16 Questions
In a pregnant woman with a history of rheumatic heart disease, which valvular abnormality is a common occurrence?
Mitral regurgitation
What cardiovascular complication is a pregnant woman with Marfan syndrome at an increased risk of?
Aortic dissection
What is the most likely cause of worsening dyspnea and a diastolic murmur in a pregnant woman with rheumatic heart disease?
Mitral regurgitation
Which valvular abnormality is generally contraindicated during pregnancy in a woman with Marfan syndrome?
Aortic stenosis
What is the most likely cause of a diastolic murmur in a pregnant woman with rheumatic heart disease?
Mitral regurgitation
In a pregnant woman with a prosthetic heart valve, which anticoagulant is generally contraindicated during pregnancy?
Warfarin
Which anticoagulant is contraindicated during pregnancy as it crosses the placenta and may cause fetal abnormalities?
Warfarin
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?
Acute myocardial infarction
A pregnant woman with a history of type 1 diabetes presents with hypertension, proteinuria, and edema. What is the most likely diagnosis?
Preeclampsia
What is the most likely diagnosis for a pregnant woman at 32 weeks gestation presenting with sudden-onset dyspnea, chest pain, and hemoptysis?
Pulmonary embolism
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?
Tight glycemic control
What should be considered regarding metformin in a pregnant woman with pre-existing type 2 diabetes?
Potential to cross the placenta
What is the preferred anticoagulant during pregnancy due to its favorable safety profile and inability to cross the placenta?
Heparin
Which condition, characterized by hypertension, proteinuria, and edema occurring after 20 weeks of gestation, poses an increased risk in women with pre-existing diabetes?
Preeclampsia
What is the most concerning complication of pregnancy related to the hypercoagulable state, presenting with sudden-onset dyspnea, chest pain, and hemoptysis?
Pulmonary embolism
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?
Tight glycemic control
Test your knowledge of rheumatic heart disease and pregnancy with this quiz question about the most likely cause of symptoms in a pregnant woman with a history of rheumatic heart disease.
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