Anemia and Thyroid Diseases in Pregnancy

 Anemia and Thyroid Diseases in Pregnancy:

1. In a pregnant female which of the following depicts the level of iron:

A. Transferrin level

B. Serum ferritin level

C. Haemoglobin level

D. Iron binding capacity

E. Serum Iron

2. The most common type of anemia in pregnancy is due to :

A. Iron deficiency.

B. Sickle cell disease.

C. Folate deficiency.

D. Hemolytic disease.

E. Vitamin B12.

3. Folic acid deficiency results in :

A. Microcytic anemia.

B. Megaloblastic anemia.

C. Aplastic anemia.

D. G6PD deficiency.

E. WBC stippling.

4. Sickle cell:

A. Diseases presents in a heterotype (SA).

B. Increases the risk of urinary tract infections.

5. A 29 year old primigravida woman at 16 weeks of gestation reports irritability,

palpitation and difficulty in gaining weight. Physical examination is normal

except for a pulse of 104 beats/min and lid lag. Laboratory studies reveal Hb of

10.1g/dl, serum free thyroxin of 10 ng/dl and thyrotropin of 0.1 mU1ow. What

is the most likely diagnosis?

A. Thyroid storm.

B. Hypothyroidism.

C. Depression.

D. Hyperthyroidism.

6. According to WHO, Hb in a pregnant woman shouldn't be less than:

A. <8

B. <10

C. <9

D. <11

E. <13

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Cardiovascular Diseases:

1. Disseminated intravascular coagulation has a recognized association with:

A. IUFD

B. Multiple pregnancy

C. Iron deficiency

D. Diabetic mother

E. Prolonged bed rest

2. Risk Factors for DVT include all, EXCEPT:

A. Smoking

B. Operative delivery

C. Lupus anticoagulation

D. Maternal weight over 80 kg

E. Hyperthyroidism

3. In pregnant patients with rheumatic heart disease, all of the following is true,

EXCEPT:

A. Should be always given iron to avoid anemia.

B. Commonly develop atrial fibrillation.

C. Should be given prophylactic antibiotic in labor.

D. Usually remain asymptomatic.

E. Ergometrine should not be given routinely in cases with mitral stenosis.

4. Which of the following isn't considered a high risk pregnancy ?

A. Gestational diabetes.

B. Cardiac disease in pregnancy.

C. Candida infection in pregnancy.

D. Bleeding in pregnancy.

E. Patient with a Hx of previous IUFD.

5. Regarding cardiac disease in pregnancy, according to the New York Heart

Association classification, a patient with cardiac disease & slight limitation of

physical activity would be:

A. Class O.

B. Class I.

C. Class II.

D. Class III.

E. Class IV.

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6. Which of the following accounts for most heart disease in pregnancy ?

A. Cardiomyopathy

B. Previous myocardial infarction

C. Hypertension

D. Thyroid disease

E. Congenital heart disease (CHD)

7. What is the most serious disadvantage of switching from Warfarin to heparin

during pregnancy in women with mechanical heart prosthesis ?

A. The risk of embryopathy is increased.

B. The risk of thrombo-embolism is increased.

C. The need for self-injection.

D. Hemorrhage is more likely.

8. If delivery occurs unexpectedly while the patient is on Heparin and excessive

bleeding occurs, what is the appropriate initial intervention?

A. Administration of protamine acetate.

B. Administration of vitamin K .

C. Administaration of tranexemic acid.

D. Ligation of the hypogastric arteries.

E. Infusion of fresh frozen plasma.

9. Which of the following symptoms in pregnancy is most suggestive of heart

disease ?

A. Tachypnea.

B. Syncope with exertion.

C. Tachycardia.

D. Peripheral edema.

E. Fatigue.

10. Regarding anticoagulants in pregnancy, which of the following laboratory

parameters should be maintained at a level of 1.5 to 2.5 times baseline value?

A. Bleeding time.

B. Partial thromboplastin time.

C. Prothrombin time.

D. Thrombin time.