Rheumatic Heart Disease and Pregnancy
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Questions and Answers

In a pregnant woman with a history of rheumatic heart disease, which valvular abnormality is a common occurrence?

  • Tricuspid stenosis
  • Pulmonary hypertension
  • Mitral regurgitation (correct)
  • Aortic stenosis
  • What cardiovascular complication is a pregnant woman with Marfan syndrome at an increased risk of?

  • Supraventricular tachycardia
  • Aortic dissection (correct)
  • Ventricular septal defect
  • Pulmonary embolism
  • What is the most likely cause of worsening dyspnea and a diastolic murmur in a pregnant woman with rheumatic heart disease?

  • Aortic stenosis
  • Tricuspid stenosis
  • Mitral regurgitation (correct)
  • Pulmonary hypertension
  • Which valvular abnormality is generally contraindicated during pregnancy in a woman with Marfan syndrome?

    <p>Aortic stenosis</p> Signup and view all the answers

    What is the most likely cause of a diastolic murmur in a pregnant woman with rheumatic heart disease?

    <p>Mitral regurgitation</p> Signup and view all the answers

    In a pregnant woman with a prosthetic heart valve, which anticoagulant is generally contraindicated during pregnancy?

    <p>Warfarin</p> Signup and view all the answers

    Which anticoagulant is contraindicated during pregnancy as it crosses the placenta and may cause fetal abnormalities?

    <p>Warfarin</p> Signup and view all the answers

    What is the most likely diagnosis for a pregnant woman with sudden-onset severe chest pain and dyspnea, and an ECG showing ST-segment elevation in the anterior leads?

    <p>Acute myocardial infarction</p> Signup and view all the answers

    A pregnant woman with a history of type 1 diabetes presents with hypertension, proteinuria, and edema. What is the most likely diagnosis?

    <p>Preeclampsia</p> Signup and view all the answers

    What is the most likely diagnosis for a pregnant woman at 32 weeks gestation presenting with sudden-onset dyspnea, chest pain, and hemoptysis?

    <p>Pulmonary embolism</p> Signup and view all the answers

    What is the most important intervention to optimize the chances of a healthy pregnancy for a 28-year-old woman with pre-existing type 1 diabetes who is planning to conceive?

    <p>Tight glycemic control</p> Signup and view all the answers

    What should be considered regarding metformin in a pregnant woman with pre-existing type 2 diabetes?

    <p>Potential to cross the placenta</p> Signup and view all the answers

    What is the preferred anticoagulant during pregnancy due to its favorable safety profile and inability to cross the placenta?

    <p>Heparin</p> Signup and view all the answers

    Which condition, characterized by hypertension, proteinuria, and edema occurring after 20 weeks of gestation, poses an increased risk in women with pre-existing diabetes?

    <p>Preeclampsia</p> Signup and view all the answers

    What is the most concerning complication of pregnancy related to the hypercoagulable state, presenting with sudden-onset dyspnea, chest pain, and hemoptysis?

    <p>Pulmonary embolism</p> Signup and view all the answers

    Which intervention before conception plays a crucial role in reducing the risk of congenital anomalies and adverse pregnancy outcomes in women with pre-existing diabetes?

    <p>Tight glycemic control</p> Signup and view all the answers

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