sulfate (A)</p> Signup and view all the answers

<p>Flushing and warmth of the extremities (D)</p> Signup and view all the answers

<p>Low diastolic pressure below 40 mmHg (C)</p> Signup and view all the answers

<p>Decreased platelet count (B)</p> Signup and view all the answers

<p>Being a second-time mother with a new paternity (A)</p> Signup and view all the answers

<p>Ammonia levels (B)</p> Signup and view all the answers

<p>Increased prothrombin time (A)</p> Signup and view all the answers

<p>Labetalol (C)</p> Signup and view all the answers

<p>ACE Inhibitors (C)</p> Signup and view all the answers

<p>160/110 mm Hg (C)</p> Signup and view all the answers

<p>LDH $ ext{ extgreater }$ 600 IU/L (A)</p> Signup and view all the answers

<p>Blood pressure (D)</p> Signup and view all the answers

<p>Schistocytes and Helmet cells (D)</p> Signup and view all the answers

<p>Labetalol (C)</p> Signup and view all the answers

<p>Recurrence occurs in 85% of patients. (C)</p> Signup and view all the answers

<p>Multiparity (Multigravida) (B)</p> Signup and view all the answers

<p>Hemoglobin level is halved or less (A)</p> Signup and view all the answers

<p>Uterine Artery Doppler (D)</p> Signup and view all the answers

<p>General anesthesia (C)</p> Signup and view all the answers

<p>Cut short the second stage using instruments (A)</p> Signup and view all the answers

<p>Termination of pregnancy with general anesthesia at 34 weeks (C)</p> Signup and view all the answers

<p>Methylergometrine is administered after delivery regardless of delivery type. (C)</p> Signup and view all the answers

Blood pressure ≥ 140/90 mmHg at two occasions, 4 hours apart.

Persistent hypertension after delivery; remains high post-pregnancy.

Hypertension with proteinuria; BP ≥ 140/90 and possible organ damage.

Severe form of pre-eclampsia; BP ≥ 160/110 with organ damage.

High blood pressure during pregnancy without proteinuria or organ damage.

Presence of excess protein in urine; measured by dipstick or 24-hour collection.

Signs of damage include low platelet count, high serum creatinine, liver enzyme elevation, CNS symptoms, or pulmonary edema.

Hypertension in a pregnant woman leads to uncontrolled BP and organ damage.

A warning stage before eclampsia, indicating escalating pre-eclampsia symptoms.

A severe complication of pre-eclampsia characterized by hemolysis, elevated liver enzymes, and low platelets.

Includes epigastric pain, nausea, jaundice, headaches, and visual disturbances due to liver or cerebral issues.

New-onset reversible issues such as blurred vision, scotomas, and diplopia indicating high blood pressure effects.

Sudden onset of sleep disturbances can indicate worsening pre-eclampsia.

Magnesium sulfate used to prevent progression to eclampsia during severe pre-eclampsia management.

In severe pre-eclampsia: BP ≥ 0.3 gr/24hr protein and urine output ≥ 300 ml/24hr.

Destruction of red blood cells resulting in anemia, identified by schistocytes on a blood smear.

AST & ALT levels greater than or equal to 70 IU/L indicate liver dysfunction in HELLP.

Platelet count of 100,000 (1 lakh) or less is a key indicator in HELLP syndrome.

Diagnosis of HELLP requires LDH levels of 600 IU/L or greater among other criteria.

Presence of low blood pressure, proteinuria, and low platelet count without coagulation issues.

Characterized by hypoglycemia, hepatoreanal syndrome, and high ammonia leading to encephalopathy.

Platelet count is low, usually without significant coagulation profile changes.

A history of pre-eclampsia increases risk of future hypertensive disorders.

Diabetes in pregnancy can cause placental enlargement and other complications.

Includes fetal distress, kidney failure, and abruptio placentae.

Reduced or absent end diastolic flow in the umbilical artery.

Pregnancy may be terminated at ≤ 37 weeks, ≥ 34 weeks, or immediately regardless of gestation.

TOPER or LSCS (cesarean section) based on poor Bishop score or REDF.

Includes Mild PE, Severe PE, Impending Eclampsia, and Eclampsia.

Top at 37 weeks; usually less severe form of pre-eclampsia.

Top at ≥ 34 weeks; can cause fetal distress and organ issues.

Includes early delivery and medications like magnesium sulfate.

Includes hemolysis, elevated liver enzymes, and low platelets in severe cases.

Options include vaginal delivery, Cesarean, and assisted techniques like forceps.

Test used to predict the risk of PIH.

Predicts prognosis in diagnosed PIH with AEDF and REDF.

Indicates poor blood flow in umbilical Doppler, suggests severe risk.

Preferred delivery method in cases of Pregnancy Induced Hypertension.

Reasons to perform a Cesarean section in PIH cases include AEDF and poor Bishop score.

Blood pressure readings indicate when to use anti-hypertensives: persistently high at 160/100 mm Hg or a single reading of 160/110 mm Hg.

Labetalol is the drug of choice for managing hypertension in pregnancy; avoid in asthmatics.

First-line oral medications for chronic hypertension in pregnancy include labetalol, nifedipine, and methyldopa.

Mild preeclampsia requires frequent BP monitoring and lab tests; usually admitted for PIH.

Hydralazine is generally not used for chronic hypertension management in pregnancy.

Aspirin 50-150 mg/day is recommended to prevent preeclampsia.

Bedrest, salt-restricted diet, and antioxidants do not prove beneficial in pregnancy.

Tests like serum endothelin and sFlt-1 predict the risk of PIH.

Smoking is a known proactive risk for developing PIH or PE.

Calcium supplementation is advised only if levels are low during pregnancy.