OB Inpatient Certification Test
Questions and Answers
The [_____] is considered the pathogenic focus for all manifestations of pre-e - ANS-
Placenta
(Regarding Pre-e): Increased sensitivity to Angiotensin II leads to [-------] and [------] -
ANS-Vascular damage & arteriolar vasoconstriction and systemic vasospasm
A [---------] measurement is recommended for all pregnant women with HTN - ANS-24-
hr urinary protein measurement
Thrombocytopenia is present when platelets are low: [-------], and severe: [------] - ANS-
Low platelets: less than 100,000/mm3, severe platelets: less than 50,000/mm3
In severe pre-e, urine output decreases to less than [---]ml in 24hrs - ANS-400ml
(Regarding pre-e): Arteriolar vasospasms damage the [-----] layer of small blood
vessels, causing lesions --> [-----] accumulate at lesions sites and fibrin network forms--
> RBCs are forced through the network under high pressure, resulting in [------] - ANS-
Arteriolar vasospasms damage the endothelial layer..... platelets accumulate at
lesions..... resulting in hemolysis
With regards to HELLP, Hemolysis can be identified by looking for (4): - ANS-1) falling
hematocrit
2) hyperbilirubinemia (>1.2mg/dl)
3) Increased LDH
4) Jaundice including sclerae
With regards to HELLP, Elevated Liver Enzymes can be identified by looking for (5): -
ANS-1) Increased LDH
2) Increased AST/ALT
3) Feeling Malaise
4) Viral-like symptoms
5) RUQ pain
With regards to HELLP, Low Platelets can be identified by looking for (2): - ANS-1)
falling platelet count (low: <100,000, severe: <50,000)
2) Abnormal coagulation and fibrinolytic values
You do not need to diagnose [-------] in order to diagnose HELLP - ANS-Preeclampsia
, The definitive treatment of for preeclampsia is .... - ANS-delivery
The primary goals of management of pre-e are: (4) - ANS-1) Prevent convulsions
through use of Mag Sulfate
2) Ensure adequate kidney functions
3) Monitor fetal status continuously for signs of uteroplacental insufficiency
4) To stabilize the women so vaginal/cesarean birth can be accomplished
A women with preeclampsia might experience a reduced plasma volume, and a [--------]
diet can worsen the situation - ANS-a salt-restricted diet
A cesarean delivery is recommended if the estimated fetal weight is... - ANS-...greater
than 4,500 gm
GDM patients are at risk for (4): - ANS-- Preeclampsia and HTN disorders
- Polyhydramnios
- Cesarean section because of fetal macrosomia
- Excessive weight gain
Long term complication for offspring of GDM pregnancies include.. - ANS-... increased
risk for obesity and impaired glucose tolerance (DM later in life)
Results of a 1hr Glucose Challenge Test (GCT) greater than [---] requires further
testing; greater than [---] requires immediate tx for GDM - ANS->140mg/dl requires a
3hr-GCT; > 200mg/dl requires immediate tx for GDM
The 1hr- GCT should be performed... - ANS-...between 24-28 weeks gestation
Recommended blood glucose levels are:
- fasting: [--]
- 1hr postprandial: [--] - [--]
- 2hr posprandial: [--] - [--] - ANS-- fasting: <95mg/dl
- 1hr PP: < 130-140mg/dl
- 2hr PP: <140mg/dl
Glyburide can be used an alternative to .... - ANS-...insulin therapy
The starting dose of glyburide is [--]mg, with a max dose of [--]mg. - ANS-starting is
2.5mg, max dose is 10mg
GDM should begin fetal kick counts at... - ANS-... 28weeks.
"Count to 10" Technique - ANS-Time how long it takes to feel 10 fetal movements. If
more than 2hrs, call your doctor.
Questions and Answers
The [_____] is considered the pathogenic focus for all manifestations of pre-e - ANS-
Placenta
(Regarding Pre-e): Increased sensitivity to Angiotensin II leads to [-------] and [------] -
ANS-Vascular damage & arteriolar vasoconstriction and systemic vasospasm
A [---------] measurement is recommended for all pregnant women with HTN - ANS-24-
hr urinary protein measurement
Thrombocytopenia is present when platelets are low: [-------], and severe: [------] - ANS-
Low platelets: less than 100,000/mm3, severe platelets: less than 50,000/mm3
In severe pre-e, urine output decreases to less than [---]ml in 24hrs - ANS-400ml
(Regarding pre-e): Arteriolar vasospasms damage the [-----] layer of small blood
vessels, causing lesions --> [-----] accumulate at lesions sites and fibrin network forms--
> RBCs are forced through the network under high pressure, resulting in [------] - ANS-
Arteriolar vasospasms damage the endothelial layer..... platelets accumulate at
lesions..... resulting in hemolysis
With regards to HELLP, Hemolysis can be identified by looking for (4): - ANS-1) falling
hematocrit
2) hyperbilirubinemia (>1.2mg/dl)
3) Increased LDH
4) Jaundice including sclerae
With regards to HELLP, Elevated Liver Enzymes can be identified by looking for (5): -
ANS-1) Increased LDH
2) Increased AST/ALT
3) Feeling Malaise
4) Viral-like symptoms
5) RUQ pain
With regards to HELLP, Low Platelets can be identified by looking for (2): - ANS-1)
falling platelet count (low: <100,000, severe: <50,000)
2) Abnormal coagulation and fibrinolytic values
You do not need to diagnose [-------] in order to diagnose HELLP - ANS-Preeclampsia
, The definitive treatment of for preeclampsia is .... - ANS-delivery
The primary goals of management of pre-e are: (4) - ANS-1) Prevent convulsions
through use of Mag Sulfate
2) Ensure adequate kidney functions
3) Monitor fetal status continuously for signs of uteroplacental insufficiency
4) To stabilize the women so vaginal/cesarean birth can be accomplished
A women with preeclampsia might experience a reduced plasma volume, and a [--------]
diet can worsen the situation - ANS-a salt-restricted diet
A cesarean delivery is recommended if the estimated fetal weight is... - ANS-...greater
than 4,500 gm
GDM patients are at risk for (4): - ANS-- Preeclampsia and HTN disorders
- Polyhydramnios
- Cesarean section because of fetal macrosomia
- Excessive weight gain
Long term complication for offspring of GDM pregnancies include.. - ANS-... increased
risk for obesity and impaired glucose tolerance (DM later in life)
Results of a 1hr Glucose Challenge Test (GCT) greater than [---] requires further
testing; greater than [---] requires immediate tx for GDM - ANS->140mg/dl requires a
3hr-GCT; > 200mg/dl requires immediate tx for GDM
The 1hr- GCT should be performed... - ANS-...between 24-28 weeks gestation
Recommended blood glucose levels are:
- fasting: [--]
- 1hr postprandial: [--] - [--]
- 2hr posprandial: [--] - [--] - ANS-- fasting: <95mg/dl
- 1hr PP: < 130-140mg/dl
- 2hr PP: <140mg/dl
Glyburide can be used an alternative to .... - ANS-...insulin therapy
The starting dose of glyburide is [--]mg, with a max dose of [--]mg. - ANS-starting is
2.5mg, max dose is 10mg
GDM should begin fetal kick counts at... - ANS-... 28weeks.
"Count to 10" Technique - ANS-Time how long it takes to feel 10 fetal movements. If
more than 2hrs, call your doctor.
